Organization Active NPI

Sun Cities Medical Group PC

  • Infectious Disease Physician
  • Peoria, AZ
National Provider Identifier
1962579623
Registry record updated Jan 26, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
Infectious Disease PhysicianTaxonomy code 207RI0200X
License
29330 Issued in AZ
Legal business name
SUN CITIES MEDICAL GROUP PC
Practice address
9179 W Thunderbird Rd
Ste B105
Peoria, AZ 85381-4875
Phone
(623) 815-9733
Fax
(623) 815-9755
NPI assigned
Nov 29, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jan 26, 2015

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

Authorized official

Name
Amardeep Sodhi, MDNPI 1366406464
Title
President
Phone
(623) 815-9733

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Infectious Disease PhysicianGroup: 193200000X MULTI-SPECIALTY GROUP 207RI0200X 29330 AZ Primary

Addresses

Primary practice location

9179 W Thunderbird Rd
Ste B105
Peoria, AZ 85381-4875

Mailing address

9179 W Thunderbird Rd
Ste B105
Peoria, AZ 85381-4875
Phone (623) 815-9733

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in AZ

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20040413000216 AZ Part B Supplier - Clinic/Group Practice 3173517141 Receives reassigned benefits from 5 practitioners
Practice locations: Peoria, AZ

National Provider Directory

National Provider Directory

Locations

9179 W Thunderbird Rd
Ste B105
Peoria, AZ 85381
Phone (623) 267-6700

Practitioners & affiliated clinicians

Practitioners 5

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1164758400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1422230400000",
    "number": "1962579623",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9179 W THUNDERBIRD RD",
            "address_2": "STE B105",
            "city": "PEORIA",
            "state": "AZ",
            "postal_code": "853814875",
            "telephone_number": "623-815-9733",
            "fax_number": "623-815-9755"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9179 W THUNDERBIRD RD",
            "address_2": "STE B105",
            "city": "PEORIA",
            "state": "AZ",
            "postal_code": "853814875",
            "telephone_number": "623-815-9733",
            "fax_number": "623-815-9755"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SUN CITIES MEDICAL GROUP PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-11-29",
        "last_updated": "2015-01-26",
        "status": "A",
        "authorized_official_last_name": "SODHI",
        "authorized_official_first_name": "AMARDEEP",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "623-815-9733",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207RI0200X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Internal Medicine, Infectious Disease",
            "state": "AZ",
            "license": "29330",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Peoria, AZ

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 26, 2015; 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.