LOLA KAN SUE MD
NPI 1437289311
Family Medicine in Winslow, AZ
About Lola Kan Sue Md NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
LOLA KAN SUE MD (NPI 1437289311) is an individual family medicine provider in Winslow, Arizona, licensed in Arizona (23895) and active in the NPI registry since March 2007. She is enrolled in Medicare PECOS.
NPPES Registry Identity
Specialties & Licenses
Other Identifiers 5
Medicare Participation & PECOS CMS
Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.
Medicare Enrollment Status
Enrolled in Medicare (PECOS)
Lola Kan Sue Md is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).
Medicare Billing Reassignments
8Medicare enrollment records show Lola Sue reassigns Medicare billing to 8 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.
Winslow, AZ 86047
- Reassigned Medicare billing, Arizona enrollment
- 71 clinicians in this Medicare group
Polacca, AZ 86042
- Reassigned Medicare billing, Texas enrollment
- 199 clinicians in this Medicare group
Prescott, AZ 86301
- Reassigned Medicare billing, Arizona enrollment
- 123 clinicians in this Medicare group
Tonalea, AZ 86044
- Reassigned Medicare billing, Texas enrollment
- 215 clinicians in this Medicare group
Maricopa, AZ 85139
- Reassigned Medicare billing, Arizona enrollment
- 159 clinicians in this Medicare group
Eloy, AZ 85131
- Reassigned Medicare billing, Arizona enrollment
- 70 clinicians in this Medicare group
Bullhead City, AZ 86442
- Reassigned Medicare billing, Arizona enrollment
- 147 clinicians in this Medicare group
Yuma, AZ 85365
- Reassigned Medicare billing, Arizona enrollment
- 147 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 86047 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.
Other Providers at the Same Location NPPES 20
Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.
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 Lola Sue's NPI number?
The NPI number for Lola Sue is 1437289311. It was assigned to this individual provider in the NPPES registry on March 7, 2007.
Where is Lola Sue located?
Lola Sue practices at 500 Indiana Ave, Winslow, AZ 86047. The listed phone number is (928) 289-4646.
What is Lola Sue's specialty?
The primary specialty registered for this NPI is Family Medicine with taxonomy code 207Q00000X.
Is Lola Sue enrolled in Medicare?
Yes. Lola Sue is registered in the Medicare PECOS enrollment system.
Which organizations bill Medicare for Lola Sue's services?
According to the CMS Revalidation Reassignment List (October 2026 release), Lola Sue reassigns Medicare benefits to 8 organizations: Winslow Memorial Hospital Inc (Winslow, AZ), Dhhs Ihs Phoenix Area (Polacca, AZ), Exceptional Physicians Group Prescott Hospital PLLC (Prescott, AZ), Kayenta Alternative Rural Hospital (Tonalea, AZ), Exceptional Physicians Group Arizona PLLC (Maricopa, 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 Lola Sue's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.
When was this NPI record last updated?
The NPPES record for Lola Sue was last updated on November 1, 2007. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 18 years 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.
# Lola Kan Sue, MD · NPI 1437289311
Family Medicine physician in Winslow, Arizona. Individual provider, active in the CMS NPPES registry since March 7, 2007.
## Identity
- **NPI:** 1437289311 (Entity type: Individual)
- **Enumerated:** March 7, 2007
- **Primary specialty:** Family Medicine · taxonomy 207Q00000X
- **State license:** 23895 (Arizona)
- **Sole proprietor:** No
## Practice location
- **Address:** 500 INDIANA AVE, Winslow, AZ 86047-2169
- **Phone:** (928) 289-4646 · **Fax:** (928) 289-6290
## Medicare
- **Medicare:** Enrolled in Medicare (PECOS)
- **Ordering & referring:** eligible for Part B labs & imaging, durable medical equipment, home health, power mobility devices
- **Bills Medicare through:** 8 organizations under Medicare reassignment (form CMS-855R): Winslow Memorial Hospital Inc (NPI 1538321674, Winslow, AZ); Dhhs Ihs Phoenix Area (NPI 1356628028, Polacca, AZ); Exceptional Physicians Group Prescott Hospital PLLC (NPI 1720807670, Prescott, AZ); Kayenta Alternative Rural Hospital (NPI 1740359108, Tonalea, AZ); Exceptional Physicians Group Arizona PLLC (NPI 1447910229, Maricopa, AZ); and 3 more · CMS Revalidation Reassignment List, October 2026 release
## Record status
- **NPPES last updated:** November 1, 2007
- **Other identifiers:** Medicare UPIN G43690; Medicare PIN 8EB014 (AZ); Medicaid 413857 (AZ); and 2 more
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Source: [NPI Profile](https://npiprofile.com/npi/1437289311) · Data from the CMS NPPES public registry.