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AMBUGA BADARI MD
NPI 1851555874
Internal Medicine - Hematology & Oncology in Gilbert, AZ

Active since July 18, 2008PECOS EnrolledAccepts Medicare Assignment
2946 E BANNER GATEWAY DR, GILBERT, AZ 85234(480) 256-6444(480) 256-3682 Get Directions Write a Review

NPPES record last updated: October 8, 2024. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Ambuga Badari Md NPPES

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

AMBUGA BADARI MD (NPI 1851555874) is an individual hematology & oncology provider in Gilbert, Arizona, licensed in Arizona (47159) and active in the NPI registry since July 2008. He is enrolled in Medicare PECOS, is affiliated with Ochsner Medical Center Acute, and is a graduate of Other (2002).

NPPES Registry Identity

NPI1851555874
Entity TypeIndividualMale
Primary Taxonomy207RH0003X
Provider Legal NameAMBUGA BADARICredential: MD
Location Address2946 E BANNER GATEWAY DRGilbert, AZ 85234
Mailing Address2946 E Banner Gateway DrGilbert, AZ 85234 · (480) 256-6444 · Fax (480) 256-3682
Phone(480) 256-6444
Fax(480) 256-3682
Sole ProprietorNo
Medical School CMSOtherGraduated 2002
Enumeration DateJuly 18, 2008
Last NPPES UpdateOctober 8, 2024
✔ NPI 1851555874 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyInternal Medicine · Hematology & OncologyAllopathic & Osteopathic Physicians
Taxonomy Code207RH0003X
License✔ Licensed in AZ · 47159
Definition
An internist doctor of osteopathy that specializes in the treatment of the combination of hematology and oncology disorders. A doctor of osteopathy that is board eligible/certified by the American Osteopathic Board of Internal Medicine WAS able to obtain a Certificate of Special Qualifications in the field of Hematology and Oncology. The Certificate is NO longer offered.
Also ListedStudent in an Organized Health Care Education/Training ProgramTaxonomy 390200000X
2946 E BANNER GATEWAY DR, Gilbert, AZ 85234
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Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Ambetter from Arizona Complete Health, Blue Cross Blue Shield of Arizona, Oscar Health Plan, Inc. 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 and accepts Medicare assignment

Ambuga Badari 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 ID749423416
PECOS Enrollment IDI20130828000174
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.

Areas of Expertise CMS Part B claims 6

Services this provider delivered to Medicare fee-for-service patients, from the CMS Medicare utilization data. Higher counts generally reflect more experience with a service; care delivered outside Medicare is not included.

Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more 99214
This is a routine check-up for patients who have previously visited our clinic. It involves a comprehensive review of your health and any ongoing treatments. The consultation lasts between 30-39 minutes, allowing enough time to discuss any concerns.
165 services91 patients
Subsequent hospital care with moderate levelof medical decision making, if using time, at least 50 minutes 99233
Follow-up hospital inpatient care per day typically involves a 35-minute check-up by your healthcare provider. This service includes monitoring your health progress, adjusting your treatment plan if needed, and answering any questions you may have about your condition or care.
147 services37 patients
Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more 99214
This is a routine check-up for patients who have previously visited our clinic. It involves a comprehensive review of your health and any ongoing treatments. The consultation lasts between 30-39 minutes, allowing enough time to discuss any concerns.
59 services35 patients
Subsequent hospital care with moderate levelof medical decision making, if using time, at least 35 minutes 99232
Follow-up hospital inpatient care involves daily check-ups while you're admitted in the hospital. Typically, a healthcare provider spends about 25 minutes each day reviewing your condition, adjusting treatment if needed, and answering any questions you might have.
31 services11 patients
Initial hospital care with moderate level of medical decision making, if using time, at least 75 minutes 99223
Initial hospital inpatient care per day, typically 70 minutes, refers to the daily medical service provided to patients admitted to the hospital. This includes a comprehensive evaluation, diagnosis, treatment plan, and monitoring of your health condition. It ensures your well-being during your hospital stay.
23 services21 patients
Established patient office or other outpatient visit with high level of medical decision making, if using time, 40 minutes or more 99215
This service involves a follow-up appointment for existing patients, lasting between 40 to 54 minutes. During this time, your healthcare provider will assess your current health status, discuss any changes or concerns, review your treatment plan, and answer any questions you may have.
22 services19 patients

Hospital Affiliations CMS Care Compare

Hospitals where this provider delivers care, identified from recent Medicare claims and place-of-service records.

Ochsner Medical Center Acute

Acute Care Hospitals · New Orleans, LA
4/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number190036
Location1516 Jefferson HwyNew Orleans, LA 70121 · Jefferson County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 85234 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
$168.60 typical visit price
range $55.44 – $168.60
Typical copayment $42.15 (range $13.86 – $42.15)
Most-billed visit code 99205
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.

SOYOUNG PARK MD
Internal Medicine (Hematology & Oncology)
2946 E BANNER GATEWAY DR
GILBERT, AZ 85234
Maricopa County (480) 256-6444
DR. AKSHAAR BRAHMBHATT MD
Radiology (Vascular & Interventional Radiology)
2946 E BANNER GATEWAY DR
GILBERT, AZ 85234
Maricopa County (480) 256-6444
THERESA ONG LIU DUMLAO MD
Internal Medicine (Hematology & Oncology)
2946 E BANNER GATEWAY DR, SUITE 450
GILBERT, AZ 85234
Maricopa County (480) 256-6444
DR. ZACHARY PHILLIP YEUNG MD
Internal Medicine (Medical Oncology)
2946 E BANNER GATEWAY DR
GILBERT, AZ 85234
Maricopa County (480) 245-6444
MICHAEL J POGGE AGACNP-BC
Nurse Practitioner (Acute Care)
2946 E BANNER GATEWAY DR
GILBERT, AZ 85234
Maricopa County (480) 256-6444
RICHARD D SUE MD
Internal Medicine (Pulmonary Disease)
2946 E BANNER GATEWAY DR
GILBERT, AZ 85234
Maricopa County (480) 256-6444
MRS. ALEXANDRIA NICOLE BARNES PA-C
Physician Assistant (Medical)
2946 E BANNER GATEWAY DR
GILBERT, AZ 85234
Maricopa County (480) 256-6444
ASHLEY JOHNSON KELLER PA-C
Physician Assistant
2946 E BANNER GATEWAY DR
GILBERT, AZ 85234
Maricopa County (480) 256-6444

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 Ambuga Badari's NPI number?

The NPI number for Ambuga Badari is 1851555874. It was assigned to this individual provider in the NPPES registry on July 18, 2008.

Where is Ambuga Badari located?

Ambuga Badari practices at 2946 E Banner Gateway Dr, Gilbert, AZ 85234. The listed phone number is (480) 256-6444.

What is Ambuga Badari's specialty?

The primary specialty registered for this NPI is Internal Medicine, specializing in Hematology & Oncology, with taxonomy code 207RH0003X.

Is Ambuga Badari enrolled in Medicare?

Yes. Ambuga Badari 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 Ambuga Badari accept?

Health plans from Ambetter from Arizona Complete Health, Blue Cross Blue Shield of Arizona, Oscar Health Plan, Inc. and UnitedHealthcare list Ambuga Badari 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.

Is Ambuga Badari affiliated with any hospitals?

According to CMS data, Ambuga Badari is affiliated with Ochsner Medical Center Acute.

When was this NPI record last updated?

The NPPES record for Ambuga Badari was last updated on October 8, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 22 months 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.