Active NPI
Dominick George Sudano, M.D.
- Rheumatology Physician
- Tucson, AZ
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Rheumatology Physician
- License
- 44910
- 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
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| 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, TX
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
Enrollment records 2
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 100
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| R70588 | AZ | MD | Student in an Organized Health Care Education/Training Program |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Ton Sells Hospital | Current | Accepting new patients | |
| Ton San Simon Health Center | Current | Accepting new patients | |
| Ton San Xavier Health Center | Current | Accepting new patients | |
| Catalina Pointe Arthritis & Rheumatology Specialists, PC | Current | 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
- 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.
-
- Specialist
- Tucson, AZ
- NPI 1659493120
-
- Indian Health Service/Tribal/Urban Indian Health (I/T/U) Pharmacy
- Tucson, AZ
- NPI 1518905793
-
- Indian Health Service/Tribal/Urban Indian Health (I/T/U) Pharmacy
- Sells, AZ
- NPI 1699717785
Hospital & facility affiliations 3
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- Critical Access Hospital
- Safford, AZ
- NPI 1275588345
-
- General Acute Care Hospital
- Oro Valley, AZ
- NPI 1386697688
-
- General Acute Care Hospital
- Tucson, AZ
- NPI 1174512792
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
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 7, 2014; 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.