Individual provider Active NPI

Suzanne M. Combs, DO

  • Geriatric Medicine (Internal Medicine) Physician
  • Phoenix, AZ
National Provider Identifier
1790745503
Registry record updated Jul 21, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Geriatric Medicine (Internal Medicine) PhysicianTaxonomy code 207RG0300X
License
4002 Issued in AZ
Practice address
2510 W Dunlap Ave Ste 290
Phoenix, AZ 85021-2759
Phone
(602) 789-0344
Fax
(602) 789-8389
NPI assigned
Mar 24, 2006
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 21, 2022

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Geriatric Medicine (Internal Medicine) Physician 207RG0300X 4002 AZ Primary

Addresses

Primary practice location

2510 W Dunlap Ave Ste 290
Phoenix, AZ 85021-2759

Mailing address

2510 W Dunlap Ave Ste 290
Phoenix, AZ 85021-2759
Phone (602) 789-0344

Other identifiers 1

IdentifierTypeStateIssuer
862385MedicaidAZ

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
I20040709001050 AZ Practitioner - Internal MedicinePractitioner - Geriatric Medicine 5395723944 Reassigns benefits to 3 organizations

Care Compare profile

Medicare Care Compare

Merit-based Incentive Payment System (MIPS)

Final score
89.72 of 100Reported as apm
Quality
72.97
Improvement activities
40

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
4002AZMDClinical Psychologist

Practice roles

OrganizationSpecialtyStatusNew patients
NM Pacs 2 LLC Hospitalist CurrentSince Sep 23, 2020 Accepting new patients
CS Pacs 3 West LLC Hospitalist CurrentSince Aug 1, 2024 Accepting new patients
Arizona Post-Acute Medical Services 1 PC Hospitalist CurrentSince Apr 1, 2017 Accepting new patients
Higley Healthcare, Inc. Past Accepting new patients
Allegiant Healthcare East, LLC Past Accepting new patients
Mesa United Medical Investors Limited Partnership Past Accepting new patients
Chandler United Medical Investors Limited Partnership Past Accepting new patients

Locations

1750 W Frye Rd
Chandler, AZ 85224
Phone (408) 899-0641

269 S Candy Ln
Cottonwood, AZ 86326
Phone (928) 634-2251

1081 Kathleen Ave
Kingman, AZ 86401
Phone (928) 718-0777

330 S Pinnule Cir
Mesa, AZ 85206
Phone (480) 981-0687

5755 E Main St
Mesa, AZ 85205
Phone (480) 214-2400

255 W Brown Rd
Mesa, AZ 85201
Phone (480) 833-3988

2510 W Dunlap Ave
Ste 290
Phoenix, AZ 85021

8825 S 7th St
Phoenix, AZ 85042
Phone (602) 243-6121

864 Dougherty St
Prescott, AZ 86305
Phone (928) 778-9666

3380 N Windsong Dr
Prescott Vly, AZ 86314
Phone (928) 775-0045

7400 E Osborn Rd
Scottsdale, AZ 85251
Phone (480) 481-4000

2401 E Hunt Dr
Show Low, AZ 85901
Phone (928) 537-5333

1313 W Magee Rd
Tucson, AZ 85704
Phone (520) 797-2600

Ownership & related parties

All facility ownership & control disclosures 2

Facilities whose Medicare enrollment lists this provider’s PECOS associate ID as an owner or managing party.

FacilityTypeRoleSince
Friendship Village of TempeTempe, AZ, CCN 035074 Skilled nursing facility Operational/Managerial Control
Adp of the SNF
Sep 1, 2018
Apr 23, 2025
VitalcaringChandler, AZ, CCN 031601 Hospice Contracted Managing Employee Apr 1, 2021

Owned or controlled facilities with NPI records 2

Facilities whose Medicare enrollment lists this provider as an owner, officer, director or managing party.

Organizations & group practices 7

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.

NPI Registry JSON

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

{
    "created_epoch": "1143158400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1658361600000",
    "number": "1790745503",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2510 W DUNLAP AVE STE 290",
            "city": "PHOENIX",
            "state": "AZ",
            "postal_code": "850212759",
            "telephone_number": "602-789-0344",
            "fax_number": "602-789-8389"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2510 W DUNLAP AVE STE 290",
            "city": "PHOENIX",
            "state": "AZ",
            "postal_code": "850212759",
            "telephone_number": "602-789-0344",
            "fax_number": "602-789-8389"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "COMBS",
        "first_name": "SUZANNE",
        "middle_name": "M.",
        "credential": "DO",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-03-24",
        "last_updated": "2022-07-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207RG0300X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Geriatric Medicine",
            "state": "AZ",
            "license": "4002",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "862385",
            "state": "AZ"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Phoenix, AZ

Sources for this page

Verify at the official NPI Registry.