Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
NPIDirectory

Susan Passalaqua, MD

Individual provider Diagnostic Radiology Physician · NPI 1891784880

Susan Passalaqua, MD is a Diagnostic Radiology in Gilbert, Arizona. Graduated from Medical College of Ohio in 1996, 30 years ago. Practices with Glacial Ridge Hospital District, a 69-clinician group and accepts Medicare assignment. Licensed in Arizona.

Years since qualifying
30
Trained at
Medical College of Ohio
Licensed in
AZ
In the registry since
2005
What do these letters mean?
MD — Doctor of Medicine
A physician who completed allopathic medical school.

See every abbreviation used in this directory →

Claim this listing Report a problem Suggest an edit

Practice location Address checks out

2946 E Banner Gateway Dr
Gilbert, AZ 85234
Phone: (480) 256-6444
Fax: (480) 256-4683
Show map & directions

Directions in Google Maps · Apple Maps · OpenStreetMap

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Diagnostic Radiology Physician (primary) Taxonomy 2085R0202X · Licence 32391 (AZ)

Record details

NPI number1891784880
Entity typeIndividual (Type 1)
GenderFemale
Credentials MD
Sole proprietorNo
NPI enumeratedOctober 21, 2005
Last updated in NPPESJanuary 21, 2015
Mailing address2940 E Banner Gateway Dr. Ste 450, Gilbert, AZ 85234

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyDIAGNOSTIC RADIOLOGY
Medical schoolMEDICAL COLLEGE OF OHIO
Graduated 1996 (30 years in practice)
Group practice Glacial Ridge Hospital District — 69 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
Practice locations14 on file with Medicare

Other providers in Gilbert