Priti Sud, MD

Primary specialty

Gastroenterology PhysicianTaxonomy code 207RG0100X

License

44601 Issued in AZ

Practice address

4540 E Baseline Rd
Suite 115
Mesa, AZ 85206-4613

Phone

(480) 306-6405

Fax

(480) 306-6409

NPI assigned

Feb 8, 2007

Sex

Female

Sole proprietor

No

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

Specialties & licenses 3

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

Specialty

Gastroenterology

Education

Other, 2001

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Arizona Gastrointestinal Associates PLCGroup PAC ID 6901054014, 36 clinicians

Practice addresses (Care Compare)

Hospital & facility affiliations

• Banner Gateway Medical Center Hospital, Gilbert, AZ, CCN 030122

Procedures performed for Medicare patients

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

Practice roles

Locations

Interoperability endpoints

• Direct secure messaging: psud@directaddress.net

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.

• Arizona Gastrointestinal Associates, PLC

  • Gastroenterology Physician
  • Phoenix, AZ
  • NPI 1356609002
  Medicare reassignment Care Compare group NPD
• Southwest Endoscopy & Surgicenter LLC

  • Ambulatory Surgical Clinic/Center
  • Gilbert, AZ
  • NPI 1063693588
  NPD (past)

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

• Banner Gateway Medical Center

  • General Acute Care Hospital
  • Gilbert, AZ
  • NPI 1699884858
  Care Compare affiliation

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

{
    "created_epoch": "1170892800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1320278400000",
    "number": "1275673915",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4540 E BASELINE RD",
            "address_2": "SUITE 115",
            "city": "MESA",
            "state": "AZ",
            "postal_code": "852064613",
            "telephone_number": "480-306-6405",
            "fax_number": "480-306-6409"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4540 E BASELINE RD",
            "address_2": "SUITE 115",
            "city": "MESA",
            "state": "AZ",
            "postal_code": "852064613",
            "telephone_number": "480-306-6405",
            "fax_number": "480-306-6409"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SUD",
        "first_name": "PRITI",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-02-08",
        "last_updated": "2011-11-03",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207RG0100X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Gastroenterology",
            "state": "AZ",
            "license": "44601",
            "primary": true
        },
        {
            "code": "207RI0008X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Hepatology",
            "state": "AZ",
            "license": "44601",
            "primary": false
        },
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "AZ",
            "license": "44601",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICAL LICENSE",
            "identifier": "44601",
            "state": "AZ"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Tien Hsuan Su, PHARM.D
• Maria Del Carmen Suarez Aleman, BCBA
• Hanna Suarez
• Loreta Suarez
• Monica Suarez, COTA
• Margaret Sudimack
• Eric Suedmeyer, PHD
• Suekko Management
• G Andrew Sulit, MD
• Rachel Sullivan, FNP

• Gastroenterology Physician in Mesa, AZ
• Providers in Mesa, AZ by specialty
• Gastroenterology Physician in Arizona

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 3, 2011; 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.

Verify at the official NPI Registry.