Individual provider Active NPI

Sreelekha Susarla, M.D.

  • Internal Medicine Physician
  • Tucson, AZ
National Provider Identifier
1831185073
Registry record updated May 12, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
License
33226 Issued in AZ
Practice address
2424 N Wyatt Dr Ste 100
Tucson, AZ 85712-6119
Phone
(520) 324-8621
Fax
(520) 324-3935
NPI assigned
Sep 22, 2005
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 12, 2021

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine Physician 207R00000X 33226 AZ Primary

Addresses

Primary practice location

2424 N Wyatt Dr Ste 100
Tucson, AZ 85712-6119

Mailing address

PO Box 31235
Tucson, AZ 85751-1235
Phone (520) 324-4100

Other practice location 1

7510 N Oracle Rd Ste 100
Tucson, AZ 85704-4447
Phone (520) 324-4910

Other practice location 2

2840 E Skyline Dr Ste 230
Tucson, AZ 85718-8005
Phone (520) 324-1214

Other identifiers 1

IdentifierTypeStateIssuer
897944MedicaidAZ

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
I20050106000532 AZ Practitioner - Internal Medicine 1850359415 Reassigns benefits to 3 organizations

Care Compare profile

Medicare Care Compare
Specialty
Internal Medicine
Education
Other, 1999
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
TMC Medical NetworkGroup PAC ID 9638457013, 276 clinicians
Arizona Inpatient Medicine Associates LLCGroup PAC ID 4183688344, 70 clinicians

Practice addresses (Care Compare)

2424 N Wyatt Dr
Suite 100
Tucson, AZ 85712-6119
Phone (520) 324-8621

7383 E Tanque Verde Rd
Tucson, AZ 85715-3475
Phone (520) 318-3434

Hospital & facility affiliations

  • Bayada Home Health Care, Inc Home health agency, Tucson, AZ, CCN 037213
  • Tucson Medical Center Hospital, Tucson, AZ, CCN 030006

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
33226AZMDInternal Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
TMC Medical Network CurrentSince Jan 1, 2018 Accepting new patients
Arizona Acute Medical Services 1 PC CurrentSince Apr 1, 2017 Accepting new patients
Arizona Inpatient Medicine Associates LLC Internal Medicine CurrentSince Jun 18, 2017 Accepting new patients
TLC Healthcare Wound Specialists Inc Internal Medicine PastSince May 20, 2011 Accepting new patients
Arizona Post-Acute Medical Services 1 PC Past Accepting new patients
Ipn of Arizona, PLC Internal Medicine Past Accepting new patients
Inpatient Medical Consultants PLLC Internal Medicine PastSince Nov 10, 2010 Accepting new patients
Associated Internists of Tucson, PLLC Internal Medicine Past Accepting new patients
Hospitalists of Arizona, LLC Internal Medicine Past Accepting new patients
Tucson Medical Center Past Accepting new patients

Locations

3929 E Bell Rd
Phoenix, AZ 85032
Phone (602) 923-5000

1921 W Hospital Dr
Tucson, AZ 85704
Phone (520) 544-5200

7383 E Tanque Verde Rd
Tucson, AZ 85715
Phone (520) 318-3434

7510 N Oracle Rd
Ste 100
Tucson, AZ 85704
Phone (520) 324-4230

5301 E Grant Rd
Unit 600
Tucson, AZ 85712

2380 N Ferguson Ave
Ste 104
Tucson, AZ 85712
Phone (520) 324-1010

5301 E Grant Rd
Tucson, AZ 85712
Phone (520) 324-1344

6651 E Carondelet Dr
Tucson, AZ 85710
Phone (520) 296-6100

3476 S Kino Pkwy
Tucson, AZ 85713
Phone (520) 420-2340

9356 E Rita Rd
Ste 180
Tucson, AZ 85747
Phone (520) 324-4499

4881 E Grant Rd
Ste 201
Tucson, AZ 85712
Phone (520) 324-2414

2840 E Skyline Dr
Ste 230
Tucson, AZ 85718
Phone (520) 324-1214

2424 N Wyatt Dr
Ste 100
Tucson, AZ 85712
Phone (520) 324-2778

Organizations & group practices 10

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 4

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": "1127347200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1620777600000",
    "number": "1831185073",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 31235",
            "city": "TUCSON",
            "state": "AZ",
            "postal_code": "857511235",
            "telephone_number": "520-324-4100",
            "fax_number": "520-324-1406"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2424 N WYATT DR STE 100",
            "city": "TUCSON",
            "state": "AZ",
            "postal_code": "857126119",
            "telephone_number": "520-324-8621",
            "fax_number": "520-324-3935"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "7510 N Oracle Rd Ste 100",
            "address_purpose": "LOCATION",
            "city": "Tucson",
            "state": "AZ",
            "postal_code": "857044447",
            "country_code": "US",
            "telephone_number": "520-324-4910",
            "fax_number": "520-324-4911",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "2840 E Skyline Dr Ste 230",
            "address_purpose": "LOCATION",
            "city": "Tucson",
            "state": "AZ",
            "postal_code": "857188005",
            "country_code": "US",
            "telephone_number": "520-324-1214",
            "fax_number": "520-324-1281",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "SUSARLA",
        "first_name": "SREELEKHA",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2005-09-22",
        "last_updated": "2021-05-12",
        "certification_date": "2021-05-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "AZ",
            "license": "33226",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "897944",
            "state": "AZ"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Tucson, AZ

Sources for this page

Verify at the official NPI Registry.