Individual provider Active NPI

Archana Sugumar, M.D.

  • Psychiatry Physician
  • Peoria, AZ
National Provider Identifier
1275821571
Registry record updated Jul 21, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Psychiatry PhysicianTaxonomy code 2084P0800X
License
51844 Issued in AZ
Practice address
9051 W Kelton LN
Peoria, AZ 85382-3533
Phone
(623) 815-5700
NPI assigned
Jul 20, 2011
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 21, 2022

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Child & Adolescent Psychiatry Physician 2084P0804X 51844 AZ
Student in an Organized Health Care Education/Training Program 390200000X
Psychiatry Physician 2084P0800X 51844 AZ Primary

Addresses

Primary practice location

9051 W Kelton LN
Peoria, AZ 85382-3533

Mailing address

2700 N Central Ave
Phoenix, AZ 85004-1133
Phone (602) 285-4367

Other practice location 1

2100 Stantonsburg Rd
Greenville, NC 27834-2818
Phone (252) 744-1406

Medicare participation

Medicare enrollment files
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

Enrollment IDStateProvider typePAC IDDetails
I20170315001819 AZ Practitioner - Psychiatry 2860782190 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Psychiatry
Education
Other, 2009
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices

Practice addresses (Care Compare)

14502 W Meeker Blvd
Sun City, AZ 85375-5282
Phone (623) 524-4000

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
83.7 of 100Reported as group
Quality
64.97
Promoting interoperability
98
Improvement activities
40
Cost
69.88

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
51844AZMDPsychiatry Physician
N/ANCMDDiagnostic Radiology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Southwest Network Current Accepting new patients
Banner Hospital Based Physicians Arizona LLC CurrentSince Sep 25, 2023 Accepting new patients
Southwest Network, Inc. Family Medicine CurrentSince Jan 30, 2017 Accepting new patients
Banner Hospital Based Physicians Arizona LLC CurrentSince Sep 25, 2023 Accepting new patients
Banner Hospital Based Physicians Arizona LLC Current Accepting new patients
Southwest Network, Inc. CurrentSince Jul 7, 2024 Accepting new patients
Southwest Network, Inc. Family Medicine CurrentSince Jan 30, 2017 Accepting new patients
Banner del E Webb Medical Center Past Accepting new patients
Open Skies Healthcare PastSince Jul 24, 2022 Accepting new patients

Locations

5555 W Thunderbird Rd
Glendale, AZ 85306
Phone (602) 588-5555

9051 W Kelton Ln
Ste 13
Peoria, AZ 85382
Phone (623) 815-5700

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

2700 N Central Ave
Ste 1050
Phoenix, AZ 85004
Phone (602) 266-8402

2444 E University Dr
Ste 150
Phoenix, AZ 85034
Phone (602) 304-0014

2700 N Central Ave
Phoenix, AZ 85004

1840 N 95th Ave
Ste 132
Phoenix, AZ 85037
Phone (623) 932-6950

7575 E Earll Dr
Scottsdale, AZ 85251
Phone (480) 448-7500

14502 W Meeker Blvd
Sun City West, AZ 85375
Phone (623) 214-4000

Organizations & group practices 9

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 1

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": "1311120000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1658361600000",
    "number": "1275821571",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2700 N CENTRAL AVE",
            "city": "PHOENIX",
            "state": "AZ",
            "postal_code": "850041133",
            "telephone_number": "602-285-4367"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9051 W KELTON LN",
            "city": "PEORIA",
            "state": "AZ",
            "postal_code": "853823533",
            "telephone_number": "623-815-5700"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "2100 Stantonsburg Rd",
            "address_purpose": "LOCATION",
            "city": "Greenville",
            "state": "NC",
            "postal_code": "278342818",
            "country_code": "US",
            "telephone_number": "252-744-1406",
            "fax_number": "252-744-4243",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "SUGUMAR",
        "first_name": "ARCHANA",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2011-07-20",
        "last_updated": "2022-07-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2084P0804X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Child & Adolescent Psychiatry",
            "state": "AZ",
            "license": "51844",
            "primary": false
        },
        {
            "code": "390200000X",
            "taxonomy_group": "",
            "desc": "Student in an Organized Health Care Education/Training Program",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "2084P0800X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Psychiatry",
            "state": "AZ",
            "license": "51844",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Peoria, AZ

Sources for this page

Verify at the official NPI Registry.