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Active NPI 1184850885 Individual Practitioner Female Practitioner

Dr. Suemoy S Wallace , MD

Surgery • Phoenix, AZ

✓ Accepts Medicare Assignment

Professional Overview & Biography Verified Profile Summary

Dr. Suemoy Wallace, MD is a certified Surgery practicing in Phoenix, AZ. With approximately 22 years of clinical experience since completing medical education in 2004, Dr. Wallace delivers high-quality medical care to the local community at 1010 E MCDOWELL RD STE 103.

Dr. Wallace maintains professional affiliations with Arizona Advanced Surgery Llc, Honorhealth Ambulatory and accepts Medicare assignment.

Frequently performed procedures and clinical services include initial hospital care with straightforward or low-level medical decision making, if using time, at least, subsequent hospital care with moderate levelof medical decision making, if using time, at least, initial hospital care with moderate level of medical decision making, if using time, at least. Full Medicare procedure pricing transparency rates and service volume details are listed on this profile.

Practice Location & Contact Primary Location

Practice Address

1010 E Mcdowell Rd Ste 103

Phoenix, AZ 850062607

Telephone 8009916117
Fax 8888128191
Associated Practice Facility / Clinic
🏢 Arizona Uvc Medical Pllc Facility NPI 1548800980

Medicare Profile & Education

Medical School

Other

Graduation Year

2004

Medicare Assignment

✓ Accepts Assignment

Telehealth Flag

In-Person Only

Specialty Benchmarks & Practice Insights

Comparative analytics for Surgery in Phoenix, AZ

Senior Veteran Specialist (>20 Yrs)
Practitioner Clinical Experience
22 Yrs +0.2 yrs vs City Avg
City Avg: 21.8 Yrs
State Avg: 23.6 Yrs
Regional Practice Density
180 Specialists

Practicing in Phoenix, AZ (801 Statewide)

Telehealth Adoption Rate
7.2% Regional Adoption

In-Person Office Visits Only

Medicare Pricing Discount
66.6% Avg Savings

Under CMS Medicare Fee Schedule vs Standard Submitted Charges

Clinical Seniority & Experience Comparison

Dr. Wallace (22 Years) 22 Yrs
Phoenix Specialty Average (21.8 Years) 21.8 Yrs

Performed Procedures & Service Volume

Top Medicare Part B procedures performed by this practitioner

CMS Official Data (2023)
Reporting Year:
HCPCS Code & Description Services Patients Submitted Charge Medicare Allowed
99222 Initial hospital care with straightforward or low-level medical decision making, if using time, at least 55 minutes
37 36 $398.52 $126.37
99232 Subsequent hospital care with moderate levelof medical decision making, if using time, at least 35 minutes
33 17 $209.85 $76.78

Medical Specialties & State Licenses

CMS Verified: 2026-03-16
Surgery Primary Specialty

NUCC Taxonomy Code: 208600000X

State License AZ 49311

A general surgeon has expertise related to the diagnosis - preoperative, operative and postoperative management - and management of complications of surgical conditions in the following areas: alimentary tract; abdomen; breast, skin and soft tissue; endocrine system; head and neck surgery; pediatric surgery; surgical critical care; surgical oncology; trauma and burns; and vascular surgery. General surgeons increasingly provide care through the use of minimally invasive and endoscopic techniques. Many general surgeons also possess expertise in transplantation surgery, plastic surgery and cardiothoracic surgery.

Specialist

NUCC Taxonomy Code: 174400000X

State License AZ 49311

An individual educated and trained in an applied knowledge discipline used in the performance of work at a level requiring knowledge and skills beyond or apart from that provided by a general education or liberal arts degree.

Surgery - Surgical Critical Care

NUCC Taxonomy Code: 2086S0102X

State License AZ 49311

A surgeon with expertise in the management of the critically ill and postoperative patient, particularly the trauma victim, who specializes in critical care medicine diagnoses, treats and supports patients with multiple organ dysfunction. This specialist may have administrative responsibilities for intensive care units and may also facilitate and coordinate patient care among the primary physician, the critical care staff and other specialists.

Phlebology

NUCC Taxonomy Code: 202K00000X

State License AZ 49311

Phlebology is the medical discipline that involves the diagnosis and treatment of venous disorders, including spider veins, varicose veins, chronic venous insufficiency, venous leg ulcers, congenital venous abnormalities, venous thromboembolism and other disorders of venous origin. A phlebologist has attained a minimum of 50 hours of CME units in phlebology-related courses, and is knowledgeable of and trained in a variety of diagnostic techniques including physical examination, venous imaging techniques such as duplex ultrasound, CT and MR, plethysmographic techniques and laboratory evaluation related to venous thromboembolism. The phlebologist is also trained in a variety of therapeutic interventions, which may include compression, sclerotherapy, cutaneous vascular laser, endovenous thermoablation procedures (laser and radiofrequency) endovenous chemical ablation, surgical procedures (e.g., ambulatory phlebectomy, venous ligation), vasoactive medications and the management of venous thromboembolism.

Surgery - Trauma Surgery

NUCC Taxonomy Code: 2086S0127X

State License AZ 49311

Trauma surgery is a recognized subspecialty of general surgery. Trauma surgeons are physicians who have completed a five-year general surgery residency and usually continue with a one to two year fellowship in trauma and/or surgical critical care, typically leading to additional board certification in surgical critical care. There is no trauma surgery board certification at this point. To obtain board certification in surgical critical care, a fellowship in surgical critical care or anesthesiology critical care must be completed during or after general surgery residency.

Additional State Medicaid & Healthcare Payer Identifiers

Medicaid State Provider ID
948235 (AZ)

Hospital & Practice Group Affiliations

Honorhealth Ambulatory

1301 S Crimson Rd, Mesa, AZ 852093767

Phone: 4803586100

Arizona Advanced Surgery Llc

2945 S Dobson Rd, Mesa, AZ 852027941

Phone: 4809694138

Honorhealth Ambulatory

10510 N 92nd St, Scottsdale, AZ 852584566

Honorhealth Ambulatory

10238 E Hampton Ave, Mesa, AZ 852093322

Practice Associates & Co-Workers

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

40 Associated Practitioners
NPI 1003812942

Doctor of Osteopathic Medicine (D.O.)

Dr. Robert Worthington-Kirsch , MD

Radiology - Vascular & Interventional Radiology

NPI 1013916436

Doctor of Medicine (M.D.)

NPI 1013929439

Doctor of Medicine (M.D.)

Dr. Malik Kutty , MD

Plastic Surgery

NPI 1043227622

Doctor of Medicine (M.D.)

Vicki Blackwell , PA

Physician Assistant - Surgical

NPI 1043235963

Physician Assistant

NPI 1043330285

Doctor of Osteopathic Medicine (D.O.)

Career & Practice History Timeline

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

15 Historical Events
🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) March 16, 2026

Specialist (License #49311 in AZ)

📍
Updated Practice Location February 16, 2026

Registered at 1010 E MCDOWELL RD STE 103, PHOENIX, AZ 850062607 (Tel: 8009916117)

📍
Updated Business Mailing Address February 16, 2026

Registered at 3820 NORTHDALE BLVD STE 201, TAMPA, FL 336241893 (Tel: 8009916117)

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) February 16, 2026

Surgery (License #49311 in AZ)

📍
Updated Practice Location May 18, 2023

Registered at 2945 S DOBSON RD, MESA, AZ 852027941 (Tel: 4809694138)

📍
Updated Business Mailing Address May 18, 2023

Registered at 2320 N 3RD ST, PHOENIX, AZ 850041303 (Tel: 4809694138)

📍
Updated Practice Location June 13, 2019

Registered at 16601 N 40TH ST STE 227, PHOENIX, AZ 850323354 (Tel: 6026333721)

📍
Updated Business Mailing Address June 13, 2019

Registered at 16601 N 40TH ST STE 227, PHOENIX, AZ 850323354 (Tel: 6026333721)

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) June 13, 2019

Surgery (License #49311 in AZ)

NPI Profile Active January 23, 2015

NPI status registered as active in NPPES database

📍
Updated Practice Location January 23, 2015

Registered at 13677 W MCDOWELL RD, SUITE 201, GOODYEAR, AZ 853952635 (Tel: 6235364200)

📍
Updated Business Mailing Address January 23, 2015

Registered at 13677 W MCDOWELL RD, SUITE 201, GOODYEAR, AZ 853952635 (Tel: 6235364200)

👤
Provider Name / Credentials Updated January 23, 2015

Recorded as SUEMOY WALLACE, M.D.

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) January 23, 2015

Specialist (License #49311 in AZ)

🟢
Initial NPI Registration & Enumeration June 09, 2009

First registered as active Individual Practitioner in NPPES Database.

Patient & Community Reviews

Verified patient ratings, medical care experiences, and facility photos

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NPI Administrative Meta

NPI Number: 1184850885
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: June 09, 2009
Last Update: March 16, 2026
Sole Proprietor: No

Mailing Address

3820 Northdale Blvd Ste 201

Tampa, FL 336241893

Phone: 8009916117

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.