SUSAN PASSALAQUA M.D.
NPI 1891784880
Radiology - Diagnostic Radiology in Gilbert, AZ

Active since October 21, 2005PECOS EnrolledAccepts Medicare Assignment
2946 E BANNER GATEWAY DR., GILBERT, AZ 85234(480) 256-6444(480) 256-4683 Get Directions Write a Review

NPPES record last updated: January 21, 2015. Verified against the NPPES registry weekly; last sync: October 25, 2026.

About Susan Passalaqua M.d. NPPES

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

SUSAN PASSALAQUA M.D. (NPI 1891784880) is an individual diagnostic radiology provider in Gilbert, Arizona, licensed in Arizona (32391) and active in the NPI registry since October 2005. She is enrolled in Medicare PECOS, is affiliated with Regional Health Services Of Howard County, and is a graduate of Medical College Of Ohio (1996).

NPPES Registry Identity

NPI1891784880
Entity TypeIndividualFemale
Primary Taxonomy2085R0202X
Provider Legal NameSUSAN PASSALAQUACredential: M.D.
Location Address2946 E BANNER GATEWAY DR.Gilbert, AZ 85234
Mailing Address2940 E Banner Gateway Dr. Ste 450Gilbert, AZ 85234 · (480) 425-5063 · Fax (480) 425-5010
Fax(480) 256-4683
Sole ProprietorNo
Medical School CMSMedical College Of OhioGraduated 1996
Enumeration DateOctober 21, 2005
Last NPPES UpdateJanuary 21, 2015
✔ NPI 1891784880 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyRadiology · Diagnostic RadiologyAllopathic & Osteopathic Physicians
Taxonomy Code2085R0202X
License✔ Licensed in AZ · 32391
Definition
A radiologist who utilizes x-ray, radionuclides, ultrasound and electromagnetic radiation to diagnose and treat disease.
2946 E BANNER GATEWAY DR., Gilbert, AZ 85234

Other Identifiers 5

Medicare PIN101163AZ
Medicare PIN100843AZ
Medicare PIN100828AZ
Medicare UPINH68311
Medicaid843880AZ

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

Susan Passalaqua 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 ID3375520919
PECOS Enrollment IDI20040701001142, I20230113002420, I20260112001910
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 Susan Passalaqua reassigns Medicare billing to 8 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

Medical Oncology
14200 CELEBRATE LIFE WAY
Goodyear, AZ 85338
  • Reassigned Medicare billing, Arizona enrollment
  • 359 clinicians in this Medicare group
Rural Health
660 W 2ND ST
Winner, SD 57580
  • Reassigned Medicare billing, South Dakota enrollment
  • 1,277 clinicians in this Medicare group
Rural Health
265 MAIN STREET
Corsica, SD 57328
  • Reassigned Medicare billing, South Dakota enrollment
  • 227 clinicians in this Medicare group
Urology
201 W 69TH ST
Sioux Falls, SD 57108
  • Reassigned Medicare billing, South Dakota enrollment
  • 43 clinicians in this Medicare group
Critical Access
323 SW 10TH ST
Madison, SD 57042
  • Reassigned Medicare billing, South Dakota enrollment
  • 84 clinicians in this Medicare group
Multi-Specialty
300 S BRUCE ST
Marshall, MN 56258
  • Reassigned Medicare billing, South Dakota enrollment
  • 30 clinicians in this Medicare group
Rural Health
496 S MAIN ST
Starbuck, MN 56381
  • Reassigned Medicare billing, Minnesota enrollment
  • Also billed through NPI 1538178520 (Minnesota)
  • 111 clinicians in this Medicare group
Critical Access
1411 HWY 79E
Elbow Lake, MN 56531
  • Reassigned Medicare billing, Minnesota enrollment
  • 183 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.

Areas of Expertise CMS Part B claims 39

Services this provider delivered to Medicare fee-for-service patients, from the CMS Medicare utilization data. Higher counts generally reflect more experience with a service; care delivered outside Medicare is not included.

X-ray of chest, 1 view 71045
A chest X-ray, 1 view, is a quick, painless test that produces images of the structures within your chest, such as your heart, lungs, and blood vessels. It helps in diagnosing conditions like pneumonia, heart problems, or lung cancer. You'll stand in front of a machine that emits X-rays, which pass through your body to create the image.
548 services468 patients
Nuclear medicine study from skull base to mid-thigh with ct scan 78815
A nuclear medicine study from skull base to mid-thigh with a CT scan involves using a small amount of radioactive material and CT imaging to examine body tissues and organs. This helps detect any abnormalities by providing detailed images of the body's internal structure.
456 services397 patients
Nuclear medicine studies of heart muscle at rest and with stress and spect 78452
Nuclear medicine studies of the heart involve two parts: rest and stress. During rest, images are taken of your heart at ease. During stress, images are taken after exercise or medication-induced stress. SPECT is a special imaging technique providing 3D pictures of your heart, helping identify any issues.
192 services192 patients
X-ray of chest, 2 views 71046
A chest X-ray, 2 views, is a quick, painless test that creates pictures of the structures inside your chest, such as your heart, lungs, and blood vessels. Two different angles are used to get a comprehensive view. This helps in diagnosing conditions like pneumonia, heart problems, or lung cancer.
160 services158 patients
Ct scan of abdomen and pelvis with contrast 74177
A CT scan of the abdomen and pelvis with contrast is an imaging procedure. A special dye, called contrast, is used to make certain areas more visible. This can help identify issues such as infections, tumors, or other abnormalities. The procedure is painless and usually takes about 30 minutes.
157 services153 patients
X-ray of chest, 2 views 71046
A chest X-ray, 2 views, is a quick, painless test that creates pictures of the structures inside your chest, such as your heart, lungs, and blood vessels. Two different angles are used to get a comprehensive view. This helps in diagnosing conditions like pneumonia, heart problems, or lung cancer.
151 services150 patients

Hospital Affiliations CMS Care Compare 4

Hospitals where this provider delivers care, identified from recent Medicare claims and place-of-service records.

Regional Health Services Of Howard County

Critical Access Hospitals · Cresco, IA
OwnershipGovernment - Local
CMS Certification Number161328
Location235 8th Avenue WestCresco, IA 52136 · Howard County
Emergency services Birthing friendly

Avera Holy Family Hospital

Critical Access Hospitals · Estherville, IA
OwnershipVoluntary non-profit - Private
CMS Certification Number161351
Location826 North 8th StreetEstherville, IA 51334 · Emmet County
Emergency services

Avera Mckennan Hospital & University Health Center

Acute Care Hospitals · Sioux Falls, SD
4/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number430016
Location1325 S Cliff AveSioux Falls, SD 57117 · Minnehaha County
Emergency services Birthing friendly

Avera Heart Hospital Of South Dakota

Acute Care Hospitals · Sioux Falls, SD
5/5 CMS rating
OwnershipProprietary
CMS Certification Number430095
Location4500 W 69th StSioux Falls, SD 57108 · Lincoln County
Emergency services

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 85234 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.

Medicare Quality Performance CMS QPP · MIPS

Performance in the CMS Quality Payment Program: the MIPS final score across four weighted categories, and the individual quality measures reported to Medicare.

Reported Quality Measures

Nuclear Medicine: Correlation with Existing Imaging Studies for All Patients Undergoing Bone Scintigraphy
Percentage of final reports for all patients, regardless of age, undergoing bone scintigraphy that include physician documentation of correlation with existing relevant imaging studies (e.g., x-ray, MRI, CT, etc.) that were performed
85%215 patients
Providers report different measures because they deliver different services; reporting more or less information is not a reflection of quality. Star ratings appear only where CMS assigned them.

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.

Nurse Practitioner (Acute Care)
2946 E BANNER GATEWAY DR.
GILBERT, AZ 85234
Urology
2946 E BANNER GATEWAY DR.
GILBERT, AZ 85234
Radiology (Vascular & Interventional Radiology)
2946 E BANNER GATEWAY DR.
GILBERT, AZ 85234
Nurse Practitioner (Acute Care)
2946 E BANNER GATEWAY DR.
GILBERT, AZ 85234
Nurse Practitioner
2946 E BANNER GATEWAY DR.
GILBERT, AZ 85234
Surgery (Plastic and Reconstructive Surgery)
2946 E BANNER GATEWAY DR.
GILBERT, AZ 85234
Nurse Practitioner (Family)
2946 E BANNER GATEWAY DR.
GILBERT, AZ 85234
Physician Assistant
2946 E BANNER GATEWAY DR.
GILBERT, AZ 85234

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 Susan Passalaqua's NPI number?

The NPI number for Susan Passalaqua is 1891784880. It was assigned to this individual provider in the NPPES registry on October 21, 2005.

Where is Susan Passalaqua located?

Susan Passalaqua practices at 2946 E Banner Gateway Dr., Gilbert, AZ 85234. The listed phone number is (480) 256-6444.

What is Susan Passalaqua's specialty?

The primary specialty registered for this NPI is Radiology, specializing in Diagnostic Radiology, with taxonomy code 2085R0202X.

Is Susan Passalaqua enrolled in Medicare?

Yes. Susan Passalaqua 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 Susan Passalaqua's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Susan Passalaqua reassigns Medicare benefits to 8 organizations: City Of Hope Medical Group Of Arizona LLC (Goodyear, AZ), Avera Mckennan (Winner, SD), Avera Queen Of Peace (Corsica, SD), Urology Specialists Chartered (Sioux Falls, SD), Madison Community Hospital (Madison, SD) 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 Susan Passalaqua's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Susan Passalaqua accept?

Health plans from Avera Health Plans, Wellmark Health Plan of Iowa, Inc. and Wellmark of South Dakota, Inc. list Susan Passalaqua 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.

Is Susan Passalaqua affiliated with any hospitals?

According to CMS data, Susan Passalaqua is affiliated with Regional Health Services Of Howard County, Avera Holy Family Hospital, Avera Mckennan Hospital & University Health Center and Avera Heart Hospital Of South Dakota.

When was this NPI record last updated?

The NPPES record for Susan Passalaqua was last updated on January 21, 2015. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 11 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.