Individual provider Active NPI

Michael John Sumko, D.O.

  • Orthopaedic Surgery Physician
  • Tempe, AZ
National Provider Identifier
1992937189
Registry record updated Apr 21, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Orthopaedic Surgery PhysicianTaxonomy code 207X00000X
License
OT013195 Issued in PA
Practice address
1492 S Mill Ave Ste 113
Tempe, AZ 85281-5660
Phone
(602) 553-3113
NPI assigned
Aug 20, 2009
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Apr 21, 2020

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Orthopaedic Surgery Physician 207X00000X OT013195 PA Primary

Addresses

Primary practice location

1492 S Mill Ave Ste 113
Tempe, AZ 85281-5660

Mailing address

1492 S Mill Ave Ste 113
Tempe, AZ 85281-5660
Phone (480) 257-2770

Medicare participation

Medicare enrollment files
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: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20140804002160 AZ Practitioner - Orthopedic Surgery 6507098845 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Orthopedic Surgery
Education
Lake Erie College of Osteopathic Medicine, Erie, 2009
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
VHS Outpatient Clinics IncGroup PAC ID 4486566726, 206 clinicians

Practice addresses (Care Compare)

1840 S Stapley Dr
Suite 137
Mesa, AZ 85204-6683
Phone (480) 558-3744

Hospital & facility affiliations

  • Abrazo Scottsdale Campus Hospital, Phoenix, AZ, CCN 030083

Procedures performed for Medicare patients

ProcedureNumber of procedures
Hip replacement49
Knee replacement174
Lower limb (leg) arthroscopy (minimally invasive joint repair)1-10

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Osteopathy

State licenses

LicenseStateTypeSpecialty
OT013195PAMDOrthopaedic Surgery Physician

Practice roles

OrganizationSpecialtyStatusNew patients
VHS Outpatient Clinics, Inc. CurrentSince Jun 13, 2022 Accepting new patients
VHS Outpatient Clinics, Inc. CurrentSince Jun 13, 2022 Accepting new patients

Locations

5130 W Baseline Rd
Ste 102
Laveen, AZ 85339
Phone (602) 237-0039

1840 S Stapley Dr
Ste 137
Mesa, AZ 85204
Phone (602) 952-0002

26900 N Lake Pleasant Pkwy
Ste 210
Peoria, AZ 85383
Phone (623) 561-3000

6036 N 19th Ave
Ste 506
Phoenix, AZ 85015
Phone (602) 246-5525

8630 E Via de Ventura
Ste 201
Scottsdale, AZ 85258
Phone (214) 556-3227

Interoperability endpoints

  • Direct secure messaging: michael.sumko.1@600.direct.athenahealth.com

Organizations & group practices 2

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.

Hospital & facility affiliations 1

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1250726400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1587427200000",
    "number": "1992937189",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1492 S MILL AVE STE 113",
            "city": "TEMPE",
            "state": "AZ",
            "postal_code": "852815660",
            "telephone_number": "480-257-2770"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1492 S MILL AVE STE 113",
            "city": "TEMPE",
            "state": "AZ",
            "postal_code": "852815660",
            "telephone_number": "602-553-3113"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SUMKO",
        "first_name": "MICHAEL",
        "middle_name": "JOHN",
        "name_prefix": "Dr.",
        "credential": "D.O.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2009-08-20",
        "last_updated": "2020-04-21",
        "certification_date": "2020-04-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207X00000X",
            "taxonomy_group": "",
            "desc": "Orthopaedic Surgery",
            "state": "PA",
            "license": "OT013195",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Tempe, AZ

Sources for this page

Verify at the official NPI Registry.