Active NPI
Advanced Care Gastro LLC
- Gastroenterology Physician
- Paradise Valley, AZ
National Provider Identifier
1043136005
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Gastroenterology Physician
- Legal business name
- ADVANCED CARE GASTRO LLC
- Practice address
- 5105 E Valle Vista Way
Paradise Valley, AZ 85253-5152 - Phone
- (480) 650-2168
- NPI assigned
- Jun 25, 2026
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Dr. Mohammad Naeemullah Khan, MD
- Title
- President
- Phone
- (480) 650-2168
Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Gastroenterology Physician | 207RG0100X | Primary |
Addresses
Primary practice location
5105 E Valle Vista Way
Paradise Valley, AZ 85253-5152
Mailing address
5105 E Valle Vista Way
Paradise Valley, AZ 85253-5152
Phone (480) 650-2168
National Provider Directory
National Provider DirectoryPractitioners & affiliated clinicians
Practitioners 1
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
-
- Gastroenterology Physician
- Oxnard, CA
- NPI 1295778215
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1782345600000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1782345600000",
"number": "1043136005",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "5105 E VALLE VISTA WAY",
"city": "PARADISE VALLEY",
"state": "AZ",
"postal_code": "852535152",
"telephone_number": "480-650-2168"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "5105 E VALLE VISTA WAY",
"city": "PARADISE VALLEY",
"state": "AZ",
"postal_code": "852535152",
"telephone_number": "480-650-2168"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "ADVANCED CARE GASTRO LLC",
"organizational_subpart": "NO",
"enumeration_date": "2026-06-25",
"last_updated": "2026-06-25",
"certification_date": "2026-06-25",
"status": "A",
"authorized_official_last_name": "KHAN",
"authorized_official_first_name": "MOHAMMAD",
"authorized_official_middle_name": "NAEEMULLAH",
"authorized_official_title_or_position": "PRESIDENT",
"authorized_official_telephone_number": "480-650-2168",
"authorized_official_name_prefix": "Dr.",
"authorized_official_credential": "MD"
},
"taxonomies": [
{
"code": "207RG0100X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Internal Medicine, Gastroenterology",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Paradise Valley, AZ
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 25, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.