Individual provider Active NPI

Daniel Sufficool, M.D.

  • Radiation Oncology Physician
  • Canton, OH
National Provider Identifier
1083098669
Registry record updated Dec 4, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Radiation Oncology PhysicianTaxonomy code 2085R0001X
License
35.139313 Issued in OH
Practice address
2600 6TH St SW
Canton, OH 44710-1702
Phone
(330) 363-6201
Fax
(330) 438-2900
NPI assigned
Jul 14, 2015
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Dec 4, 2024

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Radiation Oncology Physician 2085R0001X 44753 AL
Radiation Oncology Physician 2085R0001X 35.139313 OH Primary

Addresses

Primary practice location

2600 6TH St SW
Canton, OH 44710-1702

Mailing address

1400 Afflink PL Ste 101
Tuscaloosa, AL 35406-2452
Phone (205) 366-9740

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in OH, AL2 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
I20200706003041 OH Practitioner - Radiation Oncology 1456774629 Reassigns benefits to 2 organizations
I20220818001406 AL Practitioner - Radiation Oncology 1456774629 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Radiation Oncology
Education
Loma Linda University School of Medicine, 2015
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Ohio Specialty Physicians CorporationGroup PAC ID 3476643479, 67 clinicians

Practice addresses (Care Compare)

2600 6TH St SW
Canton, OH 44710-1702
Phone (330) 455-8000

Hospital & facility affiliations

  • Aultman Hospital Hospital, Canton, OH, CCN 360084
  • Alliance Community Hospital Hospital, Alliance, OH, CCN 360131
  • Aultman Orrville Hospital Hospital, Orrville, OH, CCN 361323
  • Cleveland Clinic Hospital, Cleveland, OH, CCN 360180

Merit-based Incentive Payment System (MIPS)

Final score
80.71 of 100Reported as group
Quality
65.41
Promoting interoperability
90
Improvement activities
40
Cost
78.61

Merit-based Incentive Payment System (MIPS)

Final score
94.01 of 100Reported as group
Quality
78.97
Promoting interoperability
100
Improvement activities
40
Cost
85.77

Merit-based Incentive Payment System (MIPS)

Final score
85.12 of 100Reported as group
Quality
77.5
Promoting interoperability
98
Improvement activities
40
Cost
74.58

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
44753ALMDRadiation Oncology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Southeast Physician Network, P.C. CurrentSince Sep 1, 2022 Accepting new patients
Somc Medical Care Foundation, Inc. Radiation Oncology CurrentSince Dec 27, 2021 Accepting new patients
Alabama Cancer Care, LLC CurrentSince Sep 1, 2022 Accepting new patients
Somc Medical Care Foundation, Inc. CurrentSince Dec 27, 2021 Accepting new patients
Southeast Physician Network, P.C. Radiation Oncology CurrentSince Sep 1, 2022 Accepting new patients

Locations

1608 Glenn Blvd SW
Fort Payne, AL 35968
Phone (256) 244-4150

300 Saint Lukes Dr
Montgomery, AL 36117
Phone (334) 271-4249

1023 Medical Center Pkwy
Ste 110
Selma, AL 36701
Phone (334) 375-4777

1400 Afflink Pl
Ste 101
Tuscaloosa, AL 35406
Phone (205) 366-9740

1735 27th St
Ste B06
Portsmouth, OH 45662
Phone (740) 356-7942

1805 27th St
Portsmouth, OH 45662
Phone (740) 356-5000

1121 Kinneys Ln
Portsmouth, OH 45662
Phone (740) 356-7490

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 4

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": "1436832000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1733270400000",
    "number": "1083098669",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1400 AFFLINK PL STE 101",
            "city": "TUSCALOOSA",
            "state": "AL",
            "postal_code": "354062452",
            "telephone_number": "205-366-9740",
            "fax_number": "205-344-9992"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2600 6TH ST SW",
            "city": "CANTON",
            "state": "OH",
            "postal_code": "447101702",
            "telephone_number": "330-363-6201",
            "fax_number": "330-438-2900"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SUFFICOOL",
        "first_name": "DANIEL",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2015-07-14",
        "last_updated": "2024-12-04",
        "certification_date": "2024-12-04",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2085R0001X",
            "taxonomy_group": "",
            "desc": "Radiology, Radiation Oncology",
            "state": "AL",
            "license": "44753",
            "primary": false
        },
        {
            "code": "2085R0001X",
            "taxonomy_group": "",
            "desc": "Radiology, Radiation Oncology",
            "state": "OH",
            "license": "35.139313",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Canton, OH

Sources for this page

Verify at the official NPI Registry.