DR. ELLEN MARIE SAN BUENAVENTURA MD
NPI 1083796098
Emergency Medicine - Pediatric Emergency Medicine in Tucson, AZ

Q: What is Ellen San Buenaventura's NPI number?

The NPI number for Ellen San Buenaventura is 1083796098. It was assigned to this individual provider in the NPPES registry on October 19, 2006.

Q: What is Ellen San Buenaventura's specialty?

The primary specialty registered for this NPI is Emergency Medicine, specializing in Pediatric Emergency Medicine, with taxonomy code 207PP0204X.

Active since October 19, 2006PECOS Enrolled

5161 N STONEHOUSE PL, TUCSON, AZ 85750(520) 749-5889 Get Directions Write a Review

NPPES record last updated: August 7, 2012. Verified against the NPPES registry weekly; last sync: August 02, 2026.

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About Dr. Ellen Marie San Buenaventura Md NPPES

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

DR. ELLEN MARIE SAN BUENAVENTURA MD (NPI 1083796098) is an individual pediatric emergency medicine provider in Tucson, Arizona, licensed in Arizona (14454) and active in the NPI registry since October 2006. She is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1083796098

Entity TypeIndividualFemale

Primary Taxonomy207PP0204X

Provider Legal NameDR. ELLEN MARIE SAN BUENAVENTURACredential: MD

Location Address5161 N STONEHOUSE PLTucson, AZ 85750-9671

Mailing Address5161 N Stone House PlTucson, AZ 85750 · (520) 749-5889

Phone(520) 749-5889

Sole ProprietorNo

Enumeration DateOctober 19, 2006

Last NPPES UpdateAugust 7, 2012

✔ NPI 1083796098 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyEmergency Medicine · Pediatric Emergency MedicineAllopathic & Osteopathic Physicians

Taxonomy Code207PP0204X

License✔ Licensed in AZ · 14454

Definition

Pediatric Emergency Medicine is a clinical subspecialty that focuses on the care of the acutely ill or injured child in the setting of an emergency department.

Also ListedPediatricsTaxonomy 208000000X · License 14454 (AZ)

5161 N STONEHOUSE PL, Tucson, AZ 85750

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Other Identifiers 5

Medicare ID-Type UnspecifiedZ61172

Medicaid240119-10AZ

Medicare UPIND00246

Other370016065Railroad Mcr

Other240119AZ · Ahcccs

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Blue Cross Blue Shield of Arizona, Imperial Insurance Companies, Inc., Oscar Health Insurance and more.Insurance ›

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Dr. Ellen Marie San Buenaventura Md is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

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 85750 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

$85.89 typical visit price

range $55.44 – $168.60

Typical copayment $21.47 (range $13.86 – $42.15)

Most-billed visit code 99203

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.

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 Ellen San Buenaventura's NPI number?

The NPI number for Ellen San Buenaventura is 1083796098. It was assigned to this individual provider in the NPPES registry on October 19, 2006.

Where is Ellen San Buenaventura located?

Ellen San Buenaventura practices at 5161 N Stonehouse Pl, Tucson, AZ 85750. The listed phone number is (520) 749-5889.

What is Ellen San Buenaventura's specialty?

The primary specialty registered for this NPI is Emergency Medicine, specializing in Pediatric Emergency Medicine, with taxonomy code 207PP0204X.

Is Ellen San Buenaventura enrolled in Medicare?

Yes. Ellen San Buenaventura is registered in the Medicare PECOS enrollment system.

What insurance does Ellen San Buenaventura accept?

Health plans from Blue Cross Blue Shield of Arizona, Imperial Insurance Companies, Inc., Oscar Health Insurance, Oscar Health Maintenance Organization of Florida and Oscar Health Plan of North Carolina, Inc and 3 other insurers list Ellen San Buenaventura 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 Ellen San Buenaventura was last updated on August 7, 2012. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 13 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.