Susan J Rychlik, MD

Primary specialty

Internal Medicine PhysicianTaxonomy code 207R00000X

License

44941 Issued in AZ

Practice address

40 Soldiers Pass Rd
Ste 12
Sedona, AZ 86336-4700

Phone

(928) 282-2520

Fax

(928) 282-2895

NPI assigned

Dec 9, 2005

Last updated

Oct 26, 2016By the provider in NPPES

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 2

Addresses

Other identifiers 3

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

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

Practice roles

Interoperability endpoints

• Direct secure messaging: susan.rychlik@arizoneyeclinic.directbygreenway.com

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.

• Sedona Center for Complementary Medicine, Inc

  • Internal Medicine Physician
  • Sedona, AZ
  • NPI 1184726127
  NPD (past)
• Leo a. Reyes, M.D.,P.C.

  • General Practice Physician
  • Woodstock, IL
  • NPI 1083919419
  NPD (past)
• Midwest Lakes Medical Center, SC

  • Internal Medicine Physician
  • Crystal Lake, IL
  • NPI 1417121500
  NPD (past)

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

{
    "created_epoch": "1134086400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1477440000000",
    "number": "1730164088",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "40 SOLDIERS PASS RD",
            "address_2": "STE 12",
            "city": "SEDONA",
            "state": "AZ",
            "postal_code": "863364700",
            "telephone_number": "928-282-2520",
            "fax_number": "928-282-2895"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "40 SOLDIERS PASS RD",
            "address_2": "STE 12",
            "city": "SEDONA",
            "state": "AZ",
            "postal_code": "863364700",
            "telephone_number": "928-282-2520",
            "fax_number": "928-282-2895"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "RYCHLIK",
        "first_name": "SUSAN",
        "middle_name": "J",
        "credential": "MD",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2005-12-09",
        "last_updated": "2016-10-26",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "AZ",
            "license": "44941",
            "primary": true
        },
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "IL",
            "license": "036061616",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0360616161",
            "state": "IL"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BC BS",
            "identifier": "31603379",
            "state": "IL"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "RR MEDICARE",
            "identifier": "010026959",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Rta Hospice, LLC
• Rta Hospice, LLC (Hospice Compassus - Sedona/Flagstaff)
• Robert A Rufo, M.D.
• Krista Russell, RN
• Nancy Jean Ryba, LCSW
• Sacred Canyon Counseling LLC (Sacred Canyon Counseling)
• Safeway Inc (Safeway Pharmacy #1207)
• Cybele E Saimo, PMHNP - BC
• Kareem Farouq Samhouri, D.P.T.
• Aaron Sanson, PT

• Internal Medicine Physician in Sedona, AZ
• Providers in Sedona, AZ by specialty
• Internal Medicine Physician in Arizona

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 26, 2016; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.