Individual provider Active NPI

Susan Rose Cortesi, M.D.

  • Surgery Physician
  • Mesa, AZ
National Provider Identifier
1568468601
Registry record updated Nov 5, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Surgery PhysicianTaxonomy code 208600000X
License
23326 Issued in AZ
Practice address
2945 South Dobson Rd
Mesa, AZ 85202
Phone
(480) 969-4138
Fax
(480) 969-0630
NPI assigned
Jun 23, 2005
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Nov 5, 2018

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Surgery Physician 208600000X 23326 AZ Primary

Addresses

Primary practice location

2945 South Dobson Rd
Mesa, AZ 85202

Mailing address

2945 South Dobson Rd
Mesa, AZ 85202
Phone (480) 969-4138

Other practice location 1

3501 N Scottsdale Rd Ste 347
Scottsdale, AZ 85251-5631
Phone (480) 969-4138

Other identifiers 1

IdentifierTypeStateIssuer
316358-05XMedicaidAZ

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
I20040305000741 AZ Practitioner - General Surgery 3072401660 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
General Surgery
Education
University of Arizona College of Medicine, 1990
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Arizona Advanced Surgery LLCGroup PAC ID 0547690166, 93 clinicians

Practice addresses (Care Compare)

2945 S Dobson Rd
Mesa, AZ 85202-7941
Phone (480) 969-4138

Hospital & facility affiliations

  • Banner Desert Medical Center Hospital, Mesa, AZ, CCN 030065
  • Honorhealth Scottsdale Osborn Medical Center Hospital, Scottsdale, AZ, CCN 030038

Merit-based Incentive Payment System (MIPS)

Final score
94.9 of 100Reported as group
Promoting interoperability
94
Improvement activities
40

Procedures performed for Medicare patients

ProcedureNumber of procedures
Colonoscopy1-10
Hernia repair - groin (open)1-10
Hernia repair (minimally invasive)11
Mastectomy1-10
Upper gastrointestinal (GI) endoscopy for acid reflux1-10
Removal of tissue1-10

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Arizona Advanced Surgery LLC Surgery CurrentSince Apr 1, 2020 Accepting new patients
William E. Deyden, M.D, P.C Surgery Past Accepting new patients
Joan Marie Kohr MD PC Surgery Past Accepting new patients
Arizona Otolaryngology Consultants, PC PastSince Jan 1, 2004 Accepting new patients

Locations

2945 S Dobson Rd
Mesa, AZ 85202
Phone (480) 699-2508

1400 S Dobson Rd
Mesa, AZ 85202
Phone (480) 412-3000

2945 S Dobson Rd
#2320N
Mesa, AZ 85202

2320 N 3rd St
Phoenix, AZ 85004
Phone (602) 258-3262

3501 N Scottsdale Rd
Ste 2222
Scottsdale, AZ 85251

3501 N Scottsdale Rd
Ste 347
Scottsdale, AZ 85251
Phone (480) 429-4690

3501 N Scottsdale Rd
Ste 222
Scottsdale, AZ 85251
Phone (480) 947-3533

Interoperability endpoints

  • FHIR API: https://fhir4.healow.com/fhir/r4/IGJBCD

Organizations & group practices 4

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 2

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": "1119484800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1541376000000",
    "number": "1568468601",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2945 SOUTH DOBSON RD",
            "city": "MESA",
            "state": "AZ",
            "postal_code": "85202",
            "telephone_number": "480-969-4138",
            "fax_number": "480-969-0630"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2945 SOUTH DOBSON RD",
            "city": "MESA",
            "state": "AZ",
            "postal_code": "85202",
            "telephone_number": "480-969-4138",
            "fax_number": "480-969-0630"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "3501 N Scottsdale Rd Ste 347",
            "address_purpose": "LOCATION",
            "city": "Scottsdale",
            "state": "AZ",
            "postal_code": "852515631",
            "country_code": "US",
            "telephone_number": "480-969-4138",
            "fax_number": "480-969-0630",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "CORTESI",
        "first_name": "SUSAN",
        "middle_name": "ROSE",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2005-06-23",
        "last_updated": "2018-11-05",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208600000X",
            "taxonomy_group": "",
            "desc": "Surgery",
            "state": "AZ",
            "license": "23326",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "316358-05X",
            "state": "AZ"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Mesa, AZ

Sources for this page

Verify at the official NPI Registry.