DR. SUEMOY S WALLACE M.D.
NPI 1184850885
Surgery in Phoenix, AZ

Active since June 09, 2009PECOS EnrolledAccepts Medicare Assignment
1010 E MCDOWELL RD STE 103, PHOENIX, AZ 85006(800) 991-6117(888) 812-8191 Get Directions Write a Review

NPPES record last updated: March 16, 2026. Verified against the NPPES registry weekly; last sync: October 18, 2026.

Record update history: Mar 16, 2026, May 18, 2023, Jun 13, 2019 (3 updates tracked since 2019).

About Dr. Suemoy S Wallace M.d. NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

DR. SUEMOY S WALLACE M.D. (NPI 1184850885) is an individual surgery provider in Phoenix, Arizona, licensed in Arizona (49311) and active in the NPI registry since June 2009. She is enrolled in Medicare PECOS and is a graduate of Other (2004).

NPPES Registry Identity

NPI1184850885
Entity TypeIndividualFemale
Primary Taxonomy208600000X
Provider Legal NameDR. SUEMOY S WALLACECredential: M.D.
Location Address1010 E MCDOWELL RD STE 103Phoenix, AZ 85006-2607
Mailing Address3820 Northdale Blvd Ste 201Tampa, FL 33624-1893 · (800) 991-6117 · Fax (800) 812-8191
Fax(888) 812-8191
Sole ProprietorNo
Medical School CMSOtherGraduated 2004
Enumeration DateJune 9, 2009
Last NPPES UpdateMarch 16, 20263 updates tracked since enumeration
NPPES CertifiedMarch 16, 2026
✔ NPI 1184850885 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 5

★ Primary SpecialtySurgeryAllopathic & Osteopathic Physicians
Taxonomy Code208600000X
License✔ Licensed in AZ · 49311
Definition
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.
Also ListedSpecialistTaxonomy 174400000X · License 49311 (AZ)
Also ListedPhlebologyTaxonomy 202K00000X · License 49311 (AZ)
Also ListedSurgery · Surgical Critical CareTaxonomy 2086S0102X · License 49311 (AZ)
Also ListedSurgery · Trauma SurgeryTaxonomy 2086S0127X · License 49311 (AZ)
1010 E MCDOWELL RD STE 103, Phoenix, AZ 85006

Other Identifiers 1

Medicaid948235AZ

Accepted Insurance

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare and accepts Medicare assignment

Dr. Suemoy S Wallace M.d. is registered in PECOS and agrees to accept the Medicare-approved amount as full payment. Medicare patients are not billed beyond the standard deductible and coinsurance.

PECOS PAC ID3577734904
PECOS Enrollment IDI20140924001838
Eligible to Order & Refer✔ Part B Labs & Imaging✔ Durable Medical Equipment✔ Home Health Agency✔ Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

Medicare Billing Reassignments

8

Medicare enrollment records show Suemoy Wallace reassigns Medicare billing to 8 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

Vascular Surgery
1010 E MCDOWELL RD STE 103
Phoenix, AZ 85006
  • Reassigned Medicare billing, Arizona enrollment
  • 16 clinicians in this Medicare group
Cardiovascular Disease
340 E PALM LN STE A175
Phoenix, AZ 85004
  • Reassigned Medicare billing, Arizona enrollment
  • 822 clinicians in this Medicare group
Surgery
2320 N 3RD ST
Phoenix, AZ 85004
  • Reassigned Medicare billing, Arizona enrollment
  • 105 clinicians in this Medicare group
General Acute Care Hospital
2901 N CENTRAL AVE STE 160
Phoenix, AZ 85012
  • Reassigned Medicare billing, Arizona enrollment
  • 728 clinicians in this Medicare group
Hospitalist
1930 E THOMAS RD
Phoenix, AZ 85016
  • Reassigned Medicare billing, Arizona enrollment
  • 302 clinicians in this Medicare group
Vascular Surgery
6040 N 7TH ST STE 105
Phoenix, AZ 85014
  • Reassigned Medicare billing, Arizona enrollment
  • 9 clinicians in this Medicare group
Specialist
4801 E WASHINGTON ST, SUITE 200
Phoenix, AZ 85034
  • Reassigned Medicare billing, Arizona enrollment
  • 30 clinicians in this Medicare group
General Acute Care Hospital
250 E DUNLAP AVE
Phoenix, AZ 85020
  • Reassigned Medicare billing, Arizona enrollment
  • 267 clinicians in this Medicare group

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 85006 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.

New Patient
$85.89 typical visit price
range $55.44 – $168.60
Typical copayment $21.47 (range $13.86 – $42.15)
Most-billed visit code 99203
Established Patient
$69.24 typical visit price
range $17.72 – $137.41
Typical copayment $17.31 (range $4.43 – $34.35)
Most-billed visit code 99213
Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

Other Providers at the Same Location NPPES 6

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

Nurse Practitioner (Family)
1010 E MCDOWELL RD STE 103
PHOENIX, AZ 85006
Nurse Practitioner
1010 E MCDOWELL RD STE 103
PHOENIX, AZ 85006
Surgery (Vascular Surgery)
1010 E MCDOWELL RD STE 103
PHOENIX, AZ 85006
Surgery
1010 E MCDOWELL RD STE 103
PHOENIX, AZ 85006
Surgery (Vascular Surgery)
1010 E MCDOWELL RD STE 103
PHOENIX, AZ 85006
Radiology (Vascular & Interventional Radiology)
1010 E MCDOWELL RD STE 103
PHOENIX, AZ 85006

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 Suemoy Wallace's NPI number?

The NPI number for Suemoy Wallace is 1184850885. It was assigned to this individual provider in the NPPES registry on June 9, 2009.

Where is Suemoy Wallace located?

Suemoy Wallace practices at 1010 E Mcdowell Rd Ste 103, Phoenix, AZ 85006. The listed phone number is (800) 991-6117.

What is Suemoy Wallace's specialty?

The primary specialty registered for this NPI is Surgery with taxonomy code 208600000X.

Is Suemoy Wallace enrolled in Medicare?

Yes. Suemoy Wallace is registered in the Medicare PECOS system and accepts Medicare assignment, which means accepting the Medicare-approved amount as payment in full for covered services.

Which organizations bill Medicare for Suemoy Wallace's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Suemoy Wallace reassigns Medicare benefits to 8 organizations: Arizona Uvc Medical PLLC (Phoenix, AZ), Honorhealth Ambulatory (Phoenix, AZ), Arizona Advanced Surgery LLC (Phoenix, AZ), Banner - University Hospital Based Physicians LLC (Phoenix, AZ), Arizona Acute Medical Services 1 PC (Phoenix, AZ) and 3 more organizations, listed in the Medicare section above. Each 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 Suemoy Wallace's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Suemoy Wallace accept?

Health plans from Ambetter from Arizona Complete Health, Blue Cross Blue Shield of Arizona, Cigna HealthCare of Arizona, Inc, Oscar Health Plan, Inc. and UnitedHealthcare list Suemoy Wallace 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 Suemoy Wallace was last updated on March 16, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 7 months 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.