Individual provider Active NPI

Suat Dursun Kilic, MD

  • Otolaryngology Physician
  • Tucson, AZ
National Provider Identifier
1851897714
Registry record updated Apr 19, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Otolaryngology PhysicianTaxonomy code 207Y00000X
License
72991 Issued in AZ
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

Updated by the provider on Apr 19, 2024

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
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
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20240812003716 AZ Practitioner - Otolaryngology 2264788520 Reassigns benefits to 2 organizations

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
Neurological Associates of TucsonGroup PAC ID 5092709527, 60 clinicians
Tucson E.N.T. Associates, P.C.Group PAC ID 9931093853, 15 clinicians

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

LicenseStateTypeSpecialty
72991AZMDOtolaryngology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Tucson E.N.T. Associates, P.C. Otolaryngology CurrentSince Sep 29, 2024 Accepting new patients
Neurological Associates of Tucson CurrentSince Jun 1, 2025 Accepting new patients
Tucson E.N.T. Associates, P.C. Otolaryngology CurrentSince Sep 29, 2024 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

  • Direct secure messaging: 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.

Hospital & facility affiliations 2

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": "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

Verify at the official NPI Registry.