Susan Del Sordi-Staats, D.O.

Primary specialty

Family Medicine PhysicianTaxonomy code 207Q00000X

License

4490 Issued in AZ

Practice address

11209 N Tatum Blvd Ste 160
Phoenix, AZ 85028-3092

Phone

(480) 285-2180

Fax

(480) 285-2182

NPI assigned

Jul 26, 2007

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other identifiers 1

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

Specialty

Family PracticeAlso: Osteopathic Manipulative Medicine

Education

At Still University of Health Sciences, College of Osteo Med, Kirksville, 2004

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Telehealth

Offers telehealth services

Group practices

Susan del Sordi Staats DO PLLCGroup PAC ID 1052674090, 3 clinicians

Practice addresses (Care Compare)

Hospital & facility affiliations

• Honor Health John C. Lincoln Medical Center Hospital, Phoenix, AZ, CCN 030014

Merit-based Incentive Payment System (MIPS)

Final score

17.78 of 100Reported as individual

Quality

0

Improvement activities

0

Cost

59.26

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Osteopathy

Practice roles

Locations

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.

• Susan del Sordi Staats, DO PLLC

  • Family Medicine Physician
  • Phoenix, AZ
  • NPI 1649776105
  Medicare reassignment Care Compare group NPD Authorized official
• Flow Rheumatology, PLLC

  • Rheumatology Physician
  • Scottsdale, AZ
  • NPI 1023633195
  NPD
• Premier Pain & Wellness

  • Pain Medicine Physician
  • Peoria, AZ
  • NPI 1457035370
  NPD (past)

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

• Honorhealth

  • General Acute Care Hospital
  • Phoenix, AZ
  • NPI 1770690695
  Care Compare affiliation

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

{
    "created_epoch": "1185408000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1678147200000",
    "number": "1902096092",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "11209 N TATUM BLVD STE 160",
            "city": "PHOENIX",
            "state": "AZ",
            "postal_code": "850283092",
            "telephone_number": "480-285-2180",
            "fax_number": "480-285-2182"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "11209 N TATUM BLVD STE 160",
            "city": "PHOENIX",
            "state": "AZ",
            "postal_code": "850283092",
            "telephone_number": "480-285-2180",
            "fax_number": "480-285-2182"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DEL SORDI-STAATS",
        "first_name": "SUSAN",
        "credential": "D.O.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-07-26",
        "last_updated": "2023-03-07",
        "certification_date": "2022-07-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "AZ",
            "license": "4490",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "AZ STATE LICENSE",
            "identifier": "4490",
            "state": "AZ"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Maria Del Portillo, BCBA
• Paul Anthony Reyes Del Prado, M.D.
• Del Rio Center LLC
• Del Rio in-Home LLC
• Rizalinda Delos Reyes Del Rosario, R.N.
• Eugene Louis Dela Cruz, DPM
• Lisa Kay Dela Cruz, NP-C
• Rysa Lee Dela Cruz
• Teddy Villegas Dela Cruz, MD
• Maria Delacruz Madrid, MEDICAL ASSISTANT

• Family Medicine Physician in Phoenix, AZ
• Providers in Phoenix, AZ by specialty
• Family Medicine Physician in Arizona

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 7, 2023; 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.

Verify at the official NPI Registry.