Jayanthi Suppiah, M.D.

Primary specialty

Endocrinology, Diabetes & Metabolism PhysicianTaxonomy code 207RE0101X

License

33398 Issued in AZ

Practice address

9150 W Indian School Rd Ste 118
Phoenix, AZ 85037-2387

Phone

(623) 825-4845

NPI assigned

Jul 12, 2006

Last updated

Aug 13, 2015By the provider in NPPES

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

Practice roles

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.

• West Valley Endocrinology LLC

  • Endocrinology, Diabetes & Metabolism Physician
  • Phoenix, AZ
  • NPI 1770659120
  Authorized official Same address or phone
• Diabetes America Az LLC

  • Endocrinology, Diabetes & Metabolism Physician
  • Chandler, AZ
  • NPI 1992966998
  NPD (past)

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

{
    "created_epoch": "1152662400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1439424000000",
    "number": "1982639498",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6565 E GREENWAY PKWY",
            "address_2": "PARKWAY MEDICAL GROUP",
            "city": "SCOTTSDALE",
            "state": "AZ",
            "postal_code": "852542056",
            "telephone_number": "602-726-8805",
            "fax_number": "602-944-4147"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9150 W INDIAN SCHOOL RD STE 118",
            "city": "PHOENIX",
            "state": "AZ",
            "postal_code": "850372387",
            "telephone_number": "623-825-4845"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SUPPIAH",
        "first_name": "JAYANTHI",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2006-07-12",
        "last_updated": "2015-08-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207RE0101X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Endocrinology, Diabetes & Metabolism",
            "state": "AZ",
            "license": "33398",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Superior Mobile Labs, LLC
• Superior Outpatient Center LLC
• Supernova Consulting LLC
• Supervista North America (brillen.com)
• Mustafa Suppah, MD
• Supplemental Healthcare
• Supplemental Healthcare
• Aysha Ursule Supplice, MD
• Supporting Your Birth, LLC
• Supportive Community Services LLC

• Endocrinology, Diabetes & Metabolism Physician in Phoenix, AZ
• Providers in Phoenix, AZ by specialty
• Endocrinology, Diabetes & Metabolism Physician in Arizona

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 13, 2015; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.