Individual provider Active NPI

Andri Gaukur Olafsson, M.D.

  • Surgery Physician
  • Queen Creek, AZ
National Provider Identifier
1023092632
Registry record updated Aug 14, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Surgery PhysicianTaxonomy code 208600000X
License
48782 Issued in AZ
Practice address
37100 N Gantzel Rd Ste 107
Queen Creek, AZ 85140-7350
Phone
(480) 394-4480
Fax
(480) 394-4521
NPI assigned
Dec 6, 2005
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 14, 2025

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Surgery Physician 208600000X 2005-01849 NC
Surgery Physician 208600000X 10369 NH
Surgery Physician 208600000X 48782 AZ Primary

Addresses

Primary practice location

37100 N Gantzel Rd Ste 107
Queen Creek, AZ 85140-7350

Mailing address

37100 N Gantzel Rd Ste 107
Queen Creek, AZ 85140-7350
Phone (804) 394-4480

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in AZ
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20140925001445 AZ Practitioner - General Surgery 3274569751 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
General Surgery
Education
Other, 1989
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices

Practice addresses (Care Compare)

120 E Main St
Suite a
Payson, AZ 85541-5618
Phone (928) 596-4700

3235 N Hunt Hwy
Suite 103
Florence, AZ 85132-6898
Phone (520) 233-2770

37100 N Gantzel Rd
Suite 107
San Tan Valley, AZ 85140-7350
Phone (480) 394-4480

37100 N Gantzel Rd
Suite 201
San Tan Valley, AZ 85140-7352
Phone (480) 394-4469

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
84.12 of 100Reported as group
Quality
76.35
Promoting interoperability
99
Improvement activities
40
Cost
71.55

Procedures performed for Medicare patients

ProcedureNumber of procedures
Colonoscopy63
Hernia repair (minimally invasive)22
Upper gastrointestinal (GI) endoscopy for acid reflux20
Removal or shaving of skin growth1-10

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
48782AZMDSurgery Physician
2005-01849NCMDSurgery Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Banner Physician Specialists Arizona LLC CurrentSince Jul 1, 2014 Accepting new patients
Banner Physician Specialists Arizona LLC CurrentSince Jul 1, 2014 Accepting new patients
Upper Connecticut Valley Hospital Association Past Accepting new patients

Locations

1435 S Alma School Rd
Chandler, AZ 85286
Phone (480) 668-1600

3235 N Hunt Hwy
Ste 103
Florence, AZ 85132
Phone (520) 233-2770

155 E Warner Rd
Gilbert, AZ 85296
Phone (480) 649-6600

1917 S Crismon Rd
Mesa, AZ 85209
Phone (480) 610-7100

120 E Main St
Ste A
Payson, AZ 85541
Phone (928) 474-9744

803 S Ponderosa St
Ste C
Payson, AZ 85541
Phone (855) 817-4687

9165 W Thunderbird Rd
Ste 200
Peoria, AZ 85381
Phone (623) 285-1120

21772 S Ellsworth Loop Rd
Queen Creek, AZ 85142
Phone (480) 512-3700

2474 E Hunt Hwy
Ste 10
San Tan Valley, AZ 85143
Phone (480) 543-6680

37100 N Gantzel Rd
Ste 107
San Tan Vly, AZ 85140
Phone (480) 394-4480

37100 N Gantzel Rd
Ste 201
San Tan Vly, AZ 85140
Phone (480) 394-4469

10401 W Thunderbird Blvd
Sun City, AZ 85351
Phone (623) 815-7690

Organizations & group practices 4

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

Hospital & facility affiliations 2

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1133827200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1755129600000",
    "number": "1023092632",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "37100 N GANTZEL RD STE 107",
            "city": "QUEEN CREEK",
            "state": "AZ",
            "postal_code": "851407350",
            "telephone_number": "804-394-4480",
            "fax_number": "804-394-4521"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "37100 N GANTZEL RD STE 107",
            "city": "QUEEN CREEK",
            "state": "AZ",
            "postal_code": "851407350",
            "telephone_number": "480-394-4480",
            "fax_number": "480-394-4521"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "OLAFSSON",
        "first_name": "ANDRI",
        "middle_name": "GAUKUR",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2005-12-06",
        "last_updated": "2025-08-14",
        "certification_date": "2025-07-28",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208600000X",
            "taxonomy_group": "",
            "desc": "Surgery",
            "state": "NC",
            "license": "2005-01849",
            "primary": false
        },
        {
            "code": "208600000X",
            "taxonomy_group": "",
            "desc": "Surgery",
            "state": "NH",
            "license": "10369",
            "primary": false
        },
        {
            "code": "208600000X",
            "taxonomy_group": "",
            "desc": "Surgery",
            "state": "AZ",
            "license": "48782",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Queen Creek, AZ

Sources for this page

Verify at the official NPI Registry.