Individual provider Active NPI

Caitlin Suriano, PA-C

  • Allergy & Immunology Physician
  • Chandler, AZ
National Provider Identifier
1124594205
Registry record updated Nov 12, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Allergy & Immunology PhysicianTaxonomy code 207K00000X
License
7568 Issued in AZ
Practice address
705 S Dobson Rd
Chandler, AZ 85224-5657
Phone
(480) 897-6992
NPI assigned
Oct 16, 2018
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Nov 12, 2019

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Allergy & Immunology Physician 207K00000X 7568 AZ Primary

Addresses

Primary practice location

705 S Dobson Rd
Chandler, AZ 85224-5657

Mailing address

705 S Dobson Rd
Chandler, AZ 85224-5657

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: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20191205003080 AZ Practitioner - Physician Assistant 3870926710 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Physician Assistant
Education
Other, 2019
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Arizona Allergy Asthma and Immunology Consultants PLCGroup PAC ID 6002879194, 11 clinicians

Practice addresses (Care Compare)

36245 N Gantzel Rd
BLDG 6
San Tan Valley, AZ 85140-7315
Phone (480) 897-6992

705 S Dobson Rd
Chandler, AZ 85224-5657
Phone (480) 897-6992

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Physician Assistant

State licenses

LicenseStateTypeSpecialty
7568AZMDPhysical Therapist

Interoperability endpoints

  • FHIR API: https://fhir4.healow.com/fhir/r4/CHCEDD/Endpoint/CHCEDD

Organizations & group practices 1

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.

NPI Registry JSON

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

{
    "created_epoch": "1539648000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1573516800000",
    "number": "1124594205",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "705 S DOBSON RD",
            "city": "CHANDLER",
            "state": "AZ",
            "postal_code": "852245657"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "705 S DOBSON RD",
            "city": "CHANDLER",
            "state": "AZ",
            "postal_code": "852245657",
            "telephone_number": "480-897-6992"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SURIANO",
        "first_name": "CAITLIN",
        "credential": "PA-C",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2018-10-16",
        "last_updated": "2019-11-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207K00000X",
            "taxonomy_group": "",
            "desc": "Allergy & Immunology",
            "state": "AZ",
            "license": "7568",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Chandler, AZ

Sources for this page

Verify at the official NPI Registry.