Individual provider Active NPI

Suzan Sam Buxton, M.D.

  • Internal Medicine Physician
  • Sun City, AZ
National Provider Identifier
1386861235
Registry record updated Aug 14, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
License
P18466 Issued in MD
Practice address
10615 W Thunderbird Blvd Ste C100
Sun City, AZ 85351-3097
Phone
(623) 974-1763
Fax
(623) 972-2038
NPI assigned
Apr 20, 2007
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 14, 2019

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine Physician 207R00000X P18466 MD Primary

Addresses

Primary practice location

10615 W Thunderbird Blvd Ste C100
Sun City, AZ 85351-3097

Mailing address

6622 N 91St Ave
Ste 220
Glendale, AZ 85305-2569
Phone (602) 759-6883

Other identifiers 1

IdentifierTypeStateIssuer
421436MedicaidAZ

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
I20090708000141 AZ Practitioner - Nephrology 6103977962 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nephrology
Education
Other, 2003
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Akdhc LLCGroup PAC ID 8123912136, 125 clinicians

Practice addresses (Care Compare)

5750 W Thunderbird Rd
Stes G750/G790
Glendale, AZ 85306-4660
Phone (602) 843-7171

Hospital & facility affiliations

  • Banner Boswell Medical Center Hospital, Sun City, AZ, CCN 030061

Merit-based Incentive Payment System (MIPS)

Final score
88.2 of 100Reported as group
Quality
67.68
Promoting interoperability
100
Improvement activities
40
Cost
76.33

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
P18466MDMDInternal Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Akdhc, LLC Nephrology Current Accepting new patients
Akdhc, LLC Nephrology Current Accepting new patients
Akdhc Surgery Center, LLC Nephrology Current Accepting new patients
Akdhc, LLC Nephrology CurrentSince Jun 1, 2009 Accepting new patients
Akdhc,LLC Nephrology CurrentSince Jun 1, 2009 Accepting new patients
Arizona Oncology Associates PC Internal Medicine Past Accepting new patients
Akdhc, LLC Nephrology Past Accepting new patients

Locations (25 of 78)

213 E Monroe Ave
Buckeye, AZ 85326
Phone (623) 233-1330

525 S Watson Rd
Ste 205
Buckeye, AZ 85326
Phone (623) 344-0498

1041 Hancock Rd
Ste A
Bullhead City, AZ 86442
Phone (702) 283-3447

1225 Hancock Rd
Ste 203
Bullhead City, AZ 86442
Phone (928) 763-1200

2771 Silver Creek Rd
Ste 100
Bullhead City, AZ 86442
Phone (928) 704-7011

1120 S Dobson Rd
Ste 115
Chandler, AZ 85286
Phone (480) 857-2381

451 S Calvary Way
Cottonwood, AZ 86326
Phone (928) 649-7997

100 E 5th St
Douglas, AZ 85607
Phone (520) 364-7659

2201 N Vickey St
Ste 110
Flagstaff, AZ 86004
Phone (928) 213-9460

77 W Forest Ave
Ste 302
Flagstaff, AZ 86001
Phone (928) 213-9460

13620 N Saguaro Blvd
Ste 90
Fountain Hills, AZ 85268
Phone (480) 473-7800

16838 E Palisades Blvd
Bldg C
Fountain Hills, AZ 85268
Phone (480) 816-3131

1525 N Gilbert Rd
Ste 122
Gilbert, AZ 85234

5750 W Thunderbird Rd
Ste F680
Glendale, AZ 85306
Phone (602) 843-7171

6622 N 91st Ave
Ste 220
Glendale, AZ 85305
Phone (602) 759-6883

18699 N 67th Ave
Ste 280
Glendale, AZ 85308
Phone (623) 240-4277

5750 W Thunderbird Rd
#G750G790
Glendale, AZ 85306
Phone (602) 843-7171

6622 N 91st Ave
Ste 200
Glendale, AZ 85305
Phone (623) 547-4668

5750 W Thunderbird Rd
Ste G790
Glendale, AZ 85306
Phone (602) 395-3354

13657 W McDowell Rd
Ste 210
Goodyear, AZ 85395
Phone (623) 243-6538

1141 S La Canada Dr
Green Valley, AZ 85614
Phone (520) 694-3030

2501 N Stockton Hill Rd
Ste 102
Kingman, AZ 86401
Phone (928) 681-2772

1739 E Beverly Ave
Ste 216
Kingman, AZ 86409
Phone (928) 681-2772

1851 Mesquite Ave
Ste 216
Lk Havasu Cty, AZ 86403
Phone (928) 854-5358

1720 Mesquite Ave
Ste 202
Lk Havasu Cty, AZ 86403
Phone (928) 854-5358

Interoperability endpoints

  • Direct secure messaging: suzan.buxton.1@11625.direct.athenahealth.com

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": "1177027200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1565740800000",
    "number": "1386861235",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6622 N 91ST AVE",
            "address_2": "STE 220",
            "city": "GLENDALE",
            "state": "AZ",
            "postal_code": "853052569",
            "telephone_number": "602-759-6883",
            "fax_number": "602-224-3358"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "10615 W THUNDERBIRD BLVD STE C100",
            "city": "SUN CITY",
            "state": "AZ",
            "postal_code": "853513097",
            "telephone_number": "623-974-1763",
            "fax_number": "623-972-2038"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BUXTON",
        "first_name": "SUZAN",
        "middle_name": "SAM",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-04-20",
        "last_updated": "2019-08-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "MD",
            "license": "P18466",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "421436",
            "state": "AZ"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Sun City, AZ

Sources for this page

Verify at the official NPI Registry.