Active NPI
Suntchyl Gilles
- Physician Assistant
- Mesa, AZ
National Provider Identifier
1144902032
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physician Assistant
- License
- 9793
- Practice address
- 1345 E Main St Ste 103
Mesa, AZ 85203-8950 - Phone
- (480) 223-0290
- NPI assigned
- Aug 1, 2023
- Last updated
- Aug 1, 2023
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Physician Assistant | 363A00000X | 9793 | AZ | Primary |
Addresses
Primary practice location
1345 E Main St Ste 103
Mesa, AZ 85203-8950
Mailing address
1345 E Main St Ste 103
Mesa, AZ 85203-8950
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
- Credentials
- Physician Assistant
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 9793 | AZ | MD | Physician Assistant |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Snajay Care LLC | Current | Accepting new patients | |
| Feliz Family Care, PLLC | Physician Assistant | Past | Accepting new patients |
| Happy Kids Pediatrics P.C. | Past | Accepting new patients | |
| Happy Kids Pediatrics P.C. | Past | Accepting new patients |
Interoperability endpoints
- suntchyl.gilles.1@30399.direct.athenahealth.com
Organizations & group practices 4
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
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NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1690848000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1690848000000",
"number": "1144902032",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1345 E MAIN ST STE 103",
"city": "MESA",
"state": "AZ",
"postal_code": "852038950"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1345 E MAIN ST STE 103",
"city": "MESA",
"state": "AZ",
"postal_code": "852038950",
"telephone_number": "480-223-0290"
}
],
"practiceLocations": [],
"basic": {
"last_name": "GILLES",
"first_name": "SUNTCHYL",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2023-08-01",
"last_updated": "2023-08-01",
"certification_date": "2023-08-01",
"status": "A"
},
"taxonomies": [
{
"code": "363A00000X",
"taxonomy_group": "",
"desc": "Physician Assistant",
"state": "AZ",
"license": "9793",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Mesa, AZ
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 1, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.