Active NPI
Suganya J. Karuppana, MD
- Family Medicine Physician
- Mesa, AZ
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Medicine Physician
- License
- 44056
- 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
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| 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
Enrollment records 1
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
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
| License | State | Type | Specialty |
|---|---|---|---|
| 99423 | CA | MD | Clinical Social Worker |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Valle del Sol, Inc. | Current | Accepting new patients | |
| Valle del Sol, Inc. | Current | Accepting new patients | |
| Adelante Healthcare, Inc. | Family Medicine | Current | Accepting new patients |
| Adelante Healthcare, Inc. | Family Medicine | Current | 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
- 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.
-
- Federally Qualified Health Center (FQHC)
- Wickenburg, AZ
- NPI 1083772545
Family Medicine
-
- Community/Behavioral Health Agency
- Phoenix, AZ
- NPI 1831344035
-
- Federally Qualified Health Center (FQHC)
- Goodyear, AZ
- NPI 1275017915
Family Medicine
-
- Federally Qualified Health Center (FQHC)
- Phoenix, AZ
- NPI 1174345839
-
- Federally Qualified Health Center (FQHC)
- Surprise, AZ
- NPI 1205994761
Family Medicine
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
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 25, 2024; 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.