Individual provider Active NPI

Susan Pansing, MD

  • Neurology Physician
  • Phoenix, AZ
National Provider Identifier
1306816533
Registry record updated Feb 26, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Neurology PhysicianTaxonomy code 2084N0400X
License
24546 Issued in AZ
Practice address
7500 N Dreamy Draw Dr
Ste. #133
Phoenix, AZ 85020-4660
Phone
(602) 277-2245
Fax
(602) 265-9494
NPI assigned
Jan 23, 2006
Last updated
Feb 26, 2020By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Feb 26, 2020

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Neurology Physician 2084N0400X 24546 AZ Primary

Addresses

Primary practice location

7500 N Dreamy Draw Dr
Ste. #133
Phoenix, AZ 85020-4660

Mailing address

7500 N Dreamy Draw Dr
Ste. #133
Phoenix, AZ 85020-4660
Phone (602) 277-2245

Other practice location 1

2122 E Highland Ave Ste 100
Phoenix, AZ 85016-4740
Phone (480) 428-3373

Other identifiers 1

IdentifierTypeStateIssuer
366361MedicaidAZ

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
I20040423000460 AZ Practitioner - Neurology 6901892017 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Neurology
Education
University of Miami, LM Miller School of Medicine, 1992
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
VHS Outpatient Clinics IncGroup PAC ID 4486566726, 206 clinicians

Practice addresses (Care Compare)

2122 E Highland Ave
Suite 100
Phoenix, AZ 85016-4740
Phone (480) 372-2111

5130 W Baseline Rd
Suite 102
Laveen, AZ 85339-2984
Phone (602) 237-0039

Hospital & facility affiliations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
24546AZMDNeurology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
VHS Outpatient Clinics, Inc. CurrentSince May 3, 2020 Accepting new patients
VHS Outpatient Clinics, Inc. Family Medicine CurrentSince May 3, 2020 Accepting new patients
Arizona Post-Acute Medical Services 1 PC Past Accepting new patients

Locations

5130 W Baseline Rd
Ste 102
Laveen, AZ 85339
Phone (602) 237-0039

26900 N Lake Pleasant Pkwy
Ste 210
Peoria, AZ 85383
Phone (623) 561-3000

2122 E Highland Ave
Ste 100
Phoenix, AZ 85016
Phone (480) 372-2111

Interoperability endpoints

  • Direct secure messaging: susan.pansing.1@600.direct.athenahealth.com

Organizations & group practices 4

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

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": "1137974400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1582675200000",
    "number": "1306816533",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7500 N DREAMY DRAW DR",
            "address_2": "STE. #133",
            "city": "PHOENIX",
            "state": "AZ",
            "postal_code": "850204660",
            "telephone_number": "602-277-2245",
            "fax_number": "602-265-9494"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7500 N DREAMY DRAW DR",
            "address_2": "STE. #133",
            "city": "PHOENIX",
            "state": "AZ",
            "postal_code": "850204660",
            "telephone_number": "602-277-2245",
            "fax_number": "602-265-9494"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "2122 E Highland Ave Ste 100",
            "address_purpose": "LOCATION",
            "city": "Phoenix",
            "state": "AZ",
            "postal_code": "850164740",
            "country_code": "US",
            "telephone_number": "480-428-3373",
            "fax_number": "480-428-3374",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "PANSING",
        "first_name": "SUSAN",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-01-23",
        "last_updated": "2020-02-26",
        "certification_date": "2020-02-26",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2084N0400X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Neurology",
            "state": "AZ",
            "license": "24546",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "366361",
            "state": "AZ"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Phoenix, AZ

Sources for this page

Verify at the official NPI Registry.