Active NPI
Damon Suttle
- Family Nurse Practitioner
- Tucson, AZ
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Nurse Practitioner
- License
- 2023005751
- Practice address
- 6130 N la Cholla Blvd Ste 117
Tucson, AZ 85741-3589 - Phone
- (520) 742-4159
- NPI assigned
- Apr 24, 2023
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Family Nurse Practitioner | 363LF0000X | 2023005751 | AZ | Primary |
Addresses
Primary practice location
6130 N la Cholla Blvd Ste 117
Tucson, AZ 85741-3589
Mailing address
5055 E Broadway Blvd Ste A100
Tucson, AZ 85711-3629
Phone (520) 327-0460
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: No
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20240202003016 | AZ | Practitioner - Nurse Practitioner | 2466895768 | Reassigns benefits to 2 organizations |
Care Compare profile
Medicare Care Compare- Specialty
- Nurse Practitioner
- Education
- Other, 2022
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
- Pain Institute of Southern Arizona Pisa PCArizona Community Physicians PC
Practice addresses (Care Compare)
4881 E Grant Rd
Tucson, AZ 85712-2704
Phone (520) 829-6776
6130 N la Cholla Blvd
Suite 100
Tucson, AZ 85741-3589
Phone (520) 742-4159
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Nurse Practitioner
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 2023005751 | AZ | MD | Family Nurse Practitioner |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Pain Institute of Southern Arizona Pisa PC | Current | Accepting new patients | |
| Pain Institute of Southern Arizona Pisa PC | Current | Accepting new patients | |
| Arizona Community Physicians PC | Nurse Practitioner | Current | Accepting new patients |
| Arizona Community Physician PC | Current | Accepting new patients | |
| Tucson Specialty Labs LLC | Past | Accepting new patients | |
| Arizona Medical Specialty Group, LLC | Family | Past | Accepting new patients |
Locations
6130 N La Cholla Blvd
Ste 117
Tucson, AZ 85741
Phone (520) 207-7434
4881 E Grant Rd
Tucson, AZ 85712
Phone (520) 829-6776
4582 N 1st Ave
Ste 170
Tucson, AZ 85718
Phone (520) 505-3766
4881 E Grant Rd
Ste 101
Tucson, AZ 85712
Phone (520) 829-6776
6130 N La Cholla Blvd
Ste 100
Tucson, AZ 85741
Phone (520) 742-4159
5055 E Broadway Blvd
Ste A100
Tucson, AZ 85711
Phone (520) 327-0460
2055 W Hospital Dr
Tucson, AZ 85704
Phone (520) 547-5725
Interoperability endpoints
- https://fhir-api.fhirprod.aws.greenwayhealth.com/fhir/R4/2.16.840.1.113883.3.140.72783
Organizations & group practices 8
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.
-
- Internal Medicine Physician
- Tucson, AZ
- NPI 1205871076
AZ, Nurse Practitioner
-
- Pain Medicine (Anesthesiology) Physician
- Tucson, AZ
- NPI 1861575078
AZ
-
- Pain Medicine (Anesthesiology) Physician
- San Tan Valley, AZ
- NPI 1780268912
-
- Pain Medicine (Anesthesiology) Physician
- Tucson, AZ
- NPI 1619407533
-
- Interventional Pain Medicine Physician
- Tucson, AZ
- NPI 1669934014
-
- Magnetic Resonance Imaging (MRI) Clinic/Center
- Tucson, AZ
- NPI 1922141902
-
- Clinical Medical Laboratory
- Tucson, AZ
- NPI 1922723899
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1682294400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1708387200000",
"number": "1821786393",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "5055 E BROADWAY BLVD STE A100",
"city": "TUCSON",
"state": "AZ",
"postal_code": "857113629",
"telephone_number": "520-327-0460"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "6130 N LA CHOLLA BLVD STE 117",
"city": "TUCSON",
"state": "AZ",
"postal_code": "857413589",
"telephone_number": "520-742-4159"
}
],
"practiceLocations": [],
"basic": {
"last_name": "SUTTLE",
"first_name": "DAMON",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2023-04-24",
"last_updated": "2024-02-20",
"certification_date": "2024-02-20",
"status": "A"
},
"taxonomies": [
{
"code": "363LF0000X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Family",
"state": "AZ",
"license": "2023005751",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Tucson, AZ
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 20, 2024; 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.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.