NPIMap

Individual provider Active NPI

Sultana Keshwani Peffley

  • Anesthesiology Physician
  • Tucson, AZ
National Provider Identifier
1700249125
Registry record updated Feb 20, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Anesthesiology PhysicianTaxonomy code 207L00000X
License
58624 Issued in AZ
Practice address
1501 N Campbell Ave RM 4334
Tucson, AZ 85724-0001
Phone
(520) 626-7747
NPI assigned
Apr 2, 2016
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Feb 20, 2021

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Anesthesiology Physician 207L00000X 58624 AZ Primary

Addresses

Primary practice location

1501 N Campbell Ave RM 4334
Tucson, AZ 85724-0001

Mailing address

1501 N Campbell Ave
RM 4334
Tucson, AZ 85724-0001
Phone (520) 626-7747

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in AK, TX2 enrollments
Eligible to order & refer
  • Part B services
  • Medical equipment
  • Home health
  • Power mobility devices
  • Hospice
Green means eligible to order or refer.

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
I20210707001874 AK Practitioner - Anesthesiology 9234429226 Reassigns benefits to 1 organization
I20231103001466 TX Practitioner - Anesthesiology 9234429226 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Anesthesiology
Education
Other, 2016
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices

Practice addresses (Care Compare)

4315 Diplomacy Dr
Anchorage, AK 99508-5926
Phone (907) 563-2662

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
90.93 of 100Reported as group
Quality
70.1
Promoting interoperability
100
Improvement activities
40
Cost
83.01

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
58624AZMDAnesthesiology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Alaska Native Tribal Health Consortium CurrentSince Feb 26, 2024 Accepting new patients
Northstar Anesthesia III PA Anesthesiology CurrentSince Sep 18, 2023 Accepting new patients
Providence Anchorage Anesthesia Medical Group, P.C. Anesthesiology CurrentSince Aug 16, 2021 Accepting new patients
University Hospitals Medical Group Inc Anesthesiology PastSince Aug 16, 2021 Accepting new patients
The Univeristy of Arizona Past Accepting new patients

Locations

3200 Providence Dr
Anchorage, AK 99508
Phone (907) 261-3111

4000 Ambassador Dr
Anchorage, AK 99508
Phone (907) 729-1900

4315 Diplomacy Dr
Anchorage, AK 99508
Phone (907) 729-1729

3300 Providence Dr
Ste 207
Anchorage, AK 99508
Phone (907) 279-0555

3315 S Alameda St
Corpus Christi, TX 78411
Phone (361) 761-1400

900 8th Ave
Ft Worth, TX 76104
Phone (817) 336-2100

1400 8th Ave
Ft Worth, TX 76104
Phone (817) 922-1559

Interoperability endpoints

  • Direct secure messaging: skpeffley@direct.anthc.org
  • Direct secure messaging: speffley1763130@ak.providencedirect.org

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.

Hospital & facility affiliations 13

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

View all 13

NPI Registry JSON

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

{
    "created_epoch": "1459555200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1613779200000",
    "number": "1700249125",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1501 N CAMPBELL AVE",
            "address_2": "RM 4334",
            "city": "TUCSON",
            "state": "AZ",
            "postal_code": "857240001",
            "telephone_number": "520-626-7747"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1501 N CAMPBELL AVE RM 4334",
            "city": "TUCSON",
            "state": "AZ",
            "postal_code": "857240001",
            "telephone_number": "520-626-7747"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PEFFLEY",
        "first_name": "SULTANA",
        "middle_name": "KESHWANI",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2016-04-02",
        "last_updated": "2021-02-20",
        "certification_date": "2021-02-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207L00000X",
            "taxonomy_group": "",
            "desc": "Anesthesiology",
            "state": "AZ",
            "license": "58624",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Tucson, AZ

Sources for this page

Verify at the official NPI Registry.