Individual provider Active NPI

Violetta Suleymanova, M.D

  • Family Medicine Physician
  • Gilbert, AZ
National Provider Identifier
1215469226
Registry record updated Oct 11, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
68020 Issued in AZ
Practice address
3477 S Mercy Rd Ste 201
Gilbert, AZ 85297-0448
Phone
(480) 728-6580
Fax
(480) 728-6581
NPI assigned
Mar 29, 2017
Last updated
Oct 11, 2023By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 11, 2023

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Student in an Organized Health Care Education/Training Program 390200000X NU
Family Medicine Physician 207Q00000X A164002 CA
Family Medicine Physician 207Q00000X 68020 AZ Primary

Addresses

Primary practice location

3477 S Mercy Rd Ste 201
Gilbert, AZ 85297-0448

Mailing address

PO Box 33269
Phoenix, AZ 85067-3269

Other practice location 1

155 N Fresno St
Fresno, CA 93701-2302
Phone (559) 499-6450

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CA, AZ2 enrollments
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 2

Enrollment IDStateProvider typePAC IDDetails
I20201012002785 CA Practitioner - Family Practice 3971923046 Reassigns benefits to 2 organizations
I20221213003093 AZ Practitioner - Family PracticePractitioner - Hospitalist 3971923046 Reassigns benefits to 5 organizations

Care Compare profile

Medicare Care Compare
Specialty
Family PracticeAlso: Hospitalist
Education
Other, 2016
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices

Practice addresses (Care Compare)

1405 S Alma School Rd
Chandler, AZ 85286-7144
Phone (480) 256-7000

19829 N 27TH Ave
Phoenix, AZ 85027-4001
Phone (623) 879-6100

Hospital & facility affiliations

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Family Healthcare Network Current Accepting new patients
Family Healthcare Network CurrentSince Sep 14, 2020 Accepting new patients
Visalia Family Practice Medical Group Family Medicine CurrentSince Apr 19, 2021 Accepting new patients
Banner Hospital Based Physicians Arizona LLC CurrentSince Jan 1, 2025 Accepting new patients
Family Healthcare Network Current Accepting new patients
Banner Hospital Based Physicians Arizona LLC Current Accepting new patients
Family Healthcare Network Current Accepting new patients
Family Healthcare Network Current Accepting new patients
Family Healthcare Network Current Accepting new patients
Pulmonary Consultants P.C. CurrentSince Oct 1, 2024 Accepting new patients
Pulmonary Consultants P C Current Accepting new patients
Banner Cancer Center Specialists LLC CurrentSince Jul 15, 2025 Accepting new patients
Banner Cancer Center Specialists LLC CurrentSince Jul 15, 2025 Accepting new patients
Family Healthcare Network CurrentSince Sep 14, 2020 Accepting new patients
Banner Hospital Based Physicians Arizona LLC CurrentSince Jan 1, 2025 Accepting new patients
U Medical PLLC CurrentSince Nov 20, 2023 Accepting new patients
Family Healthcare Network Current Accepting new patients
Mountain Vista Medical Center LP Past Accepting new patients
Honorhealth Past Accepting new patients
Banner Health Past Accepting new patients

Locations

1405 S Alma School Rd
Chandler, AZ 85286
Phone (480) 256-7000

4545 N Hunt Hwy
Florence, AZ 85132
Phone (480) 258-6100

1900 N Higley Rd
Gilbert, AZ 85234
Phone (480) 543-2000

2946 E Banner Gateway Dr
Gilbert, AZ 85234
Phone (480) 256-5450

1301 S Crismon Rd
Mesa, AZ 85209
Phone (480) 358-6300

1400 S Dobson Rd
Mesa, AZ 85202
Phone (480) 412-3000

6750 E Baywood Ave
Ste 401
Mesa, AZ 85206
Phone (480) 835-7111

1111 E McDowell Rd
Phoenix, AZ 85006
Phone (602) 239-2000

37000 N Gantzel Rd
San Tan Valley, AZ 85140
Phone (480) 394-4000

2163 E Baseline Rd
Ste 105
Tempe, AZ 85283
Phone (480) 775-3503

107 N Hall St
Ste D
Visalia, CA 93291
Phone (559) 625-9200

305 E Center Ave
Visalia, CA 93291
Phone (559) 737-4792

501 N Bridge St
Visalia, CA 93291
Phone (559) 734-1939

Interoperability endpoints

  • FHIR API: https://fhir4.healow.com/fhir/r4/CCECCA
  • FHIR API: https://fhir4.healow.com/fhir/r4/DBCHBD
  • FHIR API: https://fhir4.healow.com/fhir/r4/EAFIAA

Organizations & group practices 21

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 21

Hospital & facility affiliations 2

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": "1490745600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1696982400000",
    "number": "1215469226",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 33269",
            "city": "PHOENIX",
            "state": "AZ",
            "postal_code": "850673269"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3477 S MERCY RD STE 201",
            "city": "GILBERT",
            "state": "AZ",
            "postal_code": "852970448",
            "telephone_number": "480-728-6580",
            "fax_number": "480-728-6581"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "155 N Fresno St",
            "address_purpose": "LOCATION",
            "city": "Fresno",
            "state": "CA",
            "postal_code": "937012302",
            "country_code": "US",
            "telephone_number": "559-499-6450",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "SULEYMANOVA",
        "first_name": "VIOLETTA",
        "credential": "M.D",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2017-03-29",
        "last_updated": "2023-10-11",
        "certification_date": "2023-10-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "390200000X",
            "taxonomy_group": "",
            "desc": "Student in an Organized Health Care Education/Training Program",
            "state": "NU",
            "license": null,
            "primary": false
        },
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "CA",
            "license": "A164002",
            "primary": false
        },
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "AZ",
            "license": "68020",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Gilbert, AZ

Sources for this page

Verify at the official NPI Registry.