DR. MARIA AURORA CANLAS SUCGANG MD
NPI 1528049863
Pediatrics in Enterprise, AL
NPI Status: Active since November 11, 2005
Contact Information
101 PROFESSIONAL LN
ENTERPRISE, AL
ZIP 36330
Phone: (334) 347-3404
Fax: (334) 393-0613
- Individual
- Female
- Pediatrics
- Accepts Insurance
- PECOS Enrolled
About MARIA AURORA SUCGANG
This page provides the complete NPI Profile along with additional information for Maria Aurora Sucgang, a pediatrician established in Enterprise, Alabama with a medical specialization in Pediatrics. The healthcare provider is registered in the NPI registry with number 1528049863 assigned on November 2005. The practitioner's primary taxonomy code is 208000000X with license number 22576 (AL). The provider is registered as an individual and her NPI record was last updated 13 years ago.
- NPI
- 1528049863
- Provider Name
- DR. MARIA AURORA CANLAS SUCGANG MD
- Gender
- Female
- Entity Type
- Individual
- Location Address
- 101 PROFESSIONAL LN ENTERPRISE, AL 36330
- Location Phone
- (334) 347-3404
- Location Fax
- (334) 393-0613
- Mailing Address
- 101 PROFESSIONAL LN ENTERPRISE, AL 36330
- Mailing Phone
- (334) 347-3404
- Mailing Fax
- (334) 393-0613
- Is Sole Proprietor?
- No
- Enumeration Date
- 11-11-2005
- Last Update Date
- 03-08-2012
- Code Navigator
A pediatrician like Maria Aurora Sucgang is a physician who has completed a pediatric residency and is board-certified or board-eligible in a pediatric specialty. Pediatric care providers are trained to care for newborns, infants, children and adolescents. A pediatrician could perform physical exams, manage vaccinations, monitor development milestones, diagnose illnesses, infections, injuries or other health problems, etc.
Location Map
Specialty - Primary Taxonomy
The NPI enumerator requires providers to submit at least one taxonomy code. A taxonomy code is a unique 10-character code that describes the healthcare provider type, classification, and the area of specialization. There could be only one primary taxonomy code per NPI record. For individual NPIs the license data is associated to the taxonomy code.
- Classification
Pediatrics
- Taxonomy Code
- 208000000X
- Type
- Allopathic & Osteopathic Physicians
- License No.
- 22576
- License State
- AL
- Taxonomy Description
- A pediatrician is concerned with the physical, emotional and social health of children from birth to young adulthood. Care encompasses a broad spectrum of health services ranging from preventive healthcare to the diagnosis and treatment of acute and chronic diseases. A pediatrician deals with biological, social and environmental influences on the developing child, and with the impact of disease and dysfunction on development.
Insurance Plans Accepted
According to publicly available information the provider might be accepting the following health plans from these health insurance companies:
- Bronze 4 Advanced: $0 PCP + Aetna network + $0 MinuteClinic + $0 CVS Health Virtual Care 24/7 - HMO
- Bronze 4 Advanced: $0 PCP + Aetna network + $0 MinuteClinic + Adult Dental + Vision - HMO
- Bronze S: Aetna network + $0 MinuteClinic + $0 CVS Health Virtual Care 24/7 - HMO
- Gold 10 Advanced: $0 PCP + Aetna network + $0 MinuteClinic + $0 CVS Health Virtual Care 24/7 - HMO
- Gold 10 Advanced: $0 PCP + Aetna network + $0 MinuteClinic + Adult Dental + Vision - HMO
- Gold 3 Advanced: Aetna network + $0 MinuteClinic + $0 CVS Health Virtual Care 24/7 - HMO
- Gold 3 Advanced: Aetna network + $0 MinuteClinic + Adult Dental + Vision - HMO
- Gold S: Aetna network + $0 MinuteClinic + $0 CVS Health Virtual Care 24/7 - HMO
- Silver 10 Advanced: $0 PCP + Aetna network + $0 MinuteClinic + $0 CVS Health Virtual Care 24/7 - HMO
- Silver 10 Advanced: $0 PCP + Aetna network + $0 MinuteClinic + Adult Dental + Vision - HMO
- Silver 5 Advanced: Aetna network + $0 MinuteClinic + $0 CVS Health Virtual Care 24/7 - HMO
- Silver S: Aetna network + $0 MinuteClinic + $0 CVS Health Virtual Care 24/7 - HMO
- Silver S: Aetna network + $0 MinuteClinic + $0 CVS Health Virtual Care 24/7 + Adult Dental+Vision - HMO
- Blue Cross Select Gold - PPO
- Blue Cross Select Silver - PPO
- Blue HSA Bronze - PPO
- Blue Protect - PPO
- Blue Saver Bronze - PPO
- Blue Standardized Bronze - PPO
- Blue Standardized Gold - PPO
- Blue Standardized Silver - PPO
- Blue Value Gold - PPO
- Blue Value Silver - PPO
- Blue Access Gold for Business - PPO
- Blue Choice Platinum for Business - PPO
- Blue HSA Silver for Business - PPO
- Blue Saver Bronze for Business - PPO
- Blue Saver Gold for Business - PPO
- Blue Secure Gold for Business - PPO
- Blue Secure Silver for Business - PPO
- UHC Bronze Copay Focus $0 Indiv Med Ded ($0 Virtual Urgent Care, No Referrals) - EPO
- UHC Bronze Standard (No Referrals) - EPO
- UHC Bronze Value ($0 Virtual Urgent Care, $5 Tier 2 Rx, No Referrals) - EPO
- UHC Bronze Value+ ($0 Virtual Urgent Care, $5 Tier 2 Rx, Dental + Vision, No Referrals) - EPO
- UHC Gold Advantage ($0 Virtual Urgent Care, $3 Tier 2 Rx, No Referrals) - EPO
- UHC Gold Advantage+ ($0 Virtual Urgent Care, $3 Tier 2 Rx, Dental + Vision, No Referrals) - EPO
- UHC Gold Copay Focus $0 Indiv Med Ded ($0 Virtual Urgent Care, $3 Tier 2 Rx, No Referrals) - EPO
- UHC Gold Standard (No Referrals) - EPO
- UHC Silver Copay Focus $0 Indiv Med Ded ($0 Virtual Urgent Care, No Referrals) - EPO
- UHC Silver Copay Focus+ $0 Indiv Med Ded ($0 Virtual Urgent Care, Dental + Vision, No Referrals) - EPO
- UHC Silver Standard (No Referrals) - EPO
- UHC Silver Value ($0 Virtual Urgent Care, $2 Tier 2 Rx, No Referrals) - EPO
- UHC Silver Value+ ($0 Virtual Urgent Care, $2 Tier 2 Rx, Dental + Vision, No Referrals) - EPO
*Please verify directly with this provider to make sure your insurance plan is currently accepted.
Medicare Participation & PECOS Enrollment Status
Maria Aurora Sucgang is enrolled in PECOS and is eligible to order or refer health care services for Medicare patients. The provider is eligible to order or refer: Part B Clinical Laboratory and Imaging, Durable Medical Equipment (DME), a Home Health Agency (HHA) and Power Mobility Devices.
What is PECOS?
PECOS is the online Medicare enrollment management system or Provider, Enrollment, Chain and Ownership System. The PECOS system is a database of providers who have registered with CMS as providers or suppliers. PECOS is the primary source of information about verified Medicare professionals. Providers that want to participate in this program need to enroll in PECOS with their NPI number to avoid denied claims.
Is the provider registered in PECOS? Yes
Eligible to Order or Refer Part B Clinical Laboratory and Imaging: Yes
Eligible to Order or Refer Durable Medical Equipment (DMEPOS): Yes
Eligible to Order or Refer a Home Health Agency (HHA): Yes
Eligible to Order or Refer Power Mobility Devices: Yes
Physician Visit Costs
The pricing information below displays the copayment minimum, maximum and average amount that patients under Medicare are charged when visiting this provider as a new or established patient. Please keep in mind that these prices are just for reference purposes, and the actual prices charged by the provider might be different.
For patients covered under private health plans the prices below are also useful as healthcare pricing for private insurance is usually established as a function of Medicare prices. Private insurance covered patients should check their individual plans to determine the exact pricing.
The prices below reflect the costs for new and established patients in the 36330 ZIP code area.
New Patients Visit Costs *
The most utilized procedure code for new patients office visits is 99203
- Average New Patient Price $81.9
- Minimum New Patient Price $52.65
- Maximum New Patient Price $161.63
- Average New Patient Copayment $20.47
- Minimum New Patient Copayment $13.16
- Maximum New Patient Copayment $40.4
Established Patients Visit Costs *
The most utilized procedure code for established patients office visits is 99214
- Average Established Patient Price $93.72
- Minimum Established Patient Price $16.56
- Maximum Established Patient Price $131.65
- Average Established Patient Copayment $23.43
- Minimum Established Patient Copayment $4.14
- Maximum Established Patient Copayment $32.91
* The physician office visit costs information is generated by statistical analysis of similar providers in the same geographical area. The pricing information above IS NOT the amount charged by this provider.
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NPI Validation Check Digit Calculation
The following table explains the step by step NPI number validation process using the ISO standard Luhn algorithm.
| Start with the original NPI number, the last digit is the check digit and is not used in the calculation. | |||||||||
| 1 | 5 | 2 | 8 | 0 | 4 | 9 | 8 | 6 | 3 |
| Step 1: Double the value of the alternate digits, beginning with the rightmost digit. | |||||||||
| 2 | 5 | 4 | 8 | 0 | 4 | 18 | 8 | 12 | |
| Step 2: Add all the doubled and unaffected individual digits from step 1 plus the constant number 24. | |||||||||
| 2 + 5 + 4 + 8 + 0 + 4 + 1 + 8 + 8 + 1 + 2 + 24 = 67 | |||||||||
| Step 3: Subtract the total obtained in step 2 from the next higher number ending in zero, the result is the check digit. | |||||||||
| 70 - 67 = 3 | 3 | ||||||||
The NPI number 1528049863 is valid because the calculated check digit 3 using the Luhn validation algorithm matches the last digit of the original NPI number.
Other Providers at the Same Location
The following 18 providers are registered at the same or nearby location.
| NPI | Name / Type | Taxonomy | Address |
|---|---|---|---|
| 1780606426 | KATHLYN DIEFENDERFER MD Individual | Internal Medicine | 101 PROFESSIONAL LN ENTERPRISE, AL 36330 (334) 347-3404 |
| 1184647992 | DR. GABRUCE ALAN YOUNG MD Individual | Internal Medicine | 101 PROFESSIONAL LN ENTERPRISE, AL 36330 (334) 347-3404 |
| 1619026606 | HOUSTON COUNTY HEALTHCARE AUTHORITY Organization | Internal Medicine | 101 PROFESSIONAL LN ENTERPRISE, AL 36330 (334) 347-3404 |
| 1720232333 | MRS. VALERIE W COBB NP Individual | Nurse Practitioner (Family) | 101 PROFESSIONAL LN ENTERPRISE, AL 36330 (334) 347-3404 |
| 1871893883 | LUCIANNE H WIGGINS CRNP Individual | Nurse Practitioner (Family) | 101 PROFESSIONAL LN ENTERPRISE, AL 36330 (334) 347-3404 |
| 1538465323 | DERMATOLOGY ASSOCIATES OF DOTHAN, LLC Organization | Specialist | 101 PROFESSIONAL LN ENTERPRISE, AL 36330 (334) 347-3404 |
| 1336448836 | DERMATOLOGY ASSOCIATES OF BAY COUNTY, P.A. Organization | Dermatology | 101 PROFESSIONAL LN ENTERPRISE, AL 36330 (334) 347-3404 |
| 1134178668 | DR. WILLIAM E REYNOLDS JR. MD Individual | Internal Medicine | 101 PROFESSIONAL LN ENTERPRISE, AL 36330 (334) 347-3404 |
| 1134469620 | AMBER AMUSO WILLIAMS NP Individual | Nurse Practitioner (Family) | 101 PROFESSIONAL LN ENTERPRISE, AL 36330 (334) 347-3404 |
| 1801020029 | DR. JAMIE BLUDSWORTH JONES D.O. Individual | Internal Medicine | 101 PROFESSIONAL LN ENTERPRISE, AL 36330 (334) 347-3404 |
| 1134487580 | MARY LEONA WALCH PIPPIN M.D. Individual | Family Medicine | 101 PROFESSIONAL LN ENTERPRISE, AL 36330 (334) 347-3404 |
| 1922430602 | CAREY LAUREN HOLLOWAY DOUGLAS NP-C Individual | Nurse Practitioner (Family) | 101 PROFESSIONAL LN ENTERPRISE, AL 36330 (334) 347-3404 |
| 1396926515 | WYNDI T THOMPSON CRNP, DNP Individual | Nurse Practitioner | 101 PROFESSIONAL LN ENTERPRISE, AL 36330 (334) 347-3404 |
| 1609385293 | WHITNI MICHAEL RICHARD DO Individual | Family Medicine | 101 PROFESSIONAL LN ENTERPRISE, AL 36330 (334) 347-3404 |
| 1346431681 | DR. JULIE LYNNE SCOTT PHARMD Individual | Pharmacist (Pharmacist Clinician (PhC)/ Clinical Pharmacy Specialist) | 101 PROFESSIONAL LN ENTERPRISE, AL 36330 (334) 348-9200 |
| 1043500465 | MS. JULIE FRANCES HUGHES C.P.N.P. Individual | Nurse Practitioner (Pediatrics) | 101 PROFESSIONAL LN ENTERPRISE, AL 36330 (334) 393-7337 |
| 1285028928 | JESSICA JILL DUNN MSN, RN, FNP-C Individual | Nurse Practitioner (Family) | 101 PROFESSIONAL LN ENTERPRISE, AL 36330 (334) 347-3404 |
| 1235903170 | CHELSEA BROOK BRINCKS FNP Individual | Nurse Practitioner (Family) | 101 PROFESSIONAL LN ENTERPRISE, AL 36330 (334) 347-3404 |
Frequently Asked Questions
The NPI number assigned to this healthcare provider is 1528049863, enumerated in the NPI registry as an "individual" on November 11, 2005
The provider is located at 101 Professional Ln Enterprise, Al 36330 and the phone number is (334) 347-3404
The provider's speciality is Pediatrics with taxonomy code 208000000X
The provider might be accepting Accepts: Aetna CVS Health, Blue Cross and Blue Shield of. Please consult your insurance carrier or call the provider to make sure your health plan is currently accepted.
Yes, as of June 20, 2025 the provider is registered in PECOS and is eligible to order health care services or supplies for Medicare patients. If you are a beneficiary the provider is eligible to order or refer: Part B Clinical Laboratory and Imaging, Durable Medical Equipment (DME), a Home Health Agency (HHA) and Power Mobility Devices.
Medicare beneficiaries should expect a typical cost of $81.9 with an average copayment of $20.47 for new patient appointments. Established patients should expect a typical charge of $93.72 and an average copayment of 23.43. Please review your insurance plan or contact the provider directly to determine your specific costs.
This NPI record was last updated on November 11, 2005. To officially update your NPI information contact the National Plan and Provider Enumeration System (NPPES) at 1-800-465-3203 (NPI Toll-Free) or by email at [email protected].
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