Individual provider Active NPI

Alexander Raymond Shusko Jr.

  • Uveitis and Ocular Inflammatory Disease (Ophthalmology) Physician
  • Scottsdale, AZ
National Provider Identifier
1679009310
Registry record updated Feb 26, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Uveitis and Ocular Inflammatory Disease (Ophthalmology) PhysicianTaxonomy code 207WX0108X
License
66619 Issued in AZ
Practice address
10555 N 114TH St Ste 103
Scottsdale, AZ 85259-4940
Phone
(623) 307-7699
Fax
(623) 307-7700
NPI assigned
May 1, 2017
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Feb 26, 2026

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

Specialties & licenses 4

Specialty (taxonomy)CodeLicenseStatePrimary
Uveitis and Ocular Inflammatory Disease (Ophthalmology) Physician 207WX0108X 66619 AZ Primary
Ophthalmology Physician 207W00000X A172535 CA
Uveitis and Ocular Inflammatory Disease (Ophthalmology) Physician 207WX0108X A172535 CA
Ophthalmology Physician 207W00000X 66619 AZ

Addresses

Primary practice location

10555 N 114TH St Ste 103
Scottsdale, AZ 85259-4940

Mailing address

10555 N 114TH St Ste 103
Scottsdale, AZ 85259-4940
Phone (623) 307-7699

Other practice location 1

14001 N 7th St Ste E110
Phoenix, AZ 85022-4382
Phone (623) 282-2334

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
I20260622003833 AZ Practitioner - Ophthalmology 8325386428 Practice locations: Phoenix, AZ

Care Compare profile

Medicare Care Compare
Specialty
Ophthalmology
Education
Other, 2017
Medicare assignment
May accept Medicare assignment
Telehealth
Offers telehealth services

Practice addresses (Care Compare)

10555 N 114TH St
Suite 103
Scottsdale, AZ 85259-4940

14001 N 7TH St
Phoenix, AZ 85022-4382
Phone (623) 282-2334

18276 N 93Rd PL
Scottsdale, AZ 85255-6051

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
86.47 of 100Reported as group
Quality
78.27
Promoting interoperability
100
Improvement activities
40
Cost
76.62

Procedures performed for Medicare patients

ProcedureNumber of procedures
Cataract surgery103

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
66619AZMDOphthalmology Physician
A172535CAMDOphthalmology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Mayo Clinic Arizona CurrentSince Jul 12, 2022 Accepting new patients
Ocular Inflammatory Consultants Ophthalmology Current Accepting new patients
Mayo Clinic Arizona CurrentSince Jul 12, 2022 Accepting new patients

Locations

14001 N 7th St
Ste E110
Phoenix, AZ 85022
Phone (602) 298-2708

13400 E Shea Blvd
Scottsdale, AZ 85259

10555 N 114th St
Ste 103
Scottsdale, AZ 85259
Phone (623) 307-7699

Interoperability endpoints

  • Direct secure messaging: ashusko1777750@ehrdirect.mayoclinicmsg.org

Organizations & group practices 3

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.

Hospital & facility affiliations 1

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": "1493596800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1772064000000",
    "number": "1679009310",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "10555 N 114TH ST STE 103",
            "city": "SCOTTSDALE",
            "state": "AZ",
            "postal_code": "852594940",
            "telephone_number": "623-307-7699",
            "fax_number": "623-307-7699"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "10555 N 114TH ST STE 103",
            "city": "SCOTTSDALE",
            "state": "AZ",
            "postal_code": "852594940",
            "telephone_number": "623-307-7699",
            "fax_number": "623-307-7700"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "14001 N 7th St Ste E110",
            "address_purpose": "LOCATION",
            "city": "Phoenix",
            "state": "AZ",
            "postal_code": "850224382",
            "country_code": "US",
            "telephone_number": "623-282-2334",
            "fax_number": "623-307-7700",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "SHUSKO",
        "first_name": "ALEXANDER",
        "middle_name": "RAYMOND",
        "name_suffix": "Jr.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2017-05-01",
        "last_updated": "2026-02-26",
        "certification_date": "2026-02-26",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207WX0108X",
            "taxonomy_group": "",
            "desc": "Ophthalmology, Uveitis and Ocular Inflammatory Disease",
            "state": "AZ",
            "license": "66619",
            "primary": true
        },
        {
            "code": "207W00000X",
            "taxonomy_group": "",
            "desc": "Ophthalmology",
            "state": "CA",
            "license": "A172535",
            "primary": false
        },
        {
            "code": "207WX0108X",
            "taxonomy_group": "",
            "desc": "Ophthalmology, Uveitis and Ocular Inflammatory Disease",
            "state": "CA",
            "license": "A172535",
            "primary": false
        },
        {
            "code": "207W00000X",
            "taxonomy_group": "",
            "desc": "Ophthalmology",
            "state": "AZ",
            "license": "66619",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Scottsdale, AZ

Sources for this page

Verify at the official NPI Registry.