Active NPI
Suat Dursun Kilic, MD
- Otolaryngology Physician
- Tucson, AZ
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Otolaryngology Physician
- License
- 72991
- Practice address
- 2121 N Craycroft Rd BLDG 5
Tucson, AZ 85712-2845 - Phone
- (520) 296-8500
- Fax
- (520) 886-8025
- NPI assigned
- Mar 31, 2018
- 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 |
|---|---|---|---|---|
| Otolaryngology Physician | 207Y00000X | 72991 | AZ | Primary |
Addresses
Primary practice location
2121 N Craycroft Rd BLDG 5
Tucson, AZ 85712-2845
Mailing address
2121 N Craycroft Rd BLDG 5
Tucson, AZ 85712-2845
Phone (520) 296-8500
Other practice location 1
1358 W Orange Grove Rd
Tucson, AZ 85704-2901
Phone (520) 575-1272
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
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Otolaryngology
- Education
- Rutgers New Jersey Medical School, 2018
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
1358 W Orange Grove Rd
Tucson, AZ 85704-2901
Phone (520) 575-1272
2121 N Craycroft Rd
BLDG 5
Tucson, AZ 85712-2801
Phone (520) 296-8500
2450 E River Rd
Tucson, AZ 85718-6522
2450 E River Rd
Tucson, AZ 85718-6526
Phone (520) 795-7750
Hospital & facility affiliations
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 72991 | AZ | MD | Otolaryngology Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Tucson E.N.T. Associates, P.C. | Otolaryngology | Current | Accepting new patients |
| Neurological Associates of Tucson | Current | Accepting new patients | |
| Tucson E.N.T. Associates, P.C. | Otolaryngology | Current | Accepting new patients |
| Tucson E.N.T. Associates, P.C. | Otolaryngology | Past | Accepting new patients |
Locations
1600 S 20th Ave
Safford, AZ 85546
Phone (928) 348-4000
1358 W Orange Grove Rd
Tucson, AZ 85704
Phone (520) 296-8500
2121 N Craycroft Rd
Bldg 5
Tucson, AZ 85712
Phone (520) 296-8500
2450 E River Rd
Tucson, AZ 85718
Phone (520) 795-7750
6567 E Carondelet Dr
Ste 515
Tucson, AZ 85710
Phone (520) 296-8500
Networks
- Freedom Health HMO Network
- Optimum HealthCare HMO Network
Interoperability endpoints
- skilic@tucsonent.emadirect.md
Organizations & group practices 4
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.
-
dba Center for Neurosciences
- Neurological Surgery Physician
- Tucson, AZ
- NPI 1669588158
-
- Otolaryngology Physician
- Safford, AZ
- NPI 1265616312
-
- Otolaryngology Physician
- Tucson, AZ
- NPI 1821046525
-
- Otolaryngology Physician
- Tucson, AZ
- NPI 1669420360
Hospital & facility affiliations 2
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
dba St. Josephs Hospital
- General Acute Care Hospital
- Tucson, AZ
- NPI 1538535158
-
- General Acute Care Hospital
- Tucson, AZ
- NPI 1174512792
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1522454400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1713484800000",
"number": "1851897714",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2121 N CRAYCROFT RD BLDG 5",
"city": "TUCSON",
"state": "AZ",
"postal_code": "857122845",
"telephone_number": "520-296-8500",
"fax_number": "520-886-8025"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2121 N CRAYCROFT RD BLDG 5",
"city": "TUCSON",
"state": "AZ",
"postal_code": "857122845",
"telephone_number": "520-296-8500",
"fax_number": "520-886-8025"
}
],
"practiceLocations": [
{
"address_1": "1358 W Orange Grove Rd",
"address_purpose": "LOCATION",
"city": "Tucson",
"state": "AZ",
"postal_code": "857042901",
"country_code": "US",
"telephone_number": "520-575-1272",
"fax_number": "520-575-1789",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "KILIC",
"first_name": "SUAT",
"middle_name": "DURSUN",
"name_prefix": "Dr.",
"credential": "MD",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2018-03-31",
"last_updated": "2024-04-19",
"certification_date": "2024-04-19",
"status": "A"
},
"taxonomies": [
{
"code": "207Y00000X",
"taxonomy_group": "",
"desc": "Otolaryngology",
"state": "AZ",
"license": "72991",
"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 Apr 19, 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.