Organization Active NPI

Elite Integrative Group PLLC

  • Adult Medicine Physician
  • Glendale, AZ
National Provider Identifier
1003771833
Registry record updated Dec 23, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Adult Medicine PhysicianTaxonomy code 207QA0505X
Legal business name
ELITE INTEGRATIVE GROUP PLLC
Practice address
5422 W Thunderbird Rd # 202
Glendale, AZ 85306-4700
Phone
(646) 752-4685
NPI assigned
Dec 23, 2025
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Dec 23, 2025

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

Authorized official

Name
Ela Suyunova
Title
Owner
Phone
(646) 752-4685

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Integrative Medicine PhysicianGroup: 193200000X MULTI-SPECIALTY GROUP 202D00000X
Adult Medicine PhysicianGroup: 193200000X MULTI-SPECIALTY GROUP 207QA0505X Primary

Addresses

Primary practice location

5422 W Thunderbird Rd # 202
Glendale, AZ 85306-4700

Mailing address

5422 W Thunderbird Rd # 202
Glendale, AZ 85306-4700
Phone (646) 752-4685

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1766448000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1766448000000",
    "number": "1003771833",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5422 W THUNDERBIRD RD # 202",
            "city": "GLENDALE",
            "state": "AZ",
            "postal_code": "853064700",
            "telephone_number": "646-752-4685"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5422 W THUNDERBIRD RD # 202",
            "city": "GLENDALE",
            "state": "AZ",
            "postal_code": "853064700",
            "telephone_number": "646-752-4685"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ELITE INTEGRATIVE GROUP PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2025-12-23",
        "last_updated": "2025-12-23",
        "certification_date": "2025-12-23",
        "status": "A",
        "authorized_official_last_name": "SUYUNOVA",
        "authorized_official_first_name": "ELA",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "646-752-4685"
    },
    "taxonomies": [
        {
            "code": "202D00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Integrative Medicine",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "207QA0505X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Family Medicine, Adult Medicine",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Glendale, AZ

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 23, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.