Sun Arizona Medical Group P.C.

Primary specialty

Internal Medicine PhysicianTaxonomy code 207R00000X

Legal business name

SUN ARIZONA MEDICAL GROUP P.C.

Practice address

13943 N 91St Ave Ste A102
Peoria, AZ 85381-3688

Phone

(480) 372-5081

Fax

(480) 398-7618

NPI assigned

Sep 4, 2014

Organization subpart

No

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

Authorized official

Name

Jasmine Sra, MDNPI 1689006785

Title

Physician

Phone

(480) 372-5081

Specialties & licenses 1

Addresses

Other identifiers 2

Medicare fee-for-service enrollment

Enrolled in AZ

Enrollment records 1

Locations

Practitioners 1

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

• Jasmine Sra, M.D.

  • Internal Medicine Physician
  • Glendale, AZ
  • NPI 1689006785
  Medicare reassignment Authorized official

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

{
    "created_epoch": "1409788800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1733270400000",
    "number": "1982005328",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "13943 N 91ST AVE STE A102",
            "city": "PEORIA",
            "state": "AZ",
            "postal_code": "853813688",
            "telephone_number": "480-372-5081",
            "fax_number": "480-398-7618"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "13943 N 91ST AVE STE A102",
            "city": "PEORIA",
            "state": "AZ",
            "postal_code": "853813688",
            "telephone_number": "480-372-5081",
            "fax_number": "480-398-7618"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "13943 N 91st Ave Ste A102",
            "address_purpose": "LOCATION",
            "city": "Peoria",
            "state": "AZ",
            "postal_code": "85381",
            "country_code": "US",
            "telephone_number": "480-372-5081",
            "fax_number": "480-398-7618",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "SUN ARIZONA MEDICAL GROUP P.C.",
        "organizational_subpart": "NO",
        "enumeration_date": "2014-09-04",
        "last_updated": "2024-12-04",
        "certification_date": "2024-12-04",
        "status": "A",
        "authorized_official_last_name": "SRA",
        "authorized_official_first_name": "JASMINE",
        "authorized_official_title_or_position": "PHYSICIAN",
        "authorized_official_telephone_number": "480-372-5081",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Internal Medicine",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "CIGNA/GREAT WEST",
            "identifier": "3323482",
            "state": "AZ"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "AHCCCS/MEDICAID",
            "identifier": "944482",
            "state": "AZ"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Andrea Stump
• Archana Sugumar, M.D.
• Ray Olaso Sumayo Jr., PT
• Summa Health Care, PC
• Summit Sports & Family Medicine PC
• Sun Cities Medical Group PC
• Sun City Medical Specialists LTD
• Sun City Medical Specialists LTD
• Sun City Pharmacy Inc
• Sun City Urgent Care LLC

• Internal Medicine Physician in Peoria, AZ
• Providers in Peoria, AZ by specialty
• Internal Medicine Physician in Arizona

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 4, 2024; 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.