SUMMIT MEDICAL GROUP ARIZONA LLC
NPI 1053810622
Family Medicine in Glendale, AZ
About Summit Medical Group Arizona Llc NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
SUMMIT MEDICAL GROUP ARIZONA LLC (NPI 1053810622) is a healthcare organization registered as a family medicine in Glendale, Arizona and active in the NPI registry since February 2018. The organization lists Dalton Dunn, Credentialing Specialist, as its authorized official.
NPPES Registry Identity
Specialties & Licenses 6
Accepted Insurance
Medicare Participation & PECOS CMS
Medicare enrollment and the clinicians who bill Medicare through this organization, from CMS.
Medicare Enrollment Status
Enrolled in Medicare (PECOS)
Summit Medical Group Arizona Llc is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).
Clinicians Billing Medicare Through This Organization
248Medicare enrollment records show 248 clinicians reassign Medicare billing to Summit Medical Group Arizona LLC, which bills Medicare for the services they deliver. Of these, 2 practice at this address and 57 within 10 miles. Listed here are the 20 practicing nearest to this location.
Clinicians by Medicare Specialty 10
Nearest to this location (20)
See all 248Glendale, AZ 85308
Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.
Frequently Asked Questions NPPES & CMS
Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.
What is Summit Medical Group Arizona LLC's NPI number?
The NPI number for Summit Medical Group Arizona LLC is 1053810622. It was assigned to this organization in the NPPES registry on February 8, 2018.
Where is Summit Medical Group Arizona LLC located?
Summit Medical Group Arizona LLC is located at 5620 W Thunderbird Rd Ste F1, Glendale, AZ 85306. The listed phone number is (844) 969-0686.
What is Summit Medical Group Arizona LLC's specialty?
The primary specialty registered for this NPI is Family Medicine with taxonomy code 207Q00000X.
Is Summit Medical Group Arizona LLC enrolled in Medicare?
Yes. Summit Medical Group Arizona LLC is registered in the Medicare PECOS enrollment system.
How many clinicians bill Medicare through Summit Medical Group Arizona LLC?
According to the CMS Revalidation Reassignment List (October 2026 release), 248 clinicians in 10 Medicare specialties reassign their Medicare billing to Summit Medical Group Arizona LLC. A reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for the clinician's services. The largest specialties are Nurse Practitioner (128), Family Practice (74) and Internal Medicine (39). Of these, 2 practice at this address and 57 within 10 miles. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.
What insurance does Summit Medical Group Arizona LLC accept?
Health plans from Cigna HealthCare of Arizona, Inc list Summit Medical Group Arizona LLC as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.
When was this NPI record last updated?
The NPPES record for Summit Medical Group Arizona LLC was last updated on October 1, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 25 days ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.
# Summit Medical Group Arizona Llc · NPI 1053810622
Family Medicine organization in Glendale, Arizona. Organization record, active in the CMS NPPES registry since February 8, 2018.
## Identity
- **NPI:** 1053810622 (Entity type: Organization)
- **Enumerated:** February 8, 2018
- **Primary specialty:** Family Medicine · taxonomy 207Q00000X
- **Organization subpart:** No
- **Authorized official:** Dalton Dunn, CREDENTIALING SPECIALIST
## Practice location
- **Address:** 5620 W THUNDERBIRD RD STE F1, Glendale, AZ 85306-4652
- **Phone:** (844) 969-0686 · **Fax:** (773) 832-7083
## Medicare
- **Medicare:** Enrolled in Medicare (PECOS)
- **Clinicians billing through this organization:** 248 clinicians in 10 Medicare specialties reassign Medicare billing to this organization (form CMS-855R); largest: Nurse Practitioner (128), Family Practice (74), Internal Medicine (39); 2 practice at this address and 57 within 10 miles; [full list](https://npiprofile.com/npi/1053810622/clinicians) · CMS Revalidation Reassignment List, October 2026 release
## Record status
- **NPPES last updated:** October 1, 2026
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Source: [NPI Profile](https://npiprofile.com/npi/1053810622) · Data from the CMS NPPES public registry.