Yan Suleymanov

Primary specialty

Physician AssistantTaxonomy code 363A00000X

License

7120 Issued in AZ

Practice address

2824 E Indian School Rd Ste 5
Phoenix, AZ 85016-6875

Phone

(602) 840-0056

NPI assigned

Jul 25, 2018

Last updated

Oct 23, 2018By the provider in NPPES

Sex

Male

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

Enrolled in AZ

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 1

Specialty

Physician Assistant

Education

Other, 2018

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Prasada Health Center LLCGroup PAC ID 8628460672, 7 clinicians

Kai Health and Wellness LLCGroup PAC ID 1658643655, 4 clinicians

Desert Ridge Medical GroupGroup PAC ID 5991056350, 7 clinicians

Arcadia Medical Group LLCGroup PAC ID 1850642364, 10 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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Desert Ridge Medical Group

  • General Practice Physician
  • Phoenix, AZ
  • NPI 1386133080

  Physician Assistant

  Medicare reassignment Care Compare group NPD
• Prasada Health Center LLC

  • General Practice Physician
  • Surprise, AZ
  • NPI 1508532458

  Physician Assistant

  Medicare reassignment Care Compare group NPD
• Arcadia Medical Group LLC

  dba Backfit Health & Spine

  • General Practice Physician
  • Phoenix, AZ
  • NPI 1033600358
  Medicare reassignment Care Compare group
• Kai Health & Wellness, LLC

  • Sports Medicine (Family Medicine) Physician
  • Phoenix, AZ
  • NPI 1881117273
  Medicare reassignment Care Compare group
• Shea Pain Professionals LLC

  • Interventional Pain Medicine Physician
  • Gilbert, AZ
  • NPI 1073247508

  Physician Assistant

  Medicare reassignment NPD
• BFG Medical Group LLC

  • General Practice Physician
  • Gilbert, AZ
  • NPI 1982172706
  Medicare reassignment
• Desert Ridge Angic LLC

  • General Practice Physician
  • Phoenix, AZ
  • NPI 1821680539

  Physician Assistant

  NPD (past)
• East Valley Medical LLC

  • Medical Physician Assistant
  • Gilbert, AZ
  • NPI 1073309571
  NPD (past)
• Indian School Medical Group, LLC

  • General Practice Physician
  • Phoenix, AZ
  • NPI 1467925511

  Physician Assistant

  NPD (past)
• South Val Vista Medical Group LLC

  • Medical Physician Assistant
  • Gilbert, AZ
  • NPI 1861855462
  NPD (past)
• West Valley Medical LLC

  • General Practice Physician
  • Surprise, AZ
  • NPI 1922774520

  Physician Assistant

  NPD (past)

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

{
    "created_epoch": "1532476800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1540252800000",
    "number": "1992282651",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2824 E INDIAN SCHOOL RD",
            "city": "PHOENIX",
            "state": "AZ",
            "postal_code": "850166863",
            "telephone_number": "602-840-0056"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2824 E INDIAN SCHOOL RD STE 5",
            "city": "PHOENIX",
            "state": "AZ",
            "postal_code": "850166875",
            "telephone_number": "602-840-0056"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "718 E Orangewood Ave",
            "address_purpose": "LOCATION",
            "city": "Phoenix",
            "state": "AZ",
            "postal_code": "850205042",
            "country_code": "US",
            "telephone_number": "623-332-4733",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "SULEYMANOV",
        "first_name": "YAN",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2018-07-25",
        "last_updated": "2018-10-23",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "AZ",
            "license": "7120",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Morgan Suhre
• Valerie Sujanani
• Albina Tzipporah Sukhodolsky, SLP
• Suleiman Ali LLC
• Boris Suleymanov
• Diana Suleymanova, MSN-PH, APRN, FNP-C
• Mohammed Elshiekh Eljack Suliman, M.D
• Lazar B Sulimanov
• Anthony Kash Sullenger, O.D.
• Morgan Bailey Sullens, ATC

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

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 23, 2018; 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.