Debra A Tatum, M.D.

Primary specialty

Family Medicine PhysicianTaxonomy code 207Q00000X

License

34248 Issued in AZ

Practice address

10715 N Frank Lloyd Wright Blvd Ste 107
Scottsdale, AZ 85259-2691

Phone

(480) 860-5533

Fax

(480) 860-5005

NPI assigned

Aug 31, 2006

Sex

Female

Sole proprietor

No

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 2

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Enrolled in AZ

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: Yes
• Power mobility devices: Yes
• Hospice: Yes

Green means eligible to order or refer.

Enrollment records 1

Specialty

Family Practice

Education

University of Arizona College of Medicine, 2002

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

Hospital & facility affiliations

• Honor Health John C. Lincoln Medical Center Hospital, Phoenix, AZ, CCN 030014

Procedures performed for Medicare patients

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

Practice roles

Locations

Interoperability endpoints

• FHIR API: https://api.platform.athenahealth.com/3916/brand/1/csg/1/fhir/r4
• Direct secure messaging: debra.tatum.1@3916.direct.athenahealth.com

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

• Primrose Primary Care and Wellness

  • Family Medicine Physician
  • Scottsdale, AZ
  • NPI 1366142887
  Medicare reassignment NPD Authorized official
• Northwest HBP Medical Services LLC

  • Emergency Medicine Physician
  • Tucson, AZ
  • NPI 1407353006

  Hospitalist

  Medicare reassignment NPD
• Bailey Family Medical Care PC

  • Family Medicine Physician
  • Scottsdale, AZ
  • NPI 1093930927
  NPD
• App of Southern Arizona HM LLC

  • Hospitalist Physician
  • Brentwood, TN
  • NPI 1518542679
  NPD
• Avondale Urgent Care LLC

  • Urgent Care Clinic/Center
  • Avondale, AZ
  • NPI 1134185671
  NPD (past)
• Banner Sun City Medical Group

  • Multi-Specialty Clinic/Center
  • Sun City, AZ
  • NPI 1902067200
  NPD (past)
• Chandler Urgent Care LLC

  • Urgent Care Clinic/Center
  • Chandler, AZ
  • NPI 1881650471
  NPD (past)
• Dana Landing Urgent Care LLC

  • Urgent Care Clinic/Center
  • Mesa, AZ
  • NPI 1770549214
  NPD (past)
• Desert Ridge Urgent Care LLC

  • Urgent Care Clinic/Center
  • Phoenix, AZ
  • NPI 1861458309
  NPD (past)
• Glendale Urgent Care LLC

  • Urgent Care Clinic/Center
  • Glendale, AZ
  • NPI 1043276587
  NPD (past)
• Greenway Urgent Care LLC

  • Urgent Care Clinic/Center
  • Phoenix, AZ
  • NPI 1629034210
  NPD (past)
• Nextcare Arizona I JV LLC

  • Urgent Care Clinic/Center
  • Tempe, AZ
  • NPI 1114798071
  NPD (past)

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

• Honorhealth

  • General Acute Care Hospital
  • Phoenix, AZ
  • NPI 1770690695
  Care Compare affiliation

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1156982400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1677801600000",
    "number": "1861504052",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "10715 N FRANK LLOYD WRIGHT BLVD STE 107",
            "city": "SCOTTSDALE",
            "state": "AZ",
            "postal_code": "852592691",
            "telephone_number": "480-860-5533",
            "fax_number": "480-860-5005"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "10715 N FRANK LLOYD WRIGHT BLVD STE 107",
            "city": "SCOTTSDALE",
            "state": "AZ",
            "postal_code": "852592691",
            "telephone_number": "480-860-5533",
            "fax_number": "480-860-5005"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "TATUM",
        "first_name": "DEBRA",
        "middle_name": "A",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-08-31",
        "last_updated": "2023-03-03",
        "certification_date": "2023-03-03",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208M00000X",
            "taxonomy_group": "",
            "desc": "Hospitalist",
            "state": "AZ",
            "license": "34248",
            "primary": false
        },
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "AZ",
            "license": "34248",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "963662",
            "state": "AZ"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Vicki Tate, FNP-C
• Molly Tately, ND
• Janet Elaine Tatman, PHD, PA-C
• Jennifer Tatrai
• Coddie L Tatro, NP-C
• Rebecca Jordan Tatum, LPC, MS
• Erica Tatumsheade, LCSW
• Michelle Taus, M.A.
• Telisha Leohoni Tausinga, MD
• Jennifer Renee Tavani, PA-C

• Family Medicine Physician in Scottsdale, AZ
• Providers in Scottsdale, AZ by specialty
• Family Medicine Physician in Arizona

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 3, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.