Individual provider Active NPI

Lisa Maureen Sumner, MD

  • Rheumatology Physician
  • Phoenix, AZ
National Provider Identifier
1962512012
Registry record updated Jul 8, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Rheumatology PhysicianTaxonomy code 207RR0500X
License
30956 Issued in AZ
Practice address
4212 N 16TH St
Phoenix, AZ 85016-5319
Phone
(602) 263-1200
Fax
(602) 263-1619
NPI assigned
Aug 30, 2006
Last updated
Jul 8, 2026By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 8, 2026

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Rheumatology Physician 207RR0500X 30956 AZ Primary

Addresses

Primary practice location

4212 N 16TH St
Phoenix, AZ 85016-5319

Mailing address

PO Box 95460
Cleveland, OH 44101-0033
Phone (602) 581-6076

Other identifiers 2

IdentifierTypeStateIssuer
AZ0774220OtherAZBCBS
418732MedicaidAZ

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in TX
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
I20050520000756 TX Practitioner - Internal MedicinePractitioner - Rheumatology 4284675182 Reassigns benefits to 7 organizations

Care Compare profile

Medicare Care Compare
Specialty
Internal MedicineAlso: Rheumatology
Education
Tufts University School of Medicine, 1993
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
DHHS IHS Phoenix AreaGroup PAC ID 0244405629, 54 clinicians
DHHS IHS Phoenix AreaGroup PAC ID 2668649567, 72 clinicians
DHHS IHS Phoenix AreaGroup PAC ID 9436325420, 31 clinicians
DHHS IHS Phoenix AreaGroup PAC ID 8921265000, 10 clinicians

Practice addresses (Care Compare)

12033 Agency Rd
Parker, AZ 85344-7718
Phone (928) 669-2137

200 W Hospital Dr
Whiteriver, AZ 85941-0860
Phone 92833849113532

264 Hwy
Polacca, AZ 86042
Phone (928) 737-6000

4212 N 16TH St
Phoenix, AZ 85016-5319
Phone (602) 263-1200

515 Shoshone Cir
Elko, NV 89801-5072
Phone (775) 738-2252

PO Box
Suite 860
Whiteriver, AZ 85941-0860

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
70.2 of 100Reported as group
Quality
74.9
Improvement activities
40
Cost
20.37

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Dhew Ind HLTH SV HLTH SVS & MNTL HLTH Adm Current Accepting new patients
Dhew Ind HLTH SV HLTH SVS & MNTL HLTH Adm. CurrentSince Mar 1, 2005 Accepting new patients
San Carlos Apache Healthcare Corporation CurrentSince Jul 10, 2017 Accepting new patients
DHHS IHS Phoenix Area CurrentSince Jul 25, 2016 Accepting new patients
DHHS IHS Phoenix Area CurrentSince Sep 29, 2021 Accepting new patients
Tuba City Regional Health Care Corporation CurrentSince Nov 3, 2010 Accepting new patients
San Carlos Apache Healthcare Corporation CurrentSince Jul 10, 2017 Accepting new patients
DHHS IHS Phoenix Area CurrentSince Sep 14, 2014 Accepting new patients
DHHS IHS Phoenix Area CurrentSince Sep 14, 2014 Accepting new patients
Dhew Ind HLTH SV HLTH SVS & MNTL HLTH Adm CurrentSince Mar 1, 2005 Accepting new patients
Tuba City Regional Health Care Corporation Current Accepting new patients
DHHS IHS Phoenix Area Current Accepting new patients
Tuba City Regional Health Care Corporation CurrentSince Nov 3, 2010 Accepting new patients
DHHS IHS Phoenix Area CurrentSince Jul 6, 2014 Accepting new patients
DHHS IHS Phoenix Area CurrentSince Sep 29, 2021 Accepting new patients

Locations

12033 Agency Rd
Parker, AZ 85344
Phone (760) 572-4137

103 Medicine Way Rd
Peridot, AZ 85542
Phone (928) 475-1200

4212 N 16th St
Phoenix, AZ 85016
Phone (602) 248-4187

10005 E Osborn Rd
Scottsdale, AZ 85256
Phone (480) 362-7400

515 Shoshone Cir
Elko, NV 89801
Phone (775) 738-2252

Organizations & group practices 15

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

View all 15

Hospital & facility affiliations 5

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": "1156896000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1783468800000",
    "number": "1962512012",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 95460",
            "city": "CLEVELAND",
            "state": "OH",
            "postal_code": "441010033",
            "telephone_number": "602-581-6076",
            "fax_number": "602-263-1619"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4212 N 16TH ST",
            "city": "PHOENIX",
            "state": "AZ",
            "postal_code": "850165319",
            "telephone_number": "602-263-1200",
            "fax_number": "602-263-1619"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SUMNER",
        "first_name": "LISA",
        "middle_name": "MAUREEN",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-08-30",
        "last_updated": "2026-07-08",
        "certification_date": "2026-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207RR0500X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Rheumatology",
            "state": "AZ",
            "license": "30956",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS",
            "identifier": "AZ0774220",
            "state": "AZ"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "418732",
            "state": "AZ"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Phoenix, AZ

Sources for this page

Verify at the official NPI Registry.