Individual provider Active NPI

Susan J Kalota, MD

  • Urology Physician
  • Tucson, AZ
National Provider Identifier
1063407260
Registry record updated Mar 21, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Urology PhysicianTaxonomy code 208800000X
License
20774 Issued in AZ
Practice address
6325 E Tanque Verde Rd
Tucson, AZ 85715-3808
Phone
(520) 795-5830
Fax
(520) 885-4469
NPI assigned
Sep 13, 2005
Last updated
Mar 21, 2025By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 21, 2025

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Specialist 174400000X 20774 AZ
Urology Physician 208800000X 20774 AZ Primary

Addresses

Primary practice location

6325 E Tanque Verde Rd
Tucson, AZ 85715-3808

Mailing address

10200 Grand Central Ave Ste 220
Owings Mills, MD 21117-4366

Other practice location 1

516 E Whitehouse Canyon Rd Ste 160
Green Valley, AZ 85614-0543
Phone (520) 795-5830

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in AZ
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 1

Enrollment IDStateProvider typePAC IDDetails
I20081114000136 AZ Practitioner - Urology 5890790141 Reassigns benefits to 3 organizations

Care Compare profile

Medicare Care Compare
Specialty
Urology
Education
Howard University College of Medicine, 1986
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Tucson Medical CenterGroup PAC ID 4284527227, 29 clinicians

Practice addresses (Care Compare)

5301 E Grant Rd
Tucson, AZ 85712-2805
Phone (520) 327-5461

Hospital & facility affiliations

Procedures performed for Medicare patients

ProcedureNumber of procedures
Removal of skin lesions1-10

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
20774AZMDSpecialist
29774AZMDClinical Pharmacology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Arizona Urologic Specialists Specialist Current Accepting new patients
Tucson Medical Center CurrentSince Sep 15, 1999 Accepting new patients
Arizona Urology Specialists, PLLC Specialist CurrentSince Apr 1, 2011 Accepting new patients
Arizona Urology Specialists, PLLC Specialist CurrentSince Sep 1, 2022 Accepting new patients
Foothills Urology, PC Urology Current Accepting new patients
Tucson Medical Center CurrentSince Sep 15, 1999 Accepting new patients
Center for Pain Management, LLC Past Accepting new patients

Locations

4457 S I19 Frontage Rd
Ste 235
Green Valley, AZ 85614

516 E Whitehouse Canyon Rd
Ste 160
Green Valley, AZ 85614
Phone (520) 391-4320

2530 E Southern Ave
Mesa, AZ 85204
Phone (480) 834-4188

1521 E Tangerine Rd
Ste 209
Oro Valley, AZ 85755
Phone (520) 545-0573

2115 W 16th St
Safford, AZ 85546
Phone (520) 689-7022

2260 W Orange Grove Rd
Tucson, AZ 85741
Phone (520) 742-9777

2450 E River Rd
Ste 180
Tucson, AZ 85718

395 N Silverbell Rd
Ste 315
Tucson, AZ 85745
Phone (520) 623-8475

5301 E Grant Rd
Tucson, AZ 85712
Phone (520) 324-1344

5670 N Professional Park Dr
Ste 100
Tucson, AZ 85704

6252 E Grant Rd
#150
Tucson, AZ 85712
Phone (520) 733-3030

6325 E Tanque Verde Rd
Tucson, AZ 85715
Phone (602) 795-5830

7470 N Oracle Rd
Ste 250
Tucson, AZ 85704
Phone (520) 317-5015

905 N Bowie Ave
Willcox, AZ 85643
Phone (520) 326-4811

10200 Grand Central Ave
Ste 220
Owings Mills, MD 21117

25 Crossroads Dr
Ste 306
Owings Mills, MD 21117
Phone (443) 231-1681

Interoperability endpoints

  • FHIR API: https://api.platform.athenahealth.com/15230/brand/1/csg/1/fhir/r4
  • Direct secure messaging: susankalota@fu.allscriptsdirect.net

Organizations & group practices 7

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

Hospital & facility affiliations 1

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1126569600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1742515200000",
    "number": "1063407260",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "10200 GRAND CENTRAL AVE STE 220",
            "city": "OWINGS MILLS",
            "state": "MD",
            "postal_code": "211174366"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6325 E TANQUE VERDE RD",
            "city": "TUCSON",
            "state": "AZ",
            "postal_code": "857153808",
            "telephone_number": "520-795-5830",
            "fax_number": "520-885-4469"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "516 E Whitehouse Canyon Rd Ste 160",
            "address_purpose": "LOCATION",
            "city": "Green Valley",
            "state": "AZ",
            "postal_code": "856140543",
            "country_code": "US",
            "telephone_number": "520-795-5830",
            "fax_number": "520-885-4469",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "KALOTA",
        "first_name": "SUSAN",
        "middle_name": "J",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2005-09-13",
        "last_updated": "2025-03-21",
        "certification_date": "2025-03-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "174400000X",
            "taxonomy_group": "",
            "desc": "Specialist",
            "state": "AZ",
            "license": "20774",
            "primary": false
        },
        {
            "code": "208800000X",
            "taxonomy_group": "",
            "desc": "Urology",
            "state": "AZ",
            "license": "20774",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Tucson, AZ

Sources for this page

Verify at the official NPI Registry.