Individual provider Active NPI

Suganya J. Karuppana, MD

  • Family Medicine Physician
  • Mesa, AZ
National Provider Identifier
1508066994
Registry record updated Mar 25, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
44056 Issued in AZ
Practice address
1705 W Main St
Mesa, AZ 85201-6920
Phone
(480) 964-2273
NPI assigned
Jul 23, 2007
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Mar 25, 2024

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine Physician 207Q00000X 44056 AZ Primary

Addresses

Primary practice location

1705 W Main St
Mesa, AZ 85201-6920

Mailing address

3033 N Central Ave Ste 145
Phoenix, AZ 85012-2808
Phone (623) 583-3001

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
I20110325000149 AZ Practitioner - Family Practice 0749333052 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Family Practice
Education
Albany Medical College of Union University, 2005
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Adelante Healthcare, IncGroup PAC ID 4688588643, 132 clinicians

Practice addresses (Care Compare)

15317 W Bell Rd
Suite 100
Surprise, AZ 85374-3900
Phone (877) 809-5092

1705 W Main St
Mesa, AZ 85201-6920
Phone (877) 809-5092

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
99423CAMDClinical Social Worker

Practice roles

OrganizationSpecialtyStatusNew patients
Valle del Sol, Inc. CurrentSince Feb 1, 2021 Accepting new patients
Valle del Sol, Inc. CurrentSince Feb 1, 2021 Accepting new patients
Adelante Healthcare, Inc. Family Medicine Current Accepting new patients
Adelante Healthcare, Inc. Family Medicine CurrentSince Mar 25, 2024 Accepting new patients
Adelante Healthcare, Inc. Family Medicine Past Accepting new patients

Locations

306 E Monroe Ave
Buckeye, AZ 85326
Phone (623) 386-4814

13471 W Cornerstone Blvd
Goodyear, AZ 85395

4135 S Power Rd
Ste 108
Mesa, AZ 85212
Phone (480) 641-1511

334 W 10th Pl
Ste 100
Mesa, AZ 85201
Phone (480) 834-0771

1705 W Main St
Mesa, AZ 85201
Phone (480) 845-6769

15525 N 83rd Ave
Ste 104
Peoria, AZ 85382

8410 W Thomas Rd
Ste 116
Phoenix, AZ 85037
Phone (623) 748-9331

502 N 27th Ave
Phoenix, AZ 85009

4117 N 17th St
Phoenix, AZ 85016
Phone (480) 341-5174

3807 N 7th St
Phoenix, AZ 85014

1510 S 19th Dr
Ste 100
Phoenix, AZ 85009
Phone (602) 257-4323

9610 N Metro Pkwy W
Phoenix, AZ 85051
Phone (602) 710-7487

1209 S 1st Ave
Phoenix, AZ 85003
Phone (602) 282-8006

3033 N Central Ave
Ste 145
Phoenix, AZ 85012

500 W Thomas Rd
Ste 870
Phoenix, AZ 85013
Phone (602) 263-0222

15317 W Bell Rd
Ste 100
Surprise, AZ 85374

15351 W Bell Rd
Surprise, AZ 85374

811 N Tegner St
Ste 113
Wickenburg, AZ 85390

Interoperability endpoints

  • Direct secure messaging: suganya.karuppana.p1@direct.adelantehealthcare.nextgenshare.com

Organizations & group practices 5

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.

NPI Registry JSON

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

{
    "created_epoch": "1185148800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1711324800000",
    "number": "1508066994",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3033 N CENTRAL AVE STE 145",
            "city": "PHOENIX",
            "state": "AZ",
            "postal_code": "850122808",
            "telephone_number": "623-583-3001"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1705 W MAIN ST",
            "city": "MESA",
            "state": "AZ",
            "postal_code": "852016920",
            "telephone_number": "480-964-2273"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KARUPPANA",
        "first_name": "SUGANYA",
        "middle_name": "J.",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2007-07-23",
        "last_updated": "2024-03-25",
        "certification_date": "2024-02-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "AZ",
            "license": "44056",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Mesa, AZ

Sources for this page

Verify at the official NPI Registry.