Active NPI
Peter C Amene, MD
- Internal Medicine Physician
- Tucson, AZ
National Provider Identifier
1902841158
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Internal Medicine Physician
- License
- 28525
- Practice address
- 6567 E Carondelet Dr
Suite 441
Tucson, AZ 85710-6152 - Phone
- (520) 751-0360
- Fax
- (520) 751-3723
- NPI assigned
- Jun 19, 2006
- Last updated
- Feb 22, 2010
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Internal Medicine Physician | 207R00000X | 28525 | AZ | Primary |
Addresses
Primary practice location
6567 E Carondelet Dr
Suite 441
Tucson, AZ 85710-6152
Mailing address
PO Box 30370
Tucson, AZ 85751-0370
Phone (520) 722-0777
Other identifiers 3
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 28525 | Other | AZ | AZ STATE MEDICAL LICENSE |
| AZ0769130 | Other | AZ | BCBSAZ |
| 528010 | Medicaid | AZ |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 28525 | AZ | MD | Internal Medicine Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Inpatient Medical Consultants PLLC | Internal Medicine | Past | Accepting new patients |
| Hospitalists of Arizona, Inc | Internal Medicine | Past | Accepting new patients |
| Associated Internists of Tucson, PLLC | Internal Medicine | Past | Accepting new patients |
Organizations & group practices 3
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.
-
- Internal Medicine Physician
- Tucson, AZ
- NPI 1558318345
-
- Internal Medicine Physician
- Tucson, AZ
- NPI 1326073800
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1150675200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1266796800000",
"number": "1902841158",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 30370",
"city": "TUCSON",
"state": "AZ",
"postal_code": "857510370",
"telephone_number": "520-722-0777",
"fax_number": "520-290-9713"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "6567 E CARONDELET DR",
"address_2": "SUITE 441",
"city": "TUCSON",
"state": "AZ",
"postal_code": "857106152",
"telephone_number": "520-751-0360",
"fax_number": "520-751-3723"
}
],
"practiceLocations": [],
"basic": {
"last_name": "AMENE",
"first_name": "PETER",
"middle_name": "C",
"credential": "MD",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-06-19",
"last_updated": "2010-02-22",
"status": "A"
},
"taxonomies": [
{
"code": "207R00000X",
"taxonomy_group": "",
"desc": "Internal Medicine",
"state": "AZ",
"license": "28525",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "AZ STATE MEDICAL LICENSE",
"identifier": "28525",
"state": "AZ"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BCBSAZ",
"identifier": "AZ0769130",
"state": "AZ"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "528010",
"state": "AZ"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Tucson, AZ
- Ambulatory Surgery Center of Tucson, Inc.
- Amd Internal Medicine PLLC
- Amedisys Hospice, LLC (Amedisys Hospice)
- Jameela Ameen, FNP
- Lora Leigh Amelunke, PT
- America's Best Contacts & Eyeglasses
- America's Best Contacts & Eyeglasses
- America's Best Contacts & Eyeglasses
- American Current Care of Arizona PA (Concentra Urgent Care)
- American Current Care of Arizona PA (Concentra Urgent Care)
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 22, 2010; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.