Amitab K G Puri, MD

Primary specialty

Pulmonary Disease PhysicianTaxonomy code 207RP1001X

License

25648 Issued in AZ

Practice address

5310 N la Cholla Blvd
Tucson, AZ 85741-3815

Phone

(520) 229-8878

Fax

(520) 229-9107

NPI assigned

Aug 29, 2006

Last updated

Mar 12, 2021By the provider in NPPES

Sex

Male

Sole proprietor

No

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

Specialties & licenses 3

Addresses

Other identifiers 3

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

Pulmonary DiseaseAlso: Critical Care (Intensivists), Sleep Medicine

Education

Other, 1989

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

Hospital & facility affiliations

• Oro Valley Hospital Hospital, Oro Valley, AZ, CCN 030114
• Northwest Medical Center Hospital, Tucson, AZ, CCN 030085
• Northwest Medical Center Sahuarita Hospital, Sahuarita, AZ, CCN 030148
• Holy Cross Hospital Hospital, Nogales, AZ, CCN 031313

Merit-based Incentive Payment System (MIPS)

Final score

22.68 of 100Reported as individual

Quality

0

Improvement activities

0

Cost

75.59

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Pima Lung & Sleep, PC

  • Pulmonary Disease Physician
  • Tucson, AZ
  • NPI 1104010107

  Critical Care Medicine

  Medicare reassignment NPD
• Pulmonary & Sleep Science

  • Pulmonary Disease Physician
  • Tucson, AZ
  • NPI 1306582945
  Authorized official Same address or phone

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

• HCH Tucson Holdings LLC

  dba Holy Cross Hospital

  • Critical Access Hospital
  • Nogales, AZ
  • NPI 1639555865
  Care Compare affiliation
• Northwest Hospital LLC

  dba Northwest Medical Center

  • General Acute Care Hospital
  • Tucson, AZ
  • NPI 1487607784
  Care Compare affiliation
• Northwest Sahuarita Hospital LLC

  dba Northwest Medical Center Sahuarita

  • General Acute Care Hospital
  • Sahuarita, AZ
  • NPI 1851927669
  Care Compare affiliation
• Oro Valley Hospital LLC

  dba Oro Valley Hospital

  • General Acute Care Hospital
  • Oro Valley, AZ
  • NPI 1386697688
  Care Compare affiliation

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

{
    "created_epoch": "1156809600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1615507200000",
    "number": "1881702793",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5310 N LA CHOLLA BLVD",
            "city": "TUCSON",
            "state": "AZ",
            "postal_code": "857413815",
            "telephone_number": "520-490-7171",
            "fax_number": "520-229-9107"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5310 N LA CHOLLA BLVD",
            "city": "TUCSON",
            "state": "AZ",
            "postal_code": "857413815",
            "telephone_number": "520-229-8878",
            "fax_number": "520-229-9107"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PURI",
        "first_name": "AMITAB",
        "middle_name": "K G",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-08-29",
        "last_updated": "2021-03-12",
        "certification_date": "2021-03-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207RS0012X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Sleep Medicine",
            "state": "AZ",
            "license": "25648",
            "primary": false
        },
        {
            "code": "207RP1001X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Pulmonary Disease",
            "state": "AZ",
            "license": "25648",
            "primary": true
        },
        {
            "code": "207RC0200X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Critical Care Medicine",
            "state": "AZ",
            "license": "25648",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "RAILROAD MEDICARE",
            "identifier": "290013518",
            "state": null
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "401315",
            "state": "AZ"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS OF AZ",
            "identifier": "0875970",
            "state": "AZ"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Robert J. Purcell Sr., PHARM.D.
• Abigail Purdy, PHARMD
• Eric Ralph Purdy, DMD
• Pure Intent Acupuncture, LLC
• Pure Potential Mental Healthcare
• Sarah Tuli Puri, MD
• Michael D Purkis, MD
• Purple Starfish Enterprises LLC (Eagle Pointe Community Respite Services)
• Purpose Healing Center, LLC
• Purpose Healing Center, LLC

• Pulmonary Disease Physician in Tucson, AZ
• Providers in Tucson, AZ by specialty
• Pulmonary Disease Physician in Arizona

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 12, 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.
• 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.