NPIMap

Individual provider Active NPI

Sumediah Nzuonkwelle Forsac, MD

  • Internal Medicine Physician
  • Phoenix, AZ
National Provider Identifier
1184010571
Registry record updated Mar 12, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
License
55817 Issued in AZ
Practice address
2601 E Roosevelt St
Phoenix, AZ 85008-4973
Phone
(026) 344-5011
NPI assigned
Apr 13, 2015
Last updated
Mar 12, 2025By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 12, 2025

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine Physician 207R00000X 55817 AZ Primary

Addresses

Primary practice location

2601 E Roosevelt St
Phoenix, AZ 85008-4973

Mailing address

5735 E McKellips Rd Ste 101
Mesa, AZ 85215-2875

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in AZ
Eligible to order & refer
  • Part B services
  • Medical equipment
  • Home health
  • Power mobility devices
  • Hospice
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20180821001955 AZ Practitioner - Internal Medicine 5193074342 Reassigns benefits to 4 organizations

Care Compare profile

Medicare Care Compare
Specialty
Internal Medicine
Education
Other, 2015
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Dvma LLCGroup PAC ID 0941302053, 56 clinicians
District Medical Group IncGroup PAC ID 7315086691, 454 clinicians
Aia Hospitalists LLCGroup PAC ID 3375583636, 51 clinicians

Practice addresses (Care Compare)

1930 E Thomas Rd
Phoenix, AZ 85016-7711
Phone (602) 532-1000

2601 E Roosevelt St
Phoenix, AZ 85008-4973
Phone (602) 344-5011

4530 E Muirwood Dr
Suite 105
Phoenix, AZ 85048-7693
Phone (480) 961-2303

Hospital & facility affiliations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
55817AZMDInternal Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Cigna Healthcare of Arizona, Inc. CurrentSince Sep 4, 2018 Accepting new patients
District Medical Group, Inc CurrentSince Jul 31, 2018 Accepting new patients
Dvma, LLC Internal Medicine CurrentSince Jan 1, 2021 Accepting new patients
District Medical Group, Inc Current Accepting new patients
District Medical Group, Inc CurrentSince Jul 31, 2018 Accepting new patients
4C Medical Group PLC Internal Medicine Current Accepting new patients
4C Medical Group PLC CurrentSince Dec 1, 2020 Accepting new patients
Cigna Healthcare of Arizona, Inc. CurrentSince Sep 4, 2018 Accepting new patients
Aia Hospitalists LLC Internal Medicine CurrentSince Jun 1, 2019 Accepting new patients
Maricopa County Special Health Care District Past Accepting new patients
Encompass Health Rehabilitation Hospital of East Valley, LLC Past Accepting new patients
VHS of Arrowhead, Inc. Past Accepting new patients
District Medical Group, Inc Internal Medicine Past Accepting new patients
VHS of Phoenix Inc Past Accepting new patients
Dignity Community Care Past Accepting new patients

Locations

1515 W Chandler Blvd
Chandler, AZ 85224
Phone (480) 389-9529

13460 N 67th Ave
Glendale, AZ 85304
Phone (623) 334-5387

18701 N 67th Ave
Glendale, AZ 85308
Phone (623) 561-1000

1840 S Stapley Dr
Ste 101
Mesa, AZ 85204
Phone (480) 464-8500

5652 E Baseline Rd
Mesa, AZ 85206
Phone (480) 477-7112

5735 E McKellips Rd
Ste 101
Mesa, AZ 85215
Phone (480) 718-6444

6811 E Superstition Springs Blvd
Mesa, AZ 85209
Phone (480) 641-4000

13350 N 94th Dr
Ste A101
Peoria, AZ 85381
Phone (623) 933-1010

1930 E Thomas Rd
Phoenix, AZ 85016
Phone (602) 532-1000

2000 W Bethany Home Rd
Phoenix, AZ 85015
Phone (480) 209-4000

2525 E Roosevelt St
Phoenix, AZ 85008
Phone (602) 344-1015

2601 E Roosevelt St
Phoenix, AZ 85008
Phone (602) 220-0298

2929 E Thomas Rd
Phoenix, AZ 85016
Phone (602) 470-5043

3141 N 3rd Ave
Phoenix, AZ 85013
Phone (602) 914-1520

3929 E Bell Rd
Phoenix, AZ 85032
Phone (602) 923-5000

4530 E Muirwood Dr
Ste 105
Phoenix, AZ 85048
Phone (480) 961-2303

8888 E Raintree Dr
Fl 3
Scottsdale, AZ 85260

9590 E Ironwood Square Dr
Ste 125
Scottsdale, AZ 85258
Phone (480) 272-6400

13991 W Grand Ave
Ste 105
Surprise, AZ 85374
Phone (623) 455-7800

Interoperability endpoints

  • Direct secure messaging: snzuonkwelle113376@direct.valleywisehealth.org

Organizations & group practices 15

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.

View all 15

Hospital & facility affiliations 20

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

View all 20

NPI Registry JSON

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

{
    "created_epoch": "1428883200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1741737600000",
    "number": "1184010571",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5735 E MCKELLIPS RD STE 101",
            "city": "MESA",
            "state": "AZ",
            "postal_code": "852152875"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2601 E ROOSEVELT ST",
            "city": "PHOENIX",
            "state": "AZ",
            "postal_code": "850084973",
            "telephone_number": "026-344-5011"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "FORSAC",
        "first_name": "SUMEDIAH",
        "middle_name": "NZUONKWELLE",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2015-04-13",
        "last_updated": "2025-03-12",
        "certification_date": "2025-03-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "AZ",
            "license": "55817",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Phoenix, AZ

Sources for this page

Verify at the official NPI Registry.