Sunbelt Medical Group LLC
NPI 1104354752 · Clinic/Center · Tucson, AZ
Enrolled with Medicare as Part B Supplier - Clinic/Group Practice · source: CMS PECOS Public Provider Enrollment (2026.04.01)
Provider details
- NPI number
- 1104354752
- Entity type
- Organization
- Primary specialty
- Clinic/CenterAmbulatory Health Care Facilities
- Organization subpart
- No
- Authorized official
- Edward Hudson, Chief Financial Officer(520) 322-6274
Specialties & taxonomies
Ambulatory Health Care Facilities
Profile Score
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
9 yrs in NPPES registry
- Profile completeness38% of score
100% of core fields populated
- Practice footprint23% of score
6 documented practice locations
Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our methodology.
Practice location
Mailing address
Additional practice locations (5)
- 1601 N St. Mary'S RdTucson, AZ 85745Phone: (520) 490-1196
- 6264 E Grant RdTucson, AZ 85712-5882Phone: (520) 488-5291Fax: (520) 689-6810
- 2850 North Country Club RoadTucson, AZ 85716-1910Phone: (520) 322-6274Fax: (520) 509-4496
- 4739 N 1st AveTucson, AZ 85718-5610Phone: (520) 614-6617Fax: (520) 614-6697
- 7005 N Oracle RdTucson, AZ 85704-4329Phone: (520) 771-0177Fax: (520) 300-7316
Registry dates
- Enumerated
- 2017-05-26
- Last updated
- 2026-04-02
- Certified
- 2026-04-02
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.