DR. ANWAR BADRUDDOJA M.D.
NPI 1891779872
Psychiatry & Neurology - Neurology in Tucson, AZ

Active since December 02, 2005PECOS EnrolledAccepts Medicare Assignment
56.06/100
CMS Quality Rating
2450 E RIVER RD, TUCSON, AZ 85718(520) 795-7923(520) 320-2155 Get Directions Write a Review

NPPES record last updated: April 15, 2011. Verified against the NPPES registry weekly; last sync: August 16, 2026.

About Dr. Anwar Badruddoja M.d. NPPES

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

DR. ANWAR BADRUDDOJA M.D. (NPI 1891779872) is an individual neurology provider in Tucson, Arizona, licensed in Arizona (34762) and active in the NPI registry since December 2005. He is enrolled in Medicare PECOS and is a graduate of Other (1998).

NPPES Registry Identity

NPI1891779872
Entity TypeIndividualMale
Primary Taxonomy2084N0400X
Provider Legal NameDR. ANWAR BADRUDDOJACredential: M.D.
Location Address2450 E RIVER RDTucson, AZ 85718-6522
Mailing Address2450 E River RdTucson, AZ 85718-6522 · (520) 795-7923 · Fax (520) 320-2155
Fax(520) 320-2155
Sole ProprietorNo
Medical School CMSOtherGraduated 1998
Enumeration DateDecember 2, 2005
Last NPPES UpdateApril 15, 2011
NPI 1891779872 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

Primary SpecialtyPsychiatry & Neurology · NeurologyAllopathic & Osteopathic Physicians
Taxonomy Code2084N0400X
License Licensed in AZ · 34762
Definition
A Neurologist specializes in the diagnosis and treatment of diseases or impaired function of the brain, spinal cord, peripheral nerves, muscles, autonomic nervous system, and blood vessels that relate to these structures.
Also ListedSpecialistTaxonomy 174400000X · License A88539 (CA)
2450 E RIVER RD, Tucson, AZ 85718

Other Identifiers 3

Medicaid986705AZ
Medicare PIN106966
Medicare UPINI21839CA

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. Anwar Badruddoja M.d. 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 ID4587620414
PECOS Enrollment IDI20051214000268
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 12

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.

Injection, gadobutrol, 0.1 ml A9585
Gadobutrol is a contrast agent used during MRI scans to help provide clearer images. It's injected into your vein before the scan. This helps doctors to see certain areas more clearly for better diagnosis. It's generally safe with few side effects.
501 services51 patients
Injection, gadolinium-based magnetic resonance contrast agent, not otherwise specified (nos), per ml A9579
This is an MRI procedure where a gadolinium-based contrast agent is injected into your body. The agent enhances the images, making it easier to detect abnormalities. It's safe and side effects are rare. It's administered per milliliter as needed.
352 services32 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.
300 services162 patients
Established patient office or other outpatient visit with low level od decision making, if using time, 20 minutes or more 99213
This is a routine visit for patients who have already been seen by the healthcare provider. During this approximately 20-29 minute appointment, your health status will be evaluated and any necessary treatments or tests will be discussed. It's a chance to address any health concerns you may have.
241 services195 patients
New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more 99204
This is a first-time office or outpatient visit lasting between 45-59 minutes. The healthcare provider evaluates your health, discusses your medical history, and may suggest further tests or treatments. It's an opportunity to ask questions and understand your health better.
114 services114 patients
Mri scan of brain before and after contrast 70553
An MRI scan of the brain, both before and after contrast, helps visualize different brain structures. Initially, images are taken without a contrast agent. Then, a safe dye is injected which helps highlight certain areas, providing clearer, more detailed images.
97 services70 patients

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 85718 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.

Medicare Quality Performance CMS QPP · MIPS

Performance in the CMS Quality Payment Program: the MIPS final score across four weighted categories, and the individual quality measures reported to Medicare.

56.06/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Individually scored
Quality74.66
Promoting Interoperability0
Improvement Activities40

Reported Quality Measures

Advance Care Plan
100%884 patients5/55-star benchmark: 100%
Dementia: Functional Status Assessment
0%58 patients
Documentation of Current Medications in the Medical Record
98%3,475 patients4/55-star benchmark: 100%
Overuse of Imaging for the Evaluation of Primary Headache
Lower rates are better for this measure.
0%454 patients
Provide Patients Electronic Access to Their Health Information
100%764 patients5/55-star benchmark: 100%
Providers report different measures because they deliver different services; reporting more or less information is not a reflection of quality. Star ratings appear only where CMS assigned them.

Referred Medical Equipment & Supplies CMS DME claims 3

Durable medical equipment, devices and supplies this provider ordered from DME suppliers for patients, from Medicare fee-for-service claims.

Temozolomide, oral, 5 mg J8700
Treatment-Treatment - Miscellaneous · category RX000N
2 suppliers40 claims5,387 services$0.42 avg. paid by Medicare
Pharmacy supply fee for oral anti-cancer, oral anti-emetic or immunosuppressive drug(s); for the first prescription in a 30-day period Q0511
Treatment-Chemotherapy · category RH012N
2 suppliers15 claims15 services$16.44 avg. paid by Medicare
Pharmacy supply fee for oral anti-cancer, oral anti-emetic or immunosuppressive drug(s); for a subsequent prescription in a 30-day period Q0512
Treatment-Chemotherapy · category RH012N
2 suppliers27 claims33 services$12.70 avg. paid by Medicare
Dollar amounts are the average Medicare paid the supplier per service. They are not the cost to the patient.

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.

Nurse Practitioner (Acute Care)
2450 E RIVER RD
TUCSON, AZ 85718
Psychiatry & Neurology (Neurology with Special Qualifications in Child Neurology)
2450 E RIVER RD
TUCSON, AZ 85718
Psychiatry & Neurology (Neurology)
2450 E RIVER RD
TUCSON, AZ 85718
Psychiatry & Neurology (Neurology with Special Qualifications in Child Neurology)
2450 E RIVER RD
TUCSON, AZ 85718
Clinical Neuropsychologist
2450 E RIVER RD
TUCSON, AZ 85718
Nurse Practitioner
2450 E RIVER RD
TUCSON, AZ 85718
Audiologist
2450 E RIVER RD
TUCSON, AZ 85718
Psychiatry & Neurology (Neurology)
2450 E RIVER RD
TUCSON, AZ 85718

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 Anwar Badruddoja's NPI number?

The NPI number for Anwar Badruddoja is 1891779872. It was assigned to this individual provider in the NPPES registry on December 2, 2005.

Where is Anwar Badruddoja located?

Anwar Badruddoja practices at 2450 E River Rd, Tucson, AZ 85718. The listed phone number is (520) 795-7923.

What is Anwar Badruddoja's specialty?

The primary specialty registered for this NPI is Psychiatry & Neurology, specializing in Neurology, with taxonomy code 2084N0400X.

Is Anwar Badruddoja enrolled in Medicare?

Yes. Anwar Badruddoja 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 Anwar Badruddoja accept?

Health plans from Antidote Health Plan of Arizona, Inc., Blue Cross Blue Shield of Arizona and Imperial Insurance Companies, Inc. list Anwar Badruddoja 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 Anwar Badruddoja was last updated on April 15, 2011. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 15 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.