Individual provider Active NPI

Suzanne M Skoog, M.D.

  • Gastroenterology Physician
  • Scottsdale, AZ
National Provider Identifier
1174598643
Registry record updated Apr 10, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
Gastroenterology PhysicianTaxonomy code 207RG0100X
License
33869 Issued in AZ
Practice address
8573 E Princess Dr
Ste. B215
Scottsdale, AZ 85255-7819
Phone
(480) 563-5757
Fax
(480) 563-5851
NPI assigned
Feb 20, 2006
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 10, 2014

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Gastroenterology Physician 207RG0100X 33869 AZ Primary

Addresses

Primary practice location

8573 E Princess Dr
Ste. B215
Scottsdale, AZ 85255-7819

Mailing address

PO Box 11128
Tacoma, WA 98411-0128
Phone (253) 272-8148

Other identifiers 3

IdentifierTypeStateIssuer
957996MedicaidAZ
Z102830OtherAZMEDICARE PTAN GROUP
33869OtherAZAZ LICENSE

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
I20050930000283 AZ Practitioner - Gastroenterology 2466409800 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Gastroenterology
Education
University of Minnesota Medical School, 1997
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Arizona Digestive Health PCGroup PAC ID 6507940731, 134 clinicians

Practice addresses (Care Compare)

5823 W Eugie Ave
Suite a
Glendale, AZ 85304-1277
Phone (602) 843-1265

8573 E Princess Dr
BLDG B Suite 215
Scottsdale, AZ 85255-7824
Phone (480) 563-5757

Hospital & facility affiliations

Procedures performed for Medicare patients

ProcedureNumber of procedures
Colonoscopy286
Upper gastrointestinal (GI) endoscopy for acid reflux163

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
33869AZMDGastroenterology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Digestive Health Specialists Arizona PC Gastroenterology CurrentSince Sep 1, 2005 Accepting new patients
Digestive Health Specialists Arizona PC Gastroenterology CurrentSince Sep 1, 2005 Accepting new patients
Arizona Digestive Health, PC Gastroenterology CurrentSince Apr 1, 2024 Accepting new patients
Associated Gastroenterologists, LTD. Gastroenterology Past Accepting new patients
Digestive Health Specialists Endoscopy Center Arizona, LLC Past Accepting new patients

Locations

5823 W Eugie Ave
Ste A
Glendale, AZ 85304
Phone (602) 439-1717

3815 E Bell Rd
Ste 1250
Phoenix, AZ 85032
Phone (602) 493-3030

8573 E Princess Dr
Ste 215
Scottsdale, AZ 85255
Phone (480) 563-5757

8573 E Princess Dr
Ste B215
Scottsdale, AZ 85255
Phone (480) 563-5757

2500 York Rd
Ste 300
Jamison, PA 18929
Phone (215) 589-9001

Interoperability endpoints

  • Direct secure messaging: sskoog@directaddress.net

Organizations & group practices 5

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 1

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": "1140393600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1397088000000",
    "number": "1174598643",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 11128",
            "city": "TACOMA",
            "state": "WA",
            "postal_code": "984110128",
            "telephone_number": "253-272-8148",
            "fax_number": "253-404-0506"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8573 E PRINCESS DR",
            "address_2": "STE. B215",
            "city": "SCOTTSDALE",
            "state": "AZ",
            "postal_code": "852557819",
            "telephone_number": "480-563-5757",
            "fax_number": "480-563-5851"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SKOOG",
        "first_name": "SUZANNE",
        "middle_name": "M",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-02-20",
        "last_updated": "2014-04-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207RG0100X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Gastroenterology",
            "state": "AZ",
            "license": "33869",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "957996",
            "state": "AZ"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICARE PTAN GROUP",
            "identifier": "Z102830",
            "state": "AZ"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "AZ LICENSE",
            "identifier": "33869",
            "state": "AZ"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Scottsdale, AZ

Sources for this page

Verify at the official NPI Registry.