Individual provider Active NPI

Dominick George Sudano, M.D.

  • Rheumatology Physician
  • Tucson, AZ
National Provider Identifier
1275774937
Registry record updated Jul 7, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
Rheumatology PhysicianTaxonomy code 207RR0500X
License
44910 Issued in AZ
Practice address
1501 N Campbell Ave RM 6336
Tucson, AZ 85724-0001
Phone
(520) 626-2761
NPI assigned
Mar 10, 2009
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jul 7, 2014

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Rheumatology Physician 207RR0500X 44910 AZ Primary
Student in an Organized Health Care Education/Training Program 390200000X R70588 AZ

Addresses

Primary practice location

1501 N Campbell Ave RM 6336
Tucson, AZ 85724-0001

Mailing address

1501 N Campbell Ave
PO Box 245093
Tucson, AZ 85724-0001
Phone (520) 626-4111

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in AZ, TX2 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
I20120116000144 AZ Practitioner - RheumatologyPractitioner - Internal Medicine 9436326469 Reassigns benefits to 1 organization
I20180418001098 TX Practitioner - Internal MedicinePractitioner - Rheumatology 9436326469 Reassigns benefits to 3 organizations

Care Compare profile

Medicare Care Compare
Specialty
Rheumatology
Education
Other, 2008
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices

Practice addresses (Care Compare)

7520 N Oracle Rd
Suite 100
Tucson, AZ 85704-4452
Phone (520) 408-1133

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
75 of 100Reported as group

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
R70588AZMDStudent in an Organized Health Care Education/Training Program

Practice roles

OrganizationSpecialtyStatusNew patients
Ton Sells Hospital CurrentSince Mar 14, 2018 Accepting new patients
Ton San Simon Health Center CurrentSince Mar 14, 2018 Accepting new patients
Ton San Xavier Health Center CurrentSince Mar 14, 2018 Accepting new patients
Catalina Pointe Arthritis & Rheumatology Specialists, PC CurrentSince Dec 30, 2019 Accepting new patients
Ton San Xavier Health Center Past Accepting new patients
Ton Sells Hospital Past Accepting new patients

Locations

7520 N Oracle Rd
Ste 100
Tucson, AZ 85704
Phone (520) 408-1133

5501 N Oracle Rd
Ste 161
Tucson, AZ 85704
Phone (520) 408-1133

7900 S J Stock Rd
Ofc
Tucson, AZ 85746

7900 S J Stock Rd
Tucson, AZ 85746
Phone (520) 295-2550

Interoperability endpoints

  • FHIR API: https://fhir4.healow.com/fhir/r4/DCGAAA

Organizations & group practices 6

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.

Hospital & facility affiliations 3

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": "1236643200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1404691200000",
    "number": "1275774937",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1501 N CAMPBELL AVE",
            "address_2": "PO BOX 245093",
            "city": "TUCSON",
            "state": "AZ",
            "postal_code": "857240001",
            "telephone_number": "520-626-4111"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1501 N CAMPBELL AVE RM 6336",
            "city": "TUCSON",
            "state": "AZ",
            "postal_code": "857240001",
            "telephone_number": "520-626-2761"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SUDANO",
        "first_name": "DOMINICK",
        "middle_name": "GEORGE",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2009-03-10",
        "last_updated": "2014-07-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207RR0500X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Rheumatology",
            "state": "AZ",
            "license": "44910",
            "primary": true
        },
        {
            "code": "390200000X",
            "taxonomy_group": "",
            "desc": "Student in an Organized Health Care Education/Training Program",
            "state": "AZ",
            "license": "R70588",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Tucson, AZ

Sources for this page

Verify at the official NPI Registry.