Individual provider Active NPI

Suezie Kim, M.D.

  • Orthopaedic Surgery Physician
  • Tucson, AZ
National Provider Identifier
1336345792
Registry record updated Dec 15, 2017
On this page

Key facts

NPPES NPI Registry
Primary specialty
Orthopaedic Surgery PhysicianTaxonomy code 207X00000X
License
51011 Issued in AZ
Practice address
395 N Silverbell Rd Ste 101
Tucson, AZ 85745-2718
Phone
(520) 882-0696
Fax
(520) 624-0024
NPI assigned
Jun 22, 2007
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Dec 15, 2017

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Orthopaedic Surgery Physician 207X00000X 51011 AZ Primary

Addresses

Primary practice location

395 N Silverbell Rd Ste 101
Tucson, AZ 85745-2718

Mailing address

395 N Silverbell Rd Ste 101
Tucson, AZ 85745-2718
Phone (520) 882-0696

Other identifiers 1

IdentifierTypeStateIssuer
145249MedicaidAZ

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in AZ, OR2 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
I20160915001699 AZ Practitioner - Orthopedic Surgery 8022235969 Reassigns benefits to 1 organization
I20260105002985 OR Practitioner - Orthopedic Surgery 8022235969 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Orthopedic Surgery
Education
Other, 2007
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Tucson Orthopaedic Institute Professional CorporationGroup PAC ID 5799671905, 108 clinicians
Providence Health and Services OregonGroup PAC ID 1557260106, 97 clinicians

Practice addresses (Care Compare)

395 N Silverbell Rd
Suite 101
Tucson, AZ 85745-2718
Phone (520) 882-0696

725 S Wahanna Rd
Seaside, OR 97138-7735
Phone (503) 717-7000

727 S Wahanna Rd
Seaside, OR 97138-7735
Phone (503) 717-7000

Hospital & facility affiliations

  • Tucson Medical Center Hospital, Tucson, AZ, CCN 030006

Merit-based Incentive Payment System (MIPS)

Final score
96.6 of 100Reported as group
Promoting interoperability
96
Improvement activities
40

Procedures performed for Medicare patients

ProcedureNumber of procedures
Lower limb (leg) arthroscopy (minimally invasive joint repair)1-10
Upper limb (arm) arthroscopy (minimally invasive joint repair)1-10

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
51011AZMDOrthopaedic Surgery Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Providence Health & Services Oregon Family Medicine CurrentSince Jan 1, 2026 Accepting new patients
Tucson Orthopaedic Institute Professional Corporation Orthopaedic Surgery CurrentSince Nov 1, 2017 Accepting new patients
Providence Health & Services Oregon CurrentSince Jan 1, 2026 Accepting new patients
Providence Health & Services Oregon CurrentSince Jan 1, 2026 Accepting new patients
Tucson Orthopaedic Institute Professional Corporation Orthopaedic Surgery CurrentSince Nov 1, 2017 Accepting new patients
Valley ENT, PC Past Accepting new patients
Providence Health & Services Oregon Past Accepting new patients

Locations

101 Cole Ave
Bisbee, AZ 85603
Phone (520) 432-5383

4485 S I 19 Frontage Rd
#100
Green Valley, AZ 85614
Phone (520) 399-6000

10350 E Drexel Rd
Ste 210
Tucson, AZ 85747
Phone (520) 625-6600

395 N Silverbell Rd
Ste 101
Tucson, AZ 85745
Phone (520) 882-0696

6320 N La Cholla Blvd
Ste 200
Tucson, AZ 85741

10350 E Drexel Rd
Unit 120
Tucson, AZ 85747
Phone (520) 420-2280

5301 E Grant Rd
Fl 1
Tucson, AZ 85712
Phone (520) 640-1200

5301 E Grant Rd
Tucson, AZ 85712
Phone (520) 324-1344

5301 E Grant Rd
Bldg 1
Tucson, AZ 85712

725 S Wahanna Rd
Seaside, OR 97138
Phone (503) 717-7000

Organizations & group practices 7

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": "1182470400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1513296000000",
    "number": "1336345792",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "395 N SILVERBELL RD STE 101",
            "city": "TUCSON",
            "state": "AZ",
            "postal_code": "857452718",
            "telephone_number": "520-882-0696",
            "fax_number": "520-624-0024"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "395 N SILVERBELL RD STE 101",
            "city": "TUCSON",
            "state": "AZ",
            "postal_code": "857452718",
            "telephone_number": "520-882-0696",
            "fax_number": "520-624-0024"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KIM",
        "first_name": "SUEZIE",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-06-22",
        "last_updated": "2017-12-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207X00000X",
            "taxonomy_group": "",
            "desc": "Orthopaedic Surgery",
            "state": "AZ",
            "license": "51011",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "145249",
            "state": "AZ"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Tucson, AZ

Sources for this page

Verify at the official NPI Registry.