Individual provider Active NPI

William G. Odette, M.D.

  • Internal Medicine Physician
  • Tucson, AZ
National Provider Identifier
1932197670
Registry record updated Oct 22, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
License
17234 Issued in AZ
Practice address
6367 E Tanque Verde Road
Suite 200
Tucson, AZ 85715-3832
Phone
(520) 290-5888
Fax
(520) 290-5551
NPI assigned
Oct 6, 2005
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 22, 2007

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine Physician 207R00000X 17234 AZ Primary

Addresses

Primary practice location

6367 E Tanque Verde Road
Suite 200
Tucson, AZ 85715-3832

Mailing address

6367 E Tanque Verde Road
Suite 200
Tucson, AZ 85715-3832
Phone (520) 290-5888

Medicare participation

Medicare enrollment files
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

Enrollment IDStateProvider typePAC IDDetails
I20110309001009 AZ Practitioner - Internal MedicinePractitioner - Hospitalist 3072795210 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
17234AZMDPharmacist

Practice roles

OrganizationSpecialtyStatusNew patients
Arizona Inpatient Medicine Associates LLC Internal Medicine CurrentSince Jun 1, 2017 Accepting new patients
Arizona Post-Acute Medical Services 1 PC Hospitalist Past Accepting new patients

Locations

7383 E Tanque Verde Rd
Tucson, AZ 85715
Phone (520) 318-3434

1921 W Hospital Dr
Tucson, AZ 85704
Phone (520) 544-5200

6367 E Tanque Verde Rd
Ste 200
Tucson, AZ 85715
Phone (520) 290-5888

5301 E Grant Rd
Unit 600
Tucson, AZ 85712

Organizations & group practices 2

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.

NPI Registry JSON

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

{
    "created_epoch": "1128556800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1193011200000",
    "number": "1932197670",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6367 E TANQUE VERDE ROAD",
            "address_2": "SUITE 200",
            "city": "TUCSON",
            "state": "AZ",
            "postal_code": "857153832",
            "telephone_number": "520-290-5888",
            "fax_number": "520-290-5551"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6367 E TANQUE VERDE ROAD",
            "address_2": "SUITE 200",
            "city": "TUCSON",
            "state": "AZ",
            "postal_code": "857153832",
            "telephone_number": "520-290-5888",
            "fax_number": "520-290-5551"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ODETTE",
        "first_name": "WILLIAM",
        "middle_name": "G.",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2005-10-06",
        "last_updated": "2007-10-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "AZ",
            "license": "17234",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Tucson, AZ

Sources for this page

Verify at the official NPI Registry.