SUSAN PASSALAQUA M.D. – NPI #1891784880
Radiology

A radiologist who utilizes x-ray, radionuclides, ultrasound and electromagnetic radiation to diagnose and treat disease.

SUSAN PASSALAQUA is a radiologist located in GILBERT, AZ. NPPES has assigned the NPI number 1891784880 to SUSAN PASSALAQUA on October 21, 2005. It is a Type-1 NPI, indicating this NPI number is associated with an individual. The primary taxonomy selected by this provider is 2085R0202X from the Health Care Provider Taxonomy code set, which is classified as Radiology, specializing in Diagnostic Radiology

The NPI profile was previously updated about 11 years ago on Jan 21, 2015. Use the NPI data found here to bill health insurance companies, identify providers enrolled in Medicare and Medicaid services or other HIPAA compliant transactions. See the complete NPI profile for SUSAN PASSALAQUA below.

NPI Profile for
SUSAN PASSALAQUA

NPI Number
1891784880
Enumeration Date

(more than 20 years ago)
Entity Type
Type-1  Individual (Female)
Legal Name
SUSAN PASSALAQUA
Credentials
M.D.
Primary location
2946 E BANNER GATEWAY DR.
GILBERT, AZ 85234
Phone: (480) 256-6444 Fax: (480) 256-4683
Mailing address
2940 E BANNER GATEWAY DR. STE 450
GILBERT, AZ 85234
Phone: (480) 425-5063 Fax: (480) 425-5010
Sole Proprietor
No
Updated
Identifiers

Identifiers for SUSAN PASSALAQUA

Identifiers are used to associate other provider identifiers such as Medicaid or other insurers (ie:, Blue Cross, Blue Shield, Aetna, Kaiser-Permanente, etc.), with their NPI number. These identifiers can be used in matching an NPI number to an insurer's records. However, not all providers have such numbers and not all providers choose to include them in their NPI information.

DescriptionIssuerStateIdentifier
MEDICAIDAZ843880
Taxonomy Code(s)

A taxonomy code is a code that describes the health care service provider's type, classification, and the area of specialization. The primary specialty for this provider is indicated as (Primary) below.

Taxonomy Classification / Specialization State License
2085R0202X
- Radiology / Diagnostic Radiology (Primary)
AZ 32391

The taxonomy codes are selected by the provider at the time of NPI registration. Selection of a taxonomy code does not replace any credentialing or validation process that the provider requesting the code should complete.

Additional Information

Education
MEDICAL COLLEGE OF OHIO - Graduated 1996
Accepts Medicare
This provider accepts Medicare-approved amount as payment in full. The Medicare-approved amount is the total the provider can be paid. When a provider accepts the Medicare-approved amount as payment, you won't be billed for more than the Medicare deductible & coinsureance.
Medicare Ordering & Referring
Provider can:
  • Refer to Part B
  • Order Durable Medical Equipment
  • Refer to Home Health Agency
  • Order Power Mobility Devices
Affiliations
SUSAN PASSALAQUA is affiliated with the following medical group(s):
  • HOSPITAL
    • AVERA MCKENNAN HOSPITAL & UNIVERSITY HEALTH CENTER
      1325 S CLIFF AVE POST OFFICE BOX 5045
      SIOUX FALLS, SD 57117
    • BANNER - UNIVERSITY MEDICAL CENTER PHOENIX
      1111 EAST MCDOWELL ROAD
      PHOENIX, AZ 85006
    • BANNER GATEWAY MEDICAL CENTER
      1900 NORTH HIGLEY ROAD
      GILBERT, AZ 85234
    • BROOKINGS HEALTH SYSTEM
      300 22ND AVE
      BROOKINGS, SD 57006

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