Individual provider Active NPI

Aravind Sugumar, MD

  • Gastroenterology Physician
  • Avondale, AZ
National Provider Identifier
1124222716
Registry record updated Mar 25, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Gastroenterology PhysicianTaxonomy code 207RG0100X
License
55744 Issued in AZ
Practice address
3400 N Dysart Rd Ste G127
Avondale, AZ 85392-1011
Phone
(623) 322-0323
Fax
(623) 322-0757
NPI assigned
Jun 14, 2007
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 25, 2025

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Gastroenterology Physician 207RG0100X 50574 MN
Gastroenterology Physician 207RG0100X TEMP MN
Gastroenterology Physician 207RG0100X 55744 AZ Primary

Addresses

Primary practice location

3400 N Dysart Rd Ste G127
Avondale, AZ 85392-1011

Mailing address

3400 N Dysart Rd Ste G127
Avondale, AZ 85392-1011
Phone (623) 322-0323

Other practice location 1

3901 Rainbow Blvd
4035 Wescoe Mailstop 1023
Kansas City, KS 66160
Phone (507) 284-2511

Other identifiers 3

IdentifierTypeStateIssuer
04-35128OtherKSMEDICAL LICENSE
P00629425OtherMNMEDICARE, RAILROAD
949688100MedicaidMN

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
I20190109000915 AZ Practitioner - Gastroenterology 1153408075 Reassigns benefits to 4 organizations

Care Compare profile

Medicare Care Compare
Specialty
Gastroenterology
Education
Other, 2001
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Southwest Gastroenterology LLCGroup PAC ID 4183996895, 8 clinicians
Banner Physician Specialists Arizona LLCGroup PAC ID 6204002272, 371 clinicians

Practice addresses (Care Compare)

3400 N Dysart Rd
Suite G127
Avondale, AZ 85392-1011
Phone (623) 322-0323

7701 W Aspera Blvd
Stes 102 201 301
Glendale, AZ 85308-7935
Phone (623) 248-2100

Hospital & facility affiliations

  • Banner del E. Webb Medical Center Hospital, Sun City West, AZ, CCN 030093
  • Banner Thunderbird Medical Center Hospital, Glendale, AZ, CCN 030089
  • Banner Boswell Medical Center Hospital, Sun City, AZ, CCN 030061

Merit-based Incentive Payment System (MIPS)

Final score
82.85 of 100Reported as group
Quality
69.75
Promoting interoperability
98
Improvement activities
40
Cost
68.18

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

Procedures performed for Medicare patients

ProcedureNumber of procedures
Colonoscopy40
Upper gastrointestinal (GI) endoscopy for acid reflux152

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
50574MNMDGastroenterology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Banner - University Super Specialists LLC CurrentSince Aug 1, 2019 Accepting new patients
Banner Physician Specialists Arizona LLC CurrentSince Feb 16, 2022 Accepting new patients
Banner Physician Specialists Arizona LLC Current Accepting new patients
Banner - University Physician Specialists LLC CurrentSince Aug 1, 2019 Accepting new patients
Banner Physician Specialists Arizona LLC CurrentSince Feb 16, 2022 Accepting new patients
Banner - University Physician Specialists LLC CurrentSince Aug 1, 2019 Accepting new patients
Southwest Gastroenterology LLC Gastroenterology CurrentSince Oct 22, 2018 Accepting new patients
Banner Sun City Medical Group Past Accepting new patients

Locations

3400 N Dysart Rd
Ste G127
Avondale, AZ 85392
Phone (623) 322-0323

7701 W Aspera Blvd
#102
Glendale, AZ 85308

7701 W Aspera Blvd
Ste 102
Glendale, AZ 85308
Phone (623) 248-2100

9165 W Thunderbird Rd
Ste 200
Peoria, AZ 85381
Phone (623) 285-1120

13640 N Plaza del Rio Blvd
Ste 10220
Peoria, AZ 85381

13640 N Plaza del Rio Blvd
Peoria, AZ 85381
Phone (623) 876-3800

1441 N 12th St
Fl 2AND3
Phoenix, AZ 85006

1441 N 12th St
Phoenix, AZ 85006
Phone (602) 495-4577

1441 N 12th St
Fl 3
Phoenix, AZ 85006
Phone (602) 521-5700

1300 N 12th St
Ste 508
Phoenix, AZ 85006
Phone (602) 839-3927

1441 N 12th St
Fl 2
Phoenix, AZ 85006
Phone (602) 521-5180

1320 N 10th St
Ste B
Phoenix, AZ 85006
Phone (602) 631-3181

1441 N 12th St
Ste 3
Phoenix, AZ 85006

9201 W Thomas Rd
Phoenix, AZ 85037
Phone (623) 327-4000

1441 N 12th St
Fl 23
Phoenix, AZ 85006
Phone (602) 521-5150

755 E McDowell Rd
Phoenix, AZ 85006
Phone (602) 271-5111

7555 E Osborn Rd
Ste 201
Scottsdale, AZ 85251
Phone (480) 827-5810

13650 N 99th Ave
Sun City, AZ 85351
Phone (623) 465-6460

10401 W Thunderbird Blvd
Sun City, AZ 85351
Phone (623) 815-7690

14416 W Meeker Blvd
Sun City West, AZ 85375
Phone (623) 583-5083

14416 W Meeker Blvd
Ste 301
Sun City West, AZ 85375
Phone (623) 876-3800

14416 W Meeker Blvd
Ste 10220
Sun City West, AZ 85375

Interoperability endpoints

  • FHIR API: https://api.platform.athenahealth.com/16515/brand/1/csg/1/fhir/r4
  • Direct secure messaging: aravind.sugumar.1@16515.direct.athenahealth.com

Organizations & group practices 8

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 3

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": "1181779200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1742860800000",
    "number": "1124222716",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3400 N DYSART RD STE G127",
            "city": "AVONDALE",
            "state": "AZ",
            "postal_code": "853921011",
            "telephone_number": "623-322-0323",
            "fax_number": "623-322-0757"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3400 N DYSART RD STE G127",
            "city": "AVONDALE",
            "state": "AZ",
            "postal_code": "853921011",
            "telephone_number": "623-322-0323",
            "fax_number": "623-322-0757"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "3901 Rainbow Blvd",
            "address_2": "4035 Wescoe Mailstop 1023",
            "address_purpose": "LOCATION",
            "city": "Kansas City",
            "state": "KS",
            "postal_code": "66160",
            "country_code": "US",
            "telephone_number": "507-284-2511",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "SUGUMAR",
        "first_name": "ARAVIND",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2007-06-14",
        "last_updated": "2025-03-25",
        "certification_date": "2025-03-25",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207RG0100X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Gastroenterology",
            "state": "MN",
            "license": "50574",
            "primary": false
        },
        {
            "code": "207RG0100X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Gastroenterology",
            "state": "MN",
            "license": "TEMP",
            "primary": false
        },
        {
            "code": "207RG0100X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Gastroenterology",
            "state": "AZ",
            "license": "55744",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICAL LICENSE",
            "identifier": "04-35128",
            "state": "KS"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICARE, RAILROAD",
            "identifier": "P00629425",
            "state": "MN"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "949688100",
            "state": "MN"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Avondale, AZ

Sources for this page

Verify at the official NPI Registry.