Individual provider Active NPI

Kaleigh Suhs, D.O.

  • Sports Medicine (Family Medicine) Physician
  • Queen Creek, AZ
National Provider Identifier
1073951067
Registry record updated Feb 2, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Sports Medicine (Family Medicine) PhysicianTaxonomy code 207QS0010X
License
036.139637 Issued in IL
Practice address
37100N. Gantzel Rd.
Ste. 107
Queen Creek, AZ 85140
Phone
(480) 394-4480
Fax
(602) 805-2828
NPI assigned
Jun 12, 2013
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Feb 2, 2024

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Sports Medicine (Family Medicine) Physician 207QS0010X 036.139637 IL Primary

Addresses

Primary practice location

37100N. Gantzel Rd.
Ste. 107
Queen Creek, AZ 85140

Mailing address

37100N. Gantzel Rd.
Ste. 107
Queen Creek, AZ 85140
Phone (480) 394-4480

Electronic endpoints 2

TypeEndpointUseAffiliation
Direct Messaging Address ksuhs205022@direct.myadvocateaurora.org Direct
FHIR URL https://EpicFHIR.aurora.org/FHIR/MYAURORA/api/FHIR/DSTU2/

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in IL, AZ2 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
I20170703000807 IL Practitioner - Sports Medicine 5890088579 Reassigns benefits to 1 organization
I20230427002192 AZ Practitioner - Sports Medicine 5890088579 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Sports Medicine
Education
Chicago College of Osteopathy, 2013
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices

Practice addresses (Care Compare)

1920 N Higley Rd
Suite 206
Gilbert, AZ 85234-1624
Phone (480) 543-6700

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
84.12 of 100Reported as group
Quality
76.35
Promoting interoperability
99
Improvement activities
40
Cost
71.55

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
036.139637ILMDSports Medicine (Family Medicine) Physician

Practice roles

OrganizationSpecialtyStatusNew patients
The Board of Trustees of the University of Illinois CurrentSince Mar 1, 2020 Accepting new patients
The Board of Trustees of the University of Illinois CurrentSince Mar 1, 2020 Accepting new patients
Banner Physician Specialists Arizona LLC CurrentSince May 15, 2023 Accepting new patients
Banner Physician Specialists Arizona LLC Current Accepting new patients
Banner Physician Specialists Arizona LLC CurrentSince May 15, 2023 Accepting new patients
The Board of Trustees of the University of Illinois Current Accepting new patients

Locations

1920 N Higley Rd
Ste 206
Gilbert, AZ 85234
Phone (480) 543-6700

120 E Main St
Ste A
Payson, AZ 85541
Phone (928) 474-9744

37100 N Gantzel Rd
Ste 107
San Tan Vly, AZ 85140
Phone (480) 394-4480

901 S Wolcott Ave
Chicago, IL 60612
Phone (312) 996-3470

7732 Solution Ctr
Chicago, IL 60677
Phone (312) 355-6290

Interoperability endpoints

  • Direct secure messaging: ksuhs205022@direct.myadvocateaurora.org

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.

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": "1370995200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1706832000000",
    "number": "1073951067",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "37100N. GANTZEL RD.",
            "address_2": "STE. 107",
            "city": "QUEEN CREEK",
            "state": "AZ",
            "postal_code": "85140",
            "telephone_number": "480-394-4480",
            "fax_number": "602-805-2828"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "37100N. GANTZEL RD.",
            "address_2": "STE. 107",
            "city": "QUEEN CREEK",
            "state": "AZ",
            "postal_code": "85140",
            "telephone_number": "480-394-4480",
            "fax_number": "602-805-2828"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SUHS",
        "first_name": "KALEIGH",
        "name_prefix": "Dr.",
        "credential": "D.O.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2013-06-12",
        "last_updated": "2024-02-02",
        "certification_date": "2022-05-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207QS0010X",
            "taxonomy_group": "",
            "desc": "Family Medicine, Sports Medicine",
            "state": "IL",
            "license": "036.139637",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "ksuhs205022@direct.myadvocateaurora.org",
            "affiliation": "N",
            "use": "DIRECT",
            "useDescription": "Direct",
            "address_1": "1775 Ballard Rd",
            "address_2": "Advocate Lutheran General Family/Sports Medicine",
            "city": "Park Ridge",
            "state": "IL",
            "country_code": "US",
            "postal_code": "600681005",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "endpointType": "FHIR",
            "endpointTypeDescription": "FHIR URL",
            "endpoint": "https://EpicFHIR.aurora.org/FHIR/MYAURORA/api/FHIR/DSTU2/",
            "affiliation": "N",
            "address_1": "1775 Ballard Rd",
            "address_2": "Advocate Lutheran General Family/Sports Medicine",
            "city": "Park Ridge",
            "state": "IL",
            "country_code": "US",
            "postal_code": "600681005",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Queen Creek, AZ

Sources for this page

Verify at the official NPI Registry.