NPIMap

Organization Active NPI

Sunbelt Medical Group LLC

Doing business as SMG Vascular Surgery

  • Multi-Specialty Clinic/Center
  • Tucson, AZ
National Provider Identifier
1508651902
Registry record updated Apr 18, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Multi-Specialty Clinic/CenterTaxonomy code 261QM1300X
Legal business name
SUNBELT MEDICAL GROUP LLC
Doing business as
SMG Vascular Surgery
Practice address
1601 W Saint Marys Rd
Tucson, AZ 85745-2623
Phone
(520) 322-6274
Fax
(520) 509-4496
NPI assigned
Apr 14, 2025
Last updated
Apr 18, 2025By the provider in NPPES
Organization subpart
Yes
Parent organization
SUNBELT MEDICAL GROUP, LLCAs reported in NPPES

NPPES NPI Registry

Updated by the provider on Apr 18, 2025

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

Authorized official

Name
Michael Misevch
Title
Credentialing
Phone
(520) 322-6274

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Multi-Specialty Clinic/Center 261QM1300X NU Primary

Addresses

Primary practice location

1601 W Saint Marys Rd
Tucson, AZ 85745-2623

Mailing address

2850 N Country Club Rd
Tucson, AZ 85716-1910
Phone (520) 322-6274

Other names 1

  • SMG Vascular Surgery Doing business as

National Provider Directory

National Provider Directory
Tax ID family
Sunbelt Medical Group LLC3 organizations share this tax ID, including this one
Part of
Sunbelt Medical Group LLC

Other organizations with this tax ID 2

Organizations that report the same tax identification number in the National Provider Directory.

NPI Registry JSON

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

{
    "created_epoch": "1744588800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1744934400000",
    "number": "1508651902",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2850 N COUNTRY CLUB RD",
            "city": "TUCSON",
            "state": "AZ",
            "postal_code": "857161910",
            "telephone_number": "520-322-6274"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1601 W SAINT MARYS RD",
            "city": "TUCSON",
            "state": "AZ",
            "postal_code": "857452623",
            "telephone_number": "520-322-6274",
            "fax_number": "520-509-4496"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SUNBELT MEDICAL GROUP LLC",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "SUNBELT MEDICAL GROUP, LLC",
        "enumeration_date": "2025-04-14",
        "last_updated": "2025-04-18",
        "certification_date": "2025-04-18",
        "status": "A",
        "authorized_official_last_name": "MISEVCH",
        "authorized_official_first_name": "MICHAEL",
        "authorized_official_title_or_position": "CREDENTIALING",
        "authorized_official_telephone_number": "520-322-6274"
    },
    "taxonomies": [
        {
            "code": "261QM1300X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Multi-Specialty",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "SMG Vascular Surgery",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Tucson, AZ

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 18, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.