Nicole Ann Sugumaran, PA-C

Primary specialty

Physician AssistantTaxonomy code 363A00000X

License

4991 Issued in AZ

Practice address

7332 E Butherus Dr HNGR 1
Scottsdale, AZ 85260-8005

Phone

(602) 406-3000

NPI assigned

Sep 30, 2011

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 4

Addresses

Other names 1

• Nicole Schedeler Former name

Medicare fee-for-service enrollment

Enrolled in AZ, CA2 enrollments

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: Yes
• Power mobility devices: Yes
• Hospice: No

Green means eligible to order or refer.

Enrollment records 2

Specialty

Physician Assistant

Education

Other, 2011

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Circle Medical Care of CaliforniaGroup PAC ID 3870894579, 71 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

Credentials

Physician Assistant

State licenses

Practice roles

Locations

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

• Circle Medical Care of California

  • Family Medicine Physician
  • San Francisco, CA
  • NPI 1134596091
  Medicare reassignment Care Compare group
• Circle Medical Care Group PA

  • Family Medicine Physician
  • Tampa, FL
  • NPI 1972358760

  AZ

  Medicare reassignment NPD
• Empower St Josephs PLLC

  • Emergency Medicine Physician
  • Phoenix, AZ
  • NPI 1154015089
  Medicare reassignment
• Medcubed PLLC

  • Family Medicine Physician
  • Scottsdale, AZ
  • NPI 1366854861
  NPD (past)
• Your Neighborhood Healthcare Center LLC

  • Multi-Specialty Clinic/Center
  • Scottsdale, AZ
  • NPI 1649459231

  Physician Assistant

  NPD (past)
• Equality Health at Home Inc

  • Internal Medicine Physician
  • Frisco, TX
  • NPI 1730936329
  NPD (past)

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

{
    "created_epoch": "1317340800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1736553600000",
    "number": "1992089536",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "17667 N 97TH ST",
            "city": "SCOTTSDALE",
            "state": "AZ",
            "postal_code": "852552634",
            "telephone_number": "480-371-0114",
            "fax_number": "480-371-0114"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7332 E BUTHERUS DR HNGR 1",
            "city": "SCOTTSDALE",
            "state": "AZ",
            "postal_code": "852608005",
            "telephone_number": "602-406-3000"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "9700 N 91st St Ste A115",
            "address_purpose": "LOCATION",
            "city": "Scottsdale",
            "state": "AZ",
            "postal_code": "852585036",
            "country_code": "US",
            "telephone_number": "888-803-3370",
            "fax_number": "888-803-3371",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "333 1st St Ste A",
            "address_purpose": "LOCATION",
            "city": "San Francisco",
            "state": "CA",
            "postal_code": "941052661",
            "country_code": "US",
            "telephone_number": "888-803-3370",
            "fax_number": "888-803-3371",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "SUGUMARAN",
        "first_name": "NICOLE",
        "middle_name": "ANN",
        "credential": "PA-C",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2011-09-30",
        "last_updated": "2025-01-11",
        "certification_date": "2025-01-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "CA",
            "license": "55672",
            "primary": false
        },
        {
            "code": "363AM0700X",
            "taxonomy_group": "",
            "desc": "Physician Assistant, Medical",
            "state": "AZ",
            "license": "4991",
            "primary": false
        },
        {
            "code": "363AM0700X",
            "taxonomy_group": "",
            "desc": "Physician Assistant, Medical",
            "state": "CA",
            "license": "55672",
            "primary": false
        },
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "AZ",
            "license": "4991",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "NICOLE",
            "last_name": "SCHEDELER",
            "credential": "PA-C",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

• Carlos Alberto Suescun Jr., MD
• Jaime Sugar
• Mark D Sugi, M.D.
• Megumi Grace Sugita, DO
• Gavin Sugrue, MB BCH BAO
• Elizabeth Suhr
• May Sui, DDS
• Craig C Suiter, MD
• Nina Sukhrani, D.O.
• Marlene Belmont Sukiennik, L.C.S.W., A.C.S.W.

• Physician Assistant in Scottsdale, AZ
• Providers in Scottsdale, AZ by specialty
• Physician Assistant in Arizona

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 11, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.