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SUSAN PASSALAQUA M.D. NPI 1891784880


NPI Information

NPI: 1891784880
Provider Name: SUSAN PASSALAQUA, M.D.
Classification: Radiology - 2085R0202X
Entity Type: Individual

Specialization: Diagnostic Radiology

Organization: BANNER HOSPITAL BASED PHYSICIANS ARIZONA LLC

PECOS Registration: Yes

Address:
2946 E BANNER GATEWAY DR.
GILBERT, AZ
ZIP 85234
Phone: (480) 256-6444
Get Directions

Susan Passalaqua, M.D. is a diagnostic radiology radiology in Gilbert, AZ with 28 years of experience. The provider is a radiologist who utilizes x-ray, radionuclides, ultrasound and electromagnetic radiation to diagnose and treat disease. Susan Passalaqua, M.D. NPI is 1891784880. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a female.

Education
Medical School: MEDICAL COLLEGE OF OHIO
Graduation Year:1996

The provider's business location address is:

2946 E BANNER GATEWAY DR.
GILBERT, AZ
ZIP 85234
Phone: (480) 256-6444
Fax: (480) 256-4683

The NPI 1891784880 is registered in the Medicare Provider, Enrollment, Chain and Ownership System (PECOS). The provider is legally eligible to order and refer Part B (Clinical Laboratory and Imaging), Durable Medical Equipment, Part A Home Health Agency (HHA), Power Mobility Devices.

The following top HCPCS codes were publicly reported for this provider under the Medicare program for the year 2016. The reported codes are based on the top codes for each available Medicare specialty, excluding evaluation and management codes.

  • Nuclear medicine study with CT imaging skull base to mid-thigh (HCPCS:78815)
  • Bone and/or joint imaging, whole body (HCPCS:78306)
  • X-ray of chest, 2 views, front and side (HCPCS:71020)
  • X-ray of chest, 1 view, front (HCPCS:71010)
  • Nuclear medicine study with CT imaging whole body (HCPCS:78816)
  • Nuclear medicine study of lung ventilation and blood circulation in the lungs (HCPCS:78582)
  • CT scan of abdomen and pelvis with contrast (HCPCS:74177)

The enumeration date for this NPI number is 10/21/2005 and was last updated on 1/21/2015.


Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.Taxonomy CodeTaxonomy ClasificationTaxonomy SpecializationLicense NumberLicense StatePrimary
12085R0202XRadiologyDiagnostic Radiology32391ARIZONAYes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.Other Provider IdentifierOther Provider Identifier TypeOther Provider Identifier StateOther Provider Identifier Issuer
1101163MEDICARE PINARIZONA
2100843MEDICARE PINARIZONA
3100828MEDICARE PINARIZONA
4H68311MEDICARE UPIN
5843880MEDICAIDARIZONA

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 11/14/2023

All materials and services on this site are provided on an "as is" and "as available" basis without warranty of any kind. The NPI record is maintained by the National Plan & Provider Enumeration System (NPPES) and anyone may request this information and other NPPES health care provider data from HHS under The Freedom of Information Act (FOIA), Title 5 of the United States Code, section 552. To update the NPI records please contact the NPPES.