Individual provider Active NPI

Susan McMahon, MD

  • Pediatrics Physician
  • Tucson, AZ
National Provider Identifier
1669455507
Registry record updated Jul 13, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pediatrics PhysicianTaxonomy code 208000000X
License
31091 Issued in AZ
Practice address
1530 W Commerce CT
Tucson, AZ 85746-6015
Phone
(520) 670-3909
Fax
(520) 806-2625
NPI assigned
Nov 23, 2005
Last updated
Jul 13, 2026By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 13, 2026

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Pediatrics Physician 208000000X 31091 AZ Primary

Addresses

Primary practice location

1530 W Commerce CT
Tucson, AZ 85746-6015

Mailing address

1530 W Commerce CT
Tucson, AZ 85746-6015
Phone (520) 670-3909

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
I20110113000554 AZ Practitioner - Pediatric Medicine 5597954115 Reassigns benefits to 1 organization

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
31091AZMDPhysical Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Mesquite Pediatrics, PC Pediatrics CurrentSince Apr 1, 2021 Accepting new patients
El Rio Santa Cruz Neighborhood Health Center, Inc Past Accepting new patients

Locations

2350 N Kibler Pl
Tucson, AZ 85712
Phone (520) 327-6874

2350 N Kibler Pl
Ste 1
Tucson, AZ 85712
Phone (520) 648-5437

Organizations & group practices 2

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1132704000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1783900800000",
    "number": "1669455507",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1530 W COMMERCE CT",
            "city": "TUCSON",
            "state": "AZ",
            "postal_code": "857466015",
            "telephone_number": "520-670-3909",
            "fax_number": "520-806-2625"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1530 W COMMERCE CT",
            "city": "TUCSON",
            "state": "AZ",
            "postal_code": "857466015",
            "telephone_number": "520-670-3909",
            "fax_number": "520-806-2625"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MCMAHON",
        "first_name": "SUSAN",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2005-11-23",
        "last_updated": "2026-07-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208000000X",
            "taxonomy_group": "",
            "desc": "Pediatrics",
            "state": "AZ",
            "license": "31091",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Tucson, AZ

Sources for this page

Verify at the official NPI Registry.