Active NPI
Suzanne M Skoog, M.D.
- Gastroenterology Physician
- Scottsdale, AZ
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Gastroenterology Physician
- License
- 33869
- 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
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 |
|---|---|---|---|---|
| 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
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 957996 | Medicaid | AZ | |
| Z102830 | Other | AZ | MEDICARE PTAN GROUP |
| 33869 | Other | AZ | AZ 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
Enrollment records 1
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
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
| Procedure | Number of procedures |
|---|---|
| Colonoscopy | 286 |
| Upper gastrointestinal (GI) endoscopy for acid reflux | 163 |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 33869 | AZ | MD | Gastroenterology Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Digestive Health Specialists Arizona PC | Gastroenterology | Current | Accepting new patients |
| Digestive Health Specialists Arizona PC | Gastroenterology | Current | Accepting new patients |
| Arizona Digestive Health, PC | Gastroenterology | Current | 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
- 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.
-
- Gastroenterology Physician
- Scottsdale, AZ
- NPI 1992981583
-
- Gastroenterology Physician
- Scottsdale, AZ
- NPI 1407821770
-
- Clinical Medical Laboratory
- Tacoma, WA
- NPI 1548430424
Gastroenterology
-
- Gastroenterology Physician
- Phoenix, AZ
- NPI 1982626693
-
- Ambulatory Surgical Clinic/Center
- Scottsdale, AZ
- NPI 1073588356
Hospital & facility affiliations 1
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
dba HonorHealth Scottsdale Shea Medical Center
- General Acute Care Hospital
- Scottsdale, AZ
- NPI 1386608859
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
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 10, 2014; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.