Medical Group of Arizona, LLC
NPI 1366796773ActiveOrganization· Family Medicine, Geriatric Medicine· Phoenix, AZ
Family Medicine, Geriatric Medicine in Phoenix, Arizona, registered in NPPES in November 2012. The authorized official on file is Reginald M. Sutton, M.D., Sole Member.
Overview
| NPI | 1366796773 |
|---|---|
| Status | Active |
| Entity type | Organization |
| NPI issued | Nov 7, 2012 |
| Last updated in NPPES | Nov 7, 2012 |
Specialties and licenses
| Taxonomy | Code | License | State |
|---|---|---|---|
| Family Medicine, Geriatric Medicine Primary | 207QG0300X | 29166 | AZ |
Exclusion screening
| List | Result | Details |
|---|---|---|
| HHS-OIG LEIE · Oct 9, 2026 | No match | Checked by NPI and by name + state |
| North Carolina Medicaid · Nov 10, 2026 | No match | — |
| New York OMIG · Nov 10, 2026 | No match | — |
| Ohio Medicaid · Nov 10, 2026 | No match | — |
| Pennsylvania Medicheck · Nov 10, 2026 | No match | — |
| Washington HCA · Nov 10, 2026 | No match | — |
Official OIG search · How matching works ·Bulk check a roster
Medicare
| Enrollment (PECOS) | Not in the public enrollment file of Oct 1, 2026 |
|---|
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