Carlos Alberto Suescun Jr., MD

Primary specialty

Internal Medicine PhysicianTaxonomy code 207R00000X

License

35723 Issued in AZ

Practice address

10900 N Scottsdale Road
Suite 603
Scottsdale, AZ 85254-5216

Phone

(480) 607-3800

Fax

(480) 607-3808

NPI assigned

Jul 23, 2006

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other identifiers 1

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

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

Practice roles

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.

• Tbird Hospitalist Group, LLC

  • Internal Medicine Physician
  • Glendale, AZ
  • NPI 1134155724
  NPD (past)

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

{
    "created_epoch": "1153612800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1678147200000",
    "number": "1265453179",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "11000 N SCOTTSDALE RD STE 130",
            "city": "SCOTTSDALE",
            "state": "AZ",
            "postal_code": "852546169",
            "telephone_number": "480-626-1314",
            "fax_number": "480-993-2306"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "10900 N SCOTTSDALE ROAD",
            "address_2": "SUITE 603",
            "city": "SCOTTSDALE",
            "state": "AZ",
            "postal_code": "852545216",
            "telephone_number": "480-607-3800",
            "fax_number": "480-607-3808"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SUESCUN",
        "first_name": "CARLOS",
        "middle_name": "ALBERTO",
        "name_suffix": "Jr.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-07-23",
        "last_updated": "2023-03-07",
        "certification_date": "2021-09-03",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "AZ",
            "license": "35723",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "119342-01",
            "state": "AZ"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Yaya Kishiyama Su, M.D.
• Ana Gabriela Suarez-Venot, DO
• Luis Fernando Suarez
• Mariusz Suchodolski, PT, DPT
• Nicole Sudsbury, PHARMD
• Jaime Sugar
• Mark D Sugi, M.D.
• Megumi Grace Sugita, DO
• Gavin Sugrue, MB BCH BAO
• Nicole Ann Sugumaran, PA-C

• Internal Medicine Physician in Scottsdale, AZ
• Providers in Scottsdale, AZ by specialty
• Internal Medicine Physician in Arizona

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 7, 2023; 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.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.