Organization Active NPI

Sunrise Medical Associates LLC

  • Internal Medicine Physician
  • Peoria, AZ
National Provider Identifier
1205233285
Registry record updated Nov 19, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
License
41238 Issued in AZ
Legal business name
SUNRISE MEDICAL ASSOCIATES LLC
Practice address
13634 N 93Rd Ave Ste 100
Peoria, AZ 85381-4915
Phone
(623) 933-1998
Fax
(623) 933-0224
NPI assigned
Nov 19, 2014
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Nov 19, 2014

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

Authorized official

Name
Maggie Zeiss
Title
Practice Manager
Phone
(623) 933-1998

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 207R00000X 41238 AZ Primary

Addresses

Primary practice location

13634 N 93Rd Ave Ste 100
Peoria, AZ 85381-4915

Mailing address

13634 N 93Rd Ave Ste 100
Peoria, AZ 85381-4915
Phone (623) 933-1998

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in AZ

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20150130000686 AZ Part B Supplier - Clinic/Group Practice 5395069934 Receives reassigned benefits from 7 practitioners
Practice locations: Peoria, AZ

National Provider Directory

National Provider Directory

Member organizations 2

Organizations listed as members of this organization in the National Provider Directory.

Locations

9401 W Thunderbird Rd
Ste 140
Peoria, AZ 85381
Phone (623) 594-7400

12740 N Plaza del Rio Blvd
Peoria, AZ 85381
Phone (480) 581-3600

Practitioners & affiliated clinicians

Practitioners 8

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1416355200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1416355200000",
    "number": "1205233285",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "13634 N 93RD AVE STE 100",
            "city": "PEORIA",
            "state": "AZ",
            "postal_code": "853814915",
            "telephone_number": "623-933-1998",
            "fax_number": "623-933-0224"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "13634 N 93RD AVE STE 100",
            "city": "PEORIA",
            "state": "AZ",
            "postal_code": "853814915",
            "telephone_number": "623-933-1998",
            "fax_number": "623-933-0224"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SUNRISE MEDICAL ASSOCIATES LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2014-11-19",
        "last_updated": "2014-11-19",
        "status": "A",
        "authorized_official_last_name": "ZEISS",
        "authorized_official_first_name": "MAGGIE",
        "authorized_official_title_or_position": "PRACTICE MANAGER",
        "authorized_official_telephone_number": "623-933-1998"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Internal Medicine",
            "state": "AZ",
            "license": "41238",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Peoria, AZ

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 19, 2014; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.