Active NPI 1699902577 Individual Practitioner Male Practitioner

Dr. Sujit Itty , MD

Ophthalmology • Phoenix, AZ

✓ Accepts Medicare Assignment

Professional Overview & Biography Verified Profile Summary

Dr. Sujit Itty, MD is a certified Ophthalmology practicing in Phoenix, AZ. With approximately 17 years of clinical experience since graduating from Mayo Medical School in 2009, Dr. Itty delivers high-quality medical care to the local community at 1101 E MISSOURI AVE.

Dr. Itty is affiliated with Retinal Consultants Of Arizona Ltd and accepts Medicare assignment.

Frequently performed procedures and clinical services include injection, faricimab-svoa, 0.1 mg, injection, ranibizumab-eqrn (cimerli), biosimilar, 0.1 mg, imaging of retina. Full Medicare procedure pricing transparency rates and service volume details are listed on this profile.

Practice Location & Contact Primary Location

Practice Address

1101 E Missouri Ave

Phoenix, AZ 850142709

Telephone 6022222221

Fax 6022655077

Associated Practice Facility / Clinic

🏢 Retinal Consultants Of Arizona Ltd Facility NPI 1700823051

Medicare Profile & Education

Medical School

Mayo Medical School

Graduation Year

2009

Medicare Assignment

✓ Accepts Assignment

Telehealth Flag

In-Person Only

Specialty Benchmarks & Practice Insights

Comparative analytics for Ophthalmology in Phoenix, AZ

Established Specialist (10-20 Yrs)

Practitioner Clinical Experience

17 Yrs -7.1 yrs vs City Avg

City Avg: 24.1 Yrs

State Avg: 27.4 Yrs

Regional Practice Density

100 Specialists

Practicing in Phoenix, AZ (384 Statewide)

Telehealth Adoption Rate

0.0% Regional Adoption

In-Person Office Visits Only

Medicare Pricing Discount

66.5% Avg Savings

Under CMS Medicare Fee Schedule vs Standard Submitted Charges

Clinical Seniority & Experience Comparison

Dr. Itty (17 Years) 17 Yrs

Phoenix Specialty Average (24.1 Years) 24.1 Yrs

Performed Procedures & Service Volume

Top Medicare Part B procedures performed by this practitioner

CMS Official Data (2024)

Reporting Year:

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
J2777 Injection, faricimab-svoa, 0.1 mg	140,401	396	$95.24	$34.53
Q5128 Injection, ranibizumab-eqrn (cimerli), biosimilar, 0.1 mg	5,160	258	$721.00	$230.91
92134 Imaging of retina	4,770	1,818	$104.98	$40.78
67028 Injection of drug into eye	3,609	940	$345.54	$134.50
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	1,802	1,160	$270.00	$129.74
J2781 Injection, pegcetacoplan, intravitreal, 1 mg	1,635	27	$376.00	$146.78
J2782 Injection, avacincaptad pegol, 0.1 mg	1,440	18	$270.00	$108.37
J0178 Injection, aflibercept, 1 mg	1,318	206	$2325.00	$828.25
J3299 Injection, triamcinolone acetonide (xipere), 1 mg	1,232	17	$115.25	$47.77
J0177 Injection, aflibercept hd, 1 mg	1,224	50	$855.00	$330.31
92014 Established patient complete exam of visual system	1,047	789	$315.00	$126.74
J7312 Injection, dexamethasone, intravitreal implant, 0.1 mg	574	36	$500.00	$202.31
99204 New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more	367	367	$410.00	$169.27
J7314 Injection, fluocinolone acetonide, intravitreal implant (yutiq), 0.01 mg	234	11	$1230.00	$519.01
J7999 Compounded drug, not otherwise classified	217	88	$294.84	$91.84
J3590 Unclassified biologics	126	83	$6835.60	$1408.06
92012 Established patient problem focused exam of visual system	105	89	$220.00	$90.05
92235 Exam of retinal blood vessels using a special camera after injection of a dye	66	65	$260.00	$165.19
67145 Photocoagulation treatment to prevent detachment of retina	48	45	$1369.79	$247.37
67042 Removal of membrane of retina with removal of internal limiting membrane of retina	32	32	$2870.00	$1151.54
99205 New patient office or other outpatient visit with a high level of medical decision making, if using time, 60 minutes or more	32	32	$520.00	$223.47
67516 Injection of drug into the space between the cornea and retina in the eye	28	15	$300.36	$121.61
67113 Complex repair of detached retina and drainage of eye fluid between lens and retina	19	16	$3335.00	$1265.66
67039 Laser destruction of eye fluid (vitreous) between the lens and retina	16	13	$2400.00	$963.39
76512 Ultrasound of eye disease, growth, or structure	16	15	$215.00	$48.58
99215 Established patient office or other outpatient visit with high level of medical decision making, if using time, 40 minutes or more	15	15	$365.00	$184.46
92133 Imaging of optic nerve	15	15	$95.00	$37.02

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
J2777 Injection, faricimab-svoa, 0.1 mg	79,680	266	$95.20	$36.44
92134 Imaging of retina	4,727	1,728	$104.96	$38.78
67028 Injection of drug into eye	3,394	859	$338.75	$126.83
Q5128 Injection, ranibizumab-eqrn (cimerli), biosimilar, 0.1 mg	3,244	221	$721.00	$270.49
J0178 Injection, aflibercept, 1 mg	2,422	274	$2326.92	$866.51
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	1,340	935	$270.00	$123.03
J2778 Injection, ranibizumab, 0.1 mg	1,270	102	$815.00	$232.12
92014 Established patient complete exam of visual system	1,067	790	$315.00	$121.74
92012 Established patient problem focused exam of visual system	1,064	661	$220.00	$86.49
Q5124 Injection, ranibizumab-nuna, biosimilar, (byooviz), 0.1 mg	985	102	$750.00	$215.79
J3299 Injection, triamcinolone acetonide (xipere), 1 mg	720	12	$115.25	$47.39
J7312 Injection, dexamethasone, intravitreal implant, 0.1 mg	693	44	$500.00	$198.94
J7999 Compounded drug, not otherwise classified	656	333	$285.00	$91.43
99204 New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more	299	299	$410.00	$158.94
92235 Exam of retinal blood vessels using a special camera after injection of a dye	66	63	$260.00	$132.31
67042 Removal of membrane of retina with removal of internal limiting membrane of retina	43	41	$2870.00	$1089.13
J3490 Unclassified drugs	37	15	$8000.00	$2039.64
92004 New patient complete exam of visual system	31	31	$375.00	$145.00
67145 Photocoagulation treatment to prevent detachment of retina	29	28	$1795.86	$238.79
67113 Complex repair of detached retina and drainage of eye fluid between lens and retina	29	25	$3335.00	$1204.74
99205 New patient office or other outpatient visit with a high level of medical decision making, if using time, 60 minutes or more	27	27	$520.00	$212.96
76512 Ultrasound of eye disease, growth, or structure	27	24	$149.81	$46.67
0465T Injection of medication into space above choroid membrane of eye	18	12	$255.00	$108.92
67039 Laser destruction of eye fluid (vitreous) between the lens and retina	15	15	$2400.00	$916.90
92133 Imaging of optic nerve	15	13	$95.00	$35.42
67228 Laser destruction of leaking retinal blood vessels, 1 or more sessions	13	11	$1038.46	$338.97
67210 Laser destruction of retinal growth, 1 or more sessions	12	11	$2042.50	$638.68

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
J2777 Injection, faricimab-svoa, 0.1 mg	8,100	49	$95.20	$37.45
92134 Imaging of retina	4,503	1,601	$104.98	$39.27
J2778 Injection, ranibizumab, 0.1 mg	3,641	125	$815.00	$280.63
67028 Injection of drug into eye	3,095	770	$333.51	$126.51
J0178 Injection, aflibercept, 1 mg	3,004	273	$2326.55	$901.09
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	1,488	933	$270.00	$124.36
J7999 Compounded drug, not otherwise classified	1,425	413	$285.00	$92.85
92012 Established patient problem focused exam of visual system	940	490	$220.00	$86.61
92014 Established patient complete exam of visual system	846	681	$315.00	$123.33
J7312 Injection, dexamethasone, intravitreal implant, 0.1 mg	763	47	$500.00	$198.22
99204 New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more	352	352	$410.00	$161.35
92235 Exam of retinal blood vessels using a special camera after injection of a dye	137	130	$260.00	$120.73
J3590 Unclassified biologics	127	37	$8062.99	$2199.66
67145 Photocoagulation treatment to prevent detachment of retina	42	39	$1377.62	$238.91
67042 Removal of membrane of retina with removal of internal limiting membrane of retina	41	39	$2870.00	$1101.96
99205 New patient office or other outpatient visit with a high level of medical decision making, if using time, 60 minutes or more	37	37	$520.00	$216.31
76512 Ultrasound of eye disease, growth, or structure	33	27	$135.00	$46.41
92250 Photography of the retina	27	27	$115.00	$34.88
92133 Imaging of optic nerve	26	23	$95.00	$35.67
92004 New patient complete exam of visual system	25	25	$375.00	$146.08
67113 Complex repair of detached retina and drainage of eye fluid between lens and retina	25	24	$3335.00	$1235.99
92201 Extended exam of the back part of the eye with retinal drawing	24	22	$65.00	$24.16
67210 Laser destruction of retinal growth, 1 or more sessions	24	23	$2017.08	$651.57
99215 Established patient office or other outpatient visit with high level of medical decision making, if using time, 40 minutes or more	21	21	$365.00	$176.05
67228 Laser destruction of leaking retinal blood vessels, 1 or more sessions	20	14	$855.00	$326.92
67108 Repair of detached retina and drainage of eye fluid between lens and retina	12	11	$2985.00	$1146.20

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
J2778 Injection, ranibizumab, 0.1 mg	4,361	131	$815.00	$313.55
92134 Imaging of retina	4,269	1,378	$104.99	$39.96
67028 Injection of drug into eye	3,013	667	$328.45	$127.56
J0178 Injection, aflibercept, 1 mg	2,822	213	$2325.00	$918.75
J7999 Compounded drug, not otherwise classified	1,419	367	$284.95	$93.38
92012 Established patient problem focused exam of visual system	1,277	571	$220.00	$87.84
92014 Established patient complete exam of visual system	1,146	833	$315.00	$124.13
J7312 Injection, dexamethasone, intravitreal implant, 0.1 mg	869	49	$500.00	$199.92
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	377	308	$270.00	$127.52
99204 New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more	326	326	$410.00	$164.55
92235 Exam of retinal blood vessels using a special camera after injection of a dye	153	144	$260.00	$114.70
99213 Established patient office or other outpatient visit, typically 15 minutes	70	69	$190.00	$89.83
92004 New patient complete exam of visual system	62	62	$375.00	$147.00
92201 Extended exam of the back part of the eye with retinal drawing	56	53	$65.00	$24.07
67042 Removal of membrane of retina with removal of internal limiting membrane of retina	48	43	$2870.00	$1091.26
67145 Photocoagulation treatment to prevent detachment of retina	34	31	$1547.06	$562.59
67210 Laser destruction of retinal growth, 1 or more sessions	33	31	$1813.94	$642.68
92250 Photography of the retina	31	30	$115.00	$36.19
76512 Ultrasound of eye disease, growth, or structure	28	21	$135.00	$47.83
67113 Complex repair of detached retina and drainage of eye fluid between lens and retina	25	25	$3335.00	$1231.57
99205 New patient office or other outpatient visit with a high level of medical decision making, if using time, 60 minutes or more	19	19	$520.00	$208.73
92133 Imaging of optic nerve	18	15	$95.00	$36.29
67036 Removal of eye fluid (vitreous) between the lens and retina	11	11	$2240.00	$852.93

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
J2778 Injection, ranibizumab, 0.1 mg	4,238	150	$396.28	$333.47
92134 Imaging of retina	3,103	1,142	$53.67	$40.18
67028 Injection of drug into eye	2,474	591	$328.54	$114.89
J0178 Injection, aflibercept, 1 mg	2,156	182	$1056.09	$929.72
92014 Established patient complete exam of visual system	2,022	900	$134.72	$124.31
J7999 Compounded drug, not otherwise classified	991	302	$172.73	$92.78
J7312 Injection, dexamethasone, intravitreal implant, 0.1 mg	784	44	$220.08	$196.18
J0179 Injection, brolucizumab-dbll, 1 mg	702	49	$322.38	$312.56
92012 Established patient problem focused exam of visual system	485	279	$98.21	$87.50
99204 New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more	339	339	$180.96	$162.13
92201 Extended exam of the back part of the eye with retinal drawing	131	117	$28.45	$25.07
92235 Exam of retinal blood vessels using a special camera after injection of a dye	116	110	$126.18	$102.70
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	68	68	$129.90	$106.83
92202 Extended exam of the back part of the eye with optic nerve drawing	43	43	$19.89	$15.90
92250 Photography of the retina	37	36	$56.26	$40.48
99205 New patient office or other outpatient visit with a high level of medical decision making, if using time, 60 minutes or more	36	36	$225.72	$206.11
67145 Photocoagulation treatment to prevent detachment of retina	36	36	$656.05	$531.89
67042 Removal of membrane of retina with removal of internal limiting membrane of retina	32	32	$2810.31	$1146.95
76512 Ultrasound of eye disease, growth, or structure	23	22	$63.75	$51.66
67113 Complex repair of detached retina and drainage of eye fluid between lens and retina	19	17	$3138.00	$1308.67
67036 Removal of eye fluid (vitreous) between the lens and retina	14	13	$2302.93	$799.89

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
J2778 Injection, ranibizumab, 0.1 mg	3,234	150	$376.40	$347.53
92134 Imaging of retina	2,628	994	$41.63	$40.33
92014 Established patient complete exam of visual system	1,873	800	$127.42	$124.46
67028 Injection of drug into eye	1,698	431	$128.96	$112.92
J0178 Injection, aflibercept, 1 mg	1,404	115	$972.41	$940.97
J7312 Injection, dexamethasone, intravitreal implant, 0.1 mg	735	41	$207.57	$196.82
J7999 Compounded drug, not otherwise classified	606	218	$86.12	$83.54
99204 New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more	352	352	$166.51	$160.95
92012 Established patient problem focused exam of visual system	176	137	$88.15	$86.55
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	114	100	$108.44	$107.11
92235 Exam of retinal blood vessels using a special camera after injection of a dye	88	85	$95.79	$90.42
92225 Examination of eye by ophthalmoscope with retinal drawing	88	54	$28.63	$27.36
92250 Photography of the retina	71	66	$53.86	$46.39
76512 Ultrasound of eye disease, growth, or structure	36	29	$69.92	$59.45
99213 Established patient office or other outpatient visit, typically 15 minutes	31	30	$76.67	$73.24
67042 Removal of membrane of retina with removal of internal limiting membrane of retina	30	29	$1219.07	$1122.75
92226 Examination of eye by ophthalmoscope with retinal drawing	24	15	$29.30	$24.18
67145 Photocoagulation treatment to prevent detachment of retina	19	19	$529.99	$524.63
J3590 Unclassified biologics	18	16	$5472.22	$2144.02
99211 Office or other outpatient visit for the evaluation and management of established patient that may not require presence of healthcare professional	16	13	$23.84	$22.35
67113 Complex repair of detached retina and drainage of eye fluid between lens and retina	16	16	$1478.07	$1331.63
67108 Repair of detached retina and drainage of eye fluid between lens and retina	13	13	$1205.08	$1192.88
67036 Removal of eye fluid (vitreous) between the lens and retina	12	12	$791.47	$783.46

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
J2778 Injection, ranibizumab, 0.1 mg	2,429	132	$382.86	$365.46
92134 Imaging of retina	2,106	872	$41.71	$40.78
92014 Established patient complete exam of visual system	1,425	706	$126.25	$123.34
67028 Injection of drug into eye	1,378	404	$119.75	$111.90
J0178 Injection, aflibercept, 1 mg	978	100	$978.25	$953.60
J7312 Injection, dexamethasone, intravitreal implant, 0.1 mg	623	39	$200.33	$197.11
J7999 Compounded drug, not otherwise classified	596	192	$77.90	$76.48
99204 New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more	320	320	$164.36	$161.05
92012 Established patient problem focused exam of visual system	157	133	$87.45	$86.07
92250 Photography of the retina	122	115	$56.61	$50.83
92235 Exam of retinal blood vessels using a special camera after injection of a dye	120	118	$86.93	$83.65
92225 Examination of eye by ophthalmoscope with retinal drawing	99	53	$28.42	$27.07
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	89	85	$108.05	$104.89
99213 Established patient office or other outpatient visit, typically 15 minutes	83	72	$72.68	$71.53
92226 Examination of eye by ophthalmoscope with retinal drawing	41	26	$25.06	$24.74
76512 Ultrasound of eye disease, growth, or structure	39	30	$76.56	$72.56
67042 Removal of membrane of retina with removal of internal limiting membrane of retina	38	37	$1205.79	$1102.69
99211 Office or other outpatient visit for the evaluation and management of established patient that may not require presence of healthcare professional	25	24	$21.45	$21.13
67113 Complex repair of detached retina and drainage of eye fluid between lens and retina	18	15	$1343.47	$1272.47
67036 Removal of eye fluid (vitreous) between the lens and retina	16	13	$873.69	$859.71
67108 Repair of detached retina and drainage of eye fluid between lens and retina	16	16	$1205.64	$1181.41
67210 Laser destruction of retinal growth, 1 or more sessions	15	12	$601.59	$501.62
67145 Photocoagulation treatment to prevent detachment of retina	13	13	$529.71	$521.48

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
92134 Imaging of retina	1,579	606	$41.44	$39.46
92014 Established patient complete exam of visual system	1,402	520	$124.47	$118.82
67028 Injection of drug into eye	1,073	308	$121.74	$112.14
J2778 Injection, ranibizumab, 0.1 mg	1,050	63	$390.87	$365.94
J0178 Injection, aflibercept, 1 mg	982	71	$985.60	$962.81
J7999 Compounded drug, not otherwise classified	566	179	$74.45	$72.25
J7312 Injection, dexamethasone, intravitreal implant, 0.1 mg	497	32	$200.78	$197.56
99204 New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more	258	258	$164.92	$156.03
92225 Examination of eye by ophthalmoscope with retinal drawing	133	76	$29.61	$25.27
92235 Exam of retinal blood vessels using a special camera after injection of a dye	107	104	$88.28	$75.81
92250 Photography of the retina	102	100	$66.60	$62.96
92226 Examination of eye by ophthalmoscope with retinal drawing	43	25	$26.34	$24.01
92012 Established patient problem focused exam of visual system	34	27	$86.28	$80.76
76512 Ultrasound of eye disease, growth, or structure	28	27	$93.09	$88.71
67042 Removal of membrane of retina with removal of internal limiting membrane of retina	26	24	$1159.48	$1118.11
67145 Photocoagulation treatment to prevent detachment of retina	21	19	$541.23	$522.06
99205 New patient office or other outpatient visit with a high level of medical decision making, if using time, 60 minutes or more	19	19	$206.54	$199.20
67108 Repair of detached retina and drainage of eye fluid between lens and retina	11	11	$1208.08	$1164.98

Medical Specialties & State Licenses

CMS Verified: 2022-01-26

Ophthalmology Primary Specialty

NUCC Taxonomy Code: 207W00000X

State License AZ 51210

An ophthalmologist has the knowledge and professional skills needed to provide comprehensive eye and vision care. Ophthalmologists are medically trained to diagnose, monitor and medically or surgically treat all ocular and visual disorders. This includes problems affecting the eye and its component structures, the eyelids, the orbit and the visual pathways. In so doing, an ophthalmologist prescribes vision services, including glasses and contact lenses.

Ophthalmology - Retina Specialist

NUCC Taxonomy Code: 207WX0107X

State License AZ 51210

An ophthalmologist who specializes in the diagnosis and treatment of vitreoretinal diseases.

Additional State Medicaid & Healthcare Payer Identifiers

Medicaid State Provider ID

0A1252650 (CA)

Medicaid State Provider ID

054762 (AZ)

Hospital & Practice Group Affiliations

Retinal Consultants Of Arizona Ltd

1101 E Missouri Ave, Phoenix, AZ 850142709

Phone: 8006406442

Secondary Practice Locations

350 N Switzer Canyon Dr

Flagstaff, AZ 860014826

Phone: 0295510006

Practice Associates & Co-Workers

Healthcare professionals and specialists practicing at this location or sharing practice phone/fax

6 Associated Practitioners

Dr. Edward Quinlan , MD

Ophthalmology

NPI 1053358978

Doctor of Medicine (M.D.)

Dr. Donald Park , MD

Ophthalmology

NPI 1073515854

Doctor of Medicine (M.D.)

Connie Martin , CST

Specialist/Technologist, Other - Surgical Technologist

NPI 1619335379

Pravin Dugel

Ophthalmology

NPI 1780686766

Dr. Neal Palejwala , MD

Ophthalmology

NPI 1871720755

Doctor of Medicine (M.D.)

Dr. Karim Jamal , MD

Ophthalmology

NPI 1982759221

Doctor of Medicine (M.D.)

Career & Practice History Timeline

Chronological log of verified NPI updates, location relocations, credentials, and registry changes

13 Historical Events

📍

Updated Business Mailing Address January 26, 2022

Registered at 4800 N 22ND ST STE 210, PHOENIX, AZ 850164963 (Tel: 6029776190)

🎓

Medical Taxonomy / Specialty Registered (Primary Specialty) January 26, 2022

Ophthalmology (License #51210 in AZ)

✅

NPI Profile Active April 03, 2017

NPI status registered as active in NPPES database

📍

Updated Practice Location April 03, 2017

Registered at 1101 E MISSOURI AVE, PHOENIX, AZ 850142709 (Tel: 6022222221)

📍

Updated Business Mailing Address April 03, 2017

Registered at PO BOX 32530, PHOENIX, AZ 850642530 (Tel: 6022222221)

👤

Provider Name / Credentials Updated April 03, 2017

Recorded as SUJIT ITTY, MD

🎓

Medical Taxonomy / Specialty Registered (Primary Specialty) April 03, 2017

Ophthalmology (License #51210 in AZ)

✅

NPI Profile Active November 13, 2015

NPI status registered as active in NPPES database

📍

Updated Practice Location November 13, 2015

Registered at 1101 E MISSOURI AVE, PHOENIX, AZ 850142709 (Tel: 6022222221)

📍

Updated Business Mailing Address November 13, 2015

Registered at PO BOX 32530, PHOENIX, AZ 850642530 (Tel: 6022222221)

👤

Provider Name / Credentials Updated November 13, 2015

Recorded as SUJIT ITTY, MD

🎓

Medical Taxonomy / Specialty Registered (Primary Specialty) November 13, 2015

Ophthalmology (License #51210 in AZ)

🟢

Initial NPI Registration & Enumeration June 17, 2009

First registered as active Individual Practitioner in NPPES Database.

Patient & Community Reviews

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NPI Administrative Meta

NPI Number: 1699902577

Entity Type:

Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)

Enumeration Date: June 17, 2009

Last Update: January 26, 2022

Sole Proprietor: No

Update or Correct Profile

Mailing Address

4800 N 22nd St Ste 210

Phoenix, AZ 850164963

Phone: 6029776190

Public Domain Record This profile contains public domain information published by CMS and NPPES under the Freedom of Information Act (FOIA).

⚠️ Medical Disclaimer

This directory listing is for informational purposes only and does not constitute medical advice, diagnosis, or physician endorsement. If you are experiencing a medical emergency, please call 911 immediately.