DR. SHIVANAND BOMMAN MD
NPI 1063641348
Internal Medicine - Gastroenterology in Tucson, AZ

Active since July 08, 2009PECOS EnrolledAccepts Medicare Assignment
1625 N CAMPBELL AVE, TUCSON, AZ 85719(520) 626-3992(520) 626-2520 Get Directions Write a Review

NPPES record last updated: December 27, 2023. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Dr. Shivanand Bomman Md NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

DR. SHIVANAND BOMMAN MD (NPI 1063641348) is an individual gastroenterology provider in Tucson, Arizona, licensed in Arizona (R79307) and active in the NPI registry since July 2009. He is enrolled in Medicare PECOS and is a graduate of Other (2007).

NPPES Registry Identity

NPI1063641348
Entity TypeIndividualMale
Primary Taxonomy207RG0100X
Provider Legal NameDR. SHIVANAND BOMMANCredential: MD
Location Address1625 N CAMPBELL AVETucson, AZ 85719-4330
Mailing Address1625 N Campbell AveTucson, AZ 85719-4330
Fax(520) 626-2520
Sole ProprietorNo
Medical School CMSOtherGraduated 2007
Enumeration DateJuly 8, 2009
Last NPPES UpdateDecember 27, 2023
NPPES CertifiedDecember 27, 2023
NPI 1063641348 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

Primary SpecialtyInternal Medicine · GastroenterologyAllopathic & Osteopathic Physicians
Taxonomy Code207RG0100X
License Licensed in AZ · R79307
Definition
An internist who specializes in diagnosis and treatment of diseases of the digestive organs including the stomach, bowels, liver and gallbladder. This specialist treats conditions such as abdominal pain, ulcers, diarrhea, cancer and jaundice and performs complex diagnostic and therapeutic procedures using endoscopes to visualize internal organs.
Also ListedInternal MedicineTaxonomy 207R00000X · License 14557 (NV)
1625 N CAMPBELL AVE, Tucson, AZ 85719

Accepted Insurance

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

Enrolled in Medicare and accepts Medicare assignment

Dr. Shivanand Bomman Md is registered in PECOS and agrees to accept the Medicare-approved amount as full payment. Medicare patients are not billed beyond the standard deductible and coinsurance.

PECOS PAC ID446402846
PECOS Enrollment IDI20250826001644
Eligible to Order & Refer Part B Labs & Imaging Durable Medical Equipment Home Health Agency Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 85719 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.

New Patient
$127.71 typical visit price
range $55.44 – $168.60
Typical copayment $31.92 (range $13.86 – $42.15)
Most-billed visit code 99204
Established Patient
$98.00 typical visit price
range $17.72 – $137.41
Typical copayment $24.50 (range $4.43 – $34.35)
Most-billed visit code 99214
Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

Other Providers at the Same Location NPPES 20

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

Pediatrics
1625 N CAMPBELL AVE
TUCSON, AZ 85719
Pediatrics
1625 N CAMPBELL AVE
TUCSON, AZ 85719
Physician Assistant
1625 N CAMPBELL AVE
TUCSON, AZ 85719
Emergency Medicine
1625 N CAMPBELL AVE
TUCSON, AZ 85719
Emergency Medical Technician, Paramedic
1625 N CAMPBELL AVE
TUCSON, AZ 85719
Anesthesiology
1625 N CAMPBELL AVE
TUCSON, AZ 85719
Radiology (Diagnostic Radiology)
1625 N CAMPBELL AVE
TUCSON, AZ 85719
Emergency Medicine
1625 N CAMPBELL AVE
TUCSON, AZ 85719

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Shivanand Bomman's NPI number?

The NPI number for Shivanand Bomman is 1063641348. It was assigned to this individual provider in the NPPES registry on July 8, 2009.

Where is Shivanand Bomman located?

Shivanand Bomman practices at 1625 N Campbell Ave, Tucson, AZ 85719. The listed phone number is (520) 626-3992.

What is Shivanand Bomman's specialty?

The primary specialty registered for this NPI is Internal Medicine, specializing in Gastroenterology, with taxonomy code 207RG0100X.

Is Shivanand Bomman enrolled in Medicare?

Yes. Shivanand Bomman is registered in the Medicare PECOS system and accepts Medicare assignment, which means accepting the Medicare-approved amount as payment in full for covered services.

What insurance does Shivanand Bomman accept?

Health plans from Blue Cross Blue Shield of Arizona list Shivanand Bomman as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

When was this NPI record last updated?

The NPPES record for Shivanand Bomman was last updated on December 27, 2023. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.