Individual provider Active NPI

Steven Rush Sumpter, DO

  • Family Medicine Physician
  • Avondale, AZ
National Provider Identifier
1083828610
Registry record updated Apr 22, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
005287 Issued in AZ
Practice address
10815 W McDowell Rd
201
Avondale, AZ 85392-5007
Phone
(602) 433-0155
Fax
(623) 433-0185
NPI assigned
May 10, 2007
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 22, 2019

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine Physician 207Q00000X 5101016961 MI
Family Medicine Physician 207Q00000X 005287 AZ Primary

Addresses

Primary practice location

10815 W McDowell Rd
201
Avondale, AZ 85392-5007

Mailing address

3815 E Bell Rd Ste 2200
Phoenix, AZ 85032-2139
Phone (602) 633-3848

Other identifiers 1

IdentifierTypeStateIssuer
447025MedicaidAZ

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
I20090824000180 AZ Practitioner - Family Practice 9739233933 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Family Practice
Education
Other, 2006
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Privia Medical Group Arizona, LLCGroup PAC ID 1052328408, 94 clinicians

Practice addresses (Care Compare)

10815 W McDowell Rd
Avondale, AZ 85392-5010

10815 W McDowell Rd
Avondale, AZ 85392-5016

14415 W McDowell Rd
Suite D102
Goodyear, AZ 85395-2521
Phone (623) 512-4190

Hospital & facility affiliations

  • Meridian Healthcare Providers, Inc. Home health agency, Phoenix, AZ, CCN 037250
  • Banner Home Care-Arizona Home health agency, Mesa, AZ, CCN 037015

Procedures performed for Medicare patients

ProcedureNumber of procedures
Removal or shaving of skin growth1-10

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
5101016961MIMDFamily Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Privia Medical Group Arizona, LLC CurrentSince Jan 1, 2013 Accepting new patients
Privia Medical Group Arizona, LLC Family Medicine CurrentSince Jan 1, 2013 Accepting new patients
Privia Medical Group Arizona, LLC Family Medicine Past Accepting new patients

Locations

10815 W McDowell Rd
Ste 201
Avondale, AZ 85392
Phone (623) 433-0230

10815 W McDowell Rd
Ste 3
Avondale, AZ 85392

10815 W McDowell Rd
Ste 304
Avondale, AZ 85392
Phone (623) 433-0155

14415 W McDowell Rd
Ste D102
Goodyear, AZ 85395
Phone (623) 512-4190

9250 N 3rd St
Ste 4010
Phoenix, AZ 85020
Phone (602) 633-3838

3815 E Bell Rd
Ste 2200
Phoenix, AZ 85032
Phone (602) 931-4689

1301 S 7th Ave
Ste 400
Phoenix, AZ 85007
Phone (602) 824-3358

3815 E Bell Rd
Ste 2300
Phoenix, AZ 85032
Phone (602) 942-3750

Interoperability endpoints

  • Direct secure messaging: steven.sumpter.2@33227.direct.athenahealth.com

Organizations & group practices 3

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 2

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": "1178755200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1555891200000",
    "number": "1083828610",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3815 E BELL RD STE 2200",
            "city": "PHOENIX",
            "state": "AZ",
            "postal_code": "850322139",
            "telephone_number": "602-633-3848",
            "fax_number": "602-633-3841"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "10815 W MCDOWELL RD",
            "address_2": "201",
            "city": "AVONDALE",
            "state": "AZ",
            "postal_code": "853925007",
            "telephone_number": "602-433-0155",
            "fax_number": "623-433-0185"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SUMPTER",
        "first_name": "STEVEN",
        "middle_name": "RUSH",
        "name_prefix": "Dr.",
        "credential": "DO",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2007-05-10",
        "last_updated": "2019-04-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "MI",
            "license": "5101016961",
            "primary": false
        },
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "AZ",
            "license": "005287",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "447025",
            "state": "AZ"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Avondale, AZ

Sources for this page

Verify at the official NPI Registry.