Tanushree Subhash Yadwadkar, M.D.

Primary specialty

Internal Medicine PhysicianTaxonomy code 207R00000X

License

60105 Issued in AZ

Practice address

2840 E Skyline Dr Ste 230
Tucson, AZ 85718-8005

Phone

(520) 324-1214

Fax

(520) 324-1281

NPI assigned

Apr 20, 2011

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

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

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

Practice roles

Locations

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.

• TMC Medical Network

  • Multi-Specialty Clinic/Center
  • Tucson, AZ
  • NPI 1750832283
  Medicare reassignment NPD

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

{
    "created_epoch": "1303257600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1632700800000",
    "number": "1871884288",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 31235",
            "city": "TUCSON",
            "state": "AZ",
            "postal_code": "857511235",
            "telephone_number": "520-324-4100"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2840 E SKYLINE DR STE 230",
            "city": "TUCSON",
            "state": "AZ",
            "postal_code": "857188005",
            "telephone_number": "520-324-1214",
            "fax_number": "520-324-1281"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "YADWADKAR",
        "first_name": "TANUSHREE",
        "middle_name": "SUBHASH",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2011-04-20",
        "last_updated": "2021-09-27",
        "certification_date": "2021-09-27",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Internal Medicine",
            "state": "AZ",
            "license": "60105",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "005762",
            "state": "AZ"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Y Clare Zhang Practice of Oriental Medicine LLC
• Yaara Ellis Behavioral Health LLC
• Lauri Michelle Yablick, PH.D.
• Kelly Yablonski, M.D.
• Kavitha Yaddanapudi
• Ibrahim Yaghnam, MD
• Danielle Yakes, PHARMD
• Jacob Scott Yakoubek, M.S., CF-SLP
• Moh Yakubi, DMD
• Praveen Raj Yalamanchili, MD

• Internal Medicine Physician in Tucson, AZ
• Providers in Tucson, AZ by specialty
• Internal Medicine Physician in Arizona

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 27, 2021; 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.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.