Organization Active NPI

Sisu Healthcare Solutions, Inc.

  • Parenteral & Enteral Nutrition Supplies (DME)
  • Tempe, AZ
National Provider Identifier
1902451552
Registry record updated Jul 14, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Parenteral & Enteral Nutrition Supplies (DME)Taxonomy code 332BP3500X
Legal business name
SISU HEALTHCARE SOLUTIONS, INC.
Practice address
914 S 52ND St Ste 110
Tempe, AZ 85281-9500
Phone
(480) 999-4488
Fax
(480) 999-4488
NPI assigned
Aug 9, 2019
Last updated
Jul 14, 2021By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 14, 2021

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

Authorized official

Name
Marcus E Ulm
Title
President
Phone
(702) 577-1617

Specialties & licenses 7

Specialty (taxonomy)CodeLicenseStatePrimary
Home Infusion Agency 251F00000X NU
Infusion Therapy Clinic/Center 261QI0500X NU
Parenteral & Enteral Nutrition Supplies (DME) 332BP3500X NU Primary
Clinic Pharmacy 3336C0002X NU
Home Infusion Therapy Pharmacy 3336H0001X NU
Specialty Pharmacy 3336S0011X NU
Compounding Pharmacy 3336C0004X NU

Addresses

Primary practice location

914 S 52ND St Ste 110
Tempe, AZ 85281-9500

Mailing address

914 S 52ND St Ste 110
Tempe, AZ 85281-9500
Phone (480) 999-4488

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in AZ2 enrollments
Home infusion therapy
Medicare-enrolled home infusion therapy supplier

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
O20200406002211 AZ DME Supplier - PharmacyDME Supplier - Medical Supply Company 1850726845 Practice locations: Tempe, AZ
O20240903002228 AZ Part B Supplier - Home Infusion Therapy Supplier 1850726845 Practice locations: Tempe, AZ

Other NPIs with the same Medicare PAC ID 1

NPIs whose Medicare enrollments share a PECOS associate control ID (the same enrolled entity).

National Provider Directory

National Provider Directory
Tax ID family
Sisu Healthcare Solutions3 organizations share this tax ID, including this one

Other organizations with this tax ID 2

Organizations that report the same tax identification number in the National Provider Directory.

NPI Registry JSON

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

{
    "created_epoch": "1565308800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1626220800000",
    "number": "1902451552",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "914 S 52ND ST STE 110",
            "city": "TEMPE",
            "state": "AZ",
            "postal_code": "852819500",
            "telephone_number": "480-999-4488",
            "fax_number": "480-999-4488"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "914 S 52ND ST STE 110",
            "city": "TEMPE",
            "state": "AZ",
            "postal_code": "852819500",
            "telephone_number": "480-999-4488",
            "fax_number": "480-999-4488"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SISU HEALTHCARE SOLUTIONS, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2019-08-09",
        "last_updated": "2021-07-14",
        "certification_date": "2020-09-02",
        "status": "A",
        "authorized_official_last_name": "ULM",
        "authorized_official_first_name": "MARCUS",
        "authorized_official_middle_name": "E",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "702-577-1617"
    },
    "taxonomies": [
        {
            "code": "251F00000X",
            "taxonomy_group": "",
            "desc": "Home Infusion",
            "state": "NU",
            "license": null,
            "primary": false
        },
        {
            "code": "261QI0500X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Infusion Therapy",
            "state": "NU",
            "license": null,
            "primary": false
        },
        {
            "code": "332BP3500X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies, Parenteral & Enteral Nutrition",
            "state": "NU",
            "license": null,
            "primary": true
        },
        {
            "code": "3336C0002X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Clinic Pharmacy",
            "state": "NU",
            "license": null,
            "primary": false
        },
        {
            "code": "3336H0001X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Home Infusion Therapy Pharmacy",
            "state": "NU",
            "license": null,
            "primary": false
        },
        {
            "code": "3336S0011X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Specialty Pharmacy",
            "state": "NU",
            "license": null,
            "primary": false
        },
        {
            "code": "3336C0004X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Compounding Pharmacy",
            "state": "NU",
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Tempe, AZ

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 14, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.