Individual provider Active NPI

Susannah K Thurman, DO

  • Diagnostic Radiology Physician
  • Scottsdale, AZ
National Provider Identifier
1043209182
Registry record updated Sep 25, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Diagnostic Radiology PhysicianTaxonomy code 2085R0202X
License
3927 Issued in AZ
Practice address
9201 E Mountain View Rd
Suite 137
Scottsdale, AZ 85258-5199
Phone
(480) 614-8555
Fax
(480) 614-8666
NPI assigned
Oct 20, 2005
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 25, 2024

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Diagnostic Radiology Physician 2085R0202X 3927 AZ Primary

Addresses

Primary practice location

9201 E Mountain View Rd
Suite 137
Scottsdale, AZ 85258-5199

Mailing address

PO Box 7368
Orange, CA 92863-7368
Phone (714) 571-5000

Other practice location 1

483 W Seed Farm Rd
Sacaton, AZ 85147-5000
Phone (602) 528-1200

Other identifiers 2

IdentifierTypeStateIssuer
795792OtherAZAHCCCS
75956OtherAZVRL

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in AZ, TX2 enrollments
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
I20040512001565 AZ Practitioner - Diagnostic Radiology 9436149416 Reassigns benefits to 1 organization
I20240911002814 TX Practitioner - Diagnostic Radiology 9436149416 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Diagnostic Radiology
Education
Kansas City University of Med & Biosciences, College of Osteo Med, 1997
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Smi Imaging LLCGroup PAC ID 3476696220, 380 clinicians
Gila River Health Care CorporationGroup PAC ID 0648174185, 245 clinicians

Practice addresses (Care Compare)

1000 N Humphreys St
Suite 100
Flagstaff, AZ 86001-3124
Phone (928) 223-0200

10440 E Riggs Rd
110 Simonmed Imaging Sun Lakes
Sun Lakes, AZ 85248-7751
Phone (480) 883-6860

10815 W McDowell Rd
102 Simonmed Imaging Avondale
Avondale, AZ 85392-5009
Phone (623) 433-0121

1111 S Dobson Rd
105 Simonmed Imaging Mesa Desert
Mesa, AZ 85202-3902
Phone (480) 964-4995

130 S 63Rd St
123 Simonmed Imaging Baywood
Mesa, AZ 85206-1604
Phone (480) 264-4900

13555 W McDowell Rd
100 Simonmed Imaging Goodyear
Goodyear, AZ 85395-2624
Phone (623) 213-7690

13624 W Camino del Sol
300 Simonmed Imaging Sun City West
Sun City West, AZ 85375-3402
Phone (623) 214-6609

1425 S Greenfield Rd BLDG 2
Mesa, AZ 85206-5505

14823 W Bell Rd
110 Simonmed Imaging Stadium Village
Surprise, AZ 85374-7604
Phone (623) 302-7900

15810 S 45TH St
110 Simonmed Imaging Ahwatukee
Phoenix, AZ 85048-7695
Phone (480) 753-6161

1845 W Orange Grove Rd
103 Simonmed Imaging Orange Grove
Tucson, AZ 85704-1147
Phone (520) 230-4900

1870 W Frye Rd
3 Simonmed Imaging Dobson II
Chandler, AZ 85224-6233
Phone (480) 264-2350

1960 W Frye Rd
1 Simonmed Imaging Dobson Womens Center
Chandler, AZ 85224-6238
Phone (480) 306-7340

20414 N 27TH Ave
150 Simonmed Imaging Deer Valley
Phoenix, AZ 85027-3246
Phone (623) 234-2520

2080 W Southern Ave BLDG C
Simonmed Imaging Apache Junction
Apache Junction, AZ 85120-7653
Phone (480) 474-5960

21115 E Rittenhouse Rd
Simonmed Imaging Rittenhouse
Queen Creek, AZ 85142-4838
Phone (480) 371-3491

2620 N 3Rd St
Phoenix, AZ 85004-1153

2680 S Val Vista Dr
135 Simonmed Imaging Spectrum
Gilbert, AZ 85295-1621
Phone (480) 584-4900

310 N Wilmot Rd
302 Simonmed Imaging Wilmot
Tucson, AZ 85711-2628
Phone (520) 449-8001

3618 W Anthem Way
D104 Simonmed Imaging Anthem
Anthem, AZ 85086-0458
Phone (623) 879-3740

36297 N Gantzel Rd
101 Simonmed Imaging Queen Creek
Queen Creek, AZ 85140-7324
Phone (480) 809-4400

4219 E Bell Rd
Simonmed Imaging Paradise Valley
Phoenix, AZ 85032-3366
Phone (480) 584-5525

44555 W Edison Rd
Simonmed Imaging Maricopa
Maricopa, AZ 85138-6409
Phone (520) 666-7960

483 W Seed Farm Rd
Hu Hu Kam Memorial Hosp
Sacaton, AZ 85147-0038
Phone (602) 528-1200

5410 W Thunderbird Rd
Glendale, AZ 85306-4711

Merit-based Incentive Payment System (MIPS)

Final score
79.36 of 100Reported as group
Quality
75.71
Improvement activities
40

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Osteopathy, Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
3927AZMDPhysical Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Gila River Health Care Corporation Current Accepting new patients
Gila River Health Care Corporation Current Accepting new patients
Smi Imaging, LLC Diagnostic Radiology CurrentSince Oct 1, 2018 Accepting new patients
Gila River Health Care CurrentSince Jun 29, 2024 Accepting new patients
Gila River Health Care CurrentSince Jun 29, 2024 Accepting new patients
Southwest Diagnostic Imaging LLC Diagnostic Radiology PastSince Apr 20, 2021 Accepting new patients

Locations (25 of 47)

3618 W Anthem Way
Ste D104
Anthem, AZ 85086
Phone (623) 551-3391

2080 W Southern Ave
Bldg C
Apache Junction, AZ 85120
Phone (480) 474-5960

10815 W McDowell Rd
Ste 102
Avondale, AZ 85392
Phone (623) 423-0121

818 S Watson Rd
Ste 102
Buckeye, AZ 85326
Phone (623) 302-9080

1664 E Florence Blvd
Ste 18
Casa Grande, AZ 85122
Phone (520) 421-4875

1870 W Frye Rd
Ste 3
Chandler, AZ 85224
Phone (480) 264-2350

235 S Dobson Rd
Ste 1
Chandler, AZ 85224
Phone (480) 264-2300

2680 S Val Vista Dr
Ste 135
Gilbert, AZ 85295
Phone (480) 584-4900

3570 S Val Vista Dr
Ste 101
Gilbert, AZ 85297
Phone (480) 534-8835

875 N Greenfield Rd
Ste 107
Gilbert, AZ 85234
Phone (480) 545-0113

1760 E Pecos Rd
Ste 101
Gilbert, AZ 85295
Phone (480) 553-8999

5620 W Thunderbird Rd
Ste A
Glendale, AZ 85306
Phone (602) 336-8600

5410 W Thunderbird Rd
Ste 100
Glendale, AZ 85306
Phone (602) 424-0935

6320 W Union Hills Dr
Ste 120
Glendale, AZ 85308
Phone (602) 535-2840

13555 W McDowell Rd
Ste 100
Goodyear, AZ 85395
Phone (623) 213-7690

13657 W McDowell Rd
Ste 111
Goodyear, AZ 85395
Phone (623) 302-7930

7205 S 51st Ave
Ste 101
Laveen, AZ 85339
Phone (602) 627-0170

17487 S Healthcare Dr
#H
Laveen, AZ 85339
Phone (520) 550-6000

48203 W Farrell Rd
#H
Maricopa, AZ 85139
Phone (520) 568-3881

1425 S Greenfield Rd
Bldg 2
Mesa, AZ 85206
Phone (480) 324-8033

5424 E Southern Ave
Ste 104
Mesa, AZ 85206
Phone (480) 218-3250

130 S 63rd St
Ste 123
Mesa, AZ 85206
Phone (480) 264-4900

117 E Main St
Ste D100
Payson, AZ 85541
Phone (928) 468-8234

9403 W Thunderbird Rd
Peoria, AZ 85381
Phone (623) 234-8700

9139 W Thunderbird Rd
Ste 112
Peoria, AZ 85381
Phone (623) 875-1637

Organizations & group practices 6

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1129766400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1727222400000",
    "number": "1043209182",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 7368",
            "city": "ORANGE",
            "state": "CA",
            "postal_code": "928637368",
            "telephone_number": "714-571-5000",
            "fax_number": "714-571-5055"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9201 E MOUNTAIN VIEW RD",
            "address_2": "SUITE 137",
            "city": "SCOTTSDALE",
            "state": "AZ",
            "postal_code": "852585199",
            "telephone_number": "480-614-8555",
            "fax_number": "480-614-8666"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "483 W Seed Farm Rd",
            "address_purpose": "LOCATION",
            "city": "Sacaton",
            "state": "AZ",
            "postal_code": "851475000",
            "country_code": "US",
            "telephone_number": "602-528-1200",
            "fax_number": "602-528-1255",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "THURMAN",
        "first_name": "SUSANNAH",
        "middle_name": "K",
        "credential": "DO",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2005-10-20",
        "last_updated": "2024-09-25",
        "certification_date": "2024-09-25",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2085R0202X",
            "taxonomy_group": "",
            "desc": "Radiology, Diagnostic Radiology",
            "state": "AZ",
            "license": "3927",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "AHCCCS",
            "identifier": "795792",
            "state": "AZ"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "VRL",
            "identifier": "75956",
            "state": "AZ"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Scottsdale, AZ

Sources for this page

Verify at the official NPI Registry.