Gregory Kenneth Suelzle, MD

Primary specialty

Interventional Pain Medicine PhysicianTaxonomy code 208VP0014X

License

G77184 Issued in CA

Practice address

1330 San Bernardino Rd
Suite B
Upland, CA 91786-4928

Phone

(909) 981-0608

Fax

(909) 982-5327

NPI assigned

Mar 9, 2006

Last updated

Sep 20, 2010By the provider in NPPES

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in CA

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

Interventional Pain ManagementAlso: Anesthesiology

Education

Loma Linda University School of Medicine, 1992

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

Hospital & facility affiliations

• San Antonio Regional Hospital Hospital, Upland, CA, CCN 050099

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

Practice roles

Locations

Networks

• BSC 65 PLUS INDIVIDUAL MAPD

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.

• Gregory K. Suelzle, M.D., a Medical Corporation

  dba Upland Grove Medical Group

  • Interventional Pain Medicine Physician
  • Upland, CA
  • NPI 1386890044
  Medicare reassignment NPD Authorized official
• Inland Center Medical Group, P.C.

  dba Inland Center Medical Group

  • Obstetrics Physician
  • Rancho Cucamonga, CA
  • NPI 1487613766
  NPD (past)
• Pomona Valley Hospital Medical Center

  • General Acute Care Hospital
  • Pomona, CA
  • NPI 1518067586
  NPD (past)
• San Antonio Regional Hospital

  • General Acute Care Hospital
  • Upland, CA
  • NPI 1780681189

  Interventional Pain Medicine

  NPD (past)
• Illinois Pain Treatment Institute, LTD

  • Interventional Pain Medicine Physician
  • Elgin, IL
  • NPI 1295811479
  NPD (past)
• Illinois Pain Treatment Institute, LTD

  dba Illinois Pain and Spine Institute

  • Pain Clinic/Center
  • Libertyville, IL
  • NPI 1417758483
  NPD (past)

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

• San Antonio Regional Hospital

  • General Acute Care Hospital
  • Upland, CA
  • NPI 1780681189
  Care Compare affiliation

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

{
    "created_epoch": "1141862400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1284940800000",
    "number": "1326016023",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1330 SAN BERNARDINO RD",
            "address_2": "SUITE B",
            "city": "UPLAND",
            "state": "CA",
            "postal_code": "917864928",
            "telephone_number": "909-981-0608",
            "fax_number": "909-982-5327"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1330 SAN BERNARDINO RD",
            "address_2": "SUITE B",
            "city": "UPLAND",
            "state": "CA",
            "postal_code": "917864928",
            "telephone_number": "909-981-0608",
            "fax_number": "909-982-5327"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SUELZLE",
        "first_name": "GREGORY",
        "middle_name": "KENNETH",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-03-09",
        "last_updated": "2010-09-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208VP0014X",
            "taxonomy_group": "",
            "desc": "Pain Medicine, Interventional Pain Medicine",
            "state": "CA",
            "license": "G77184",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Natalie Anne Stumpf
• Robin Marguerite Su, D.D.S.
• Valerie Suarez
• Sudhir K Reddy MD Inc
• Michael Sudyka, LMFT
• Sugihara Surgical Services Inc
• Adam Quasar Sugihara, M.D.
• Sullivan Medical Corporation
• Summer Breeze Healthcare
• Melinda Ann Summers Sandoval, MSW, ACSW, PPSC

• Interventional Pain Medicine Physician in Upland, CA
• Providers in Upland, CA by specialty
• Interventional Pain Medicine Physician in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 20, 2010; 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.