Individual provider Active NPI

Amish Sureshchandra Purohit, MD

  • Family Medicine Physician
  • Gilbert, AZ
National Provider Identifier
1053413286
Registry record updated Oct 24, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
U8906 Issued in TX
Practice address
161 E Rivulon Blvd Ste 210
Gilbert, AZ 85297-0035
Phone
(480) 494-2465
Fax
(480) 534-4087
NPI assigned
Sep 1, 2006
Last updated
Oct 24, 2025By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 24, 2025

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

Specialties & licenses 14

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine Physician 207Q00000X 78796 MN
Family Medicine Physician 207Q00000X MED-PHYS-139695 MT
Family Medicine Physician 207Q00000X 18052 ND
Family Medicine Physician 207Q00000X 17209 NV
Family Medicine Physician 207Q00000X 17093C WY
Family Medicine Physician 207Q00000X U8906 TX Primary
Family Medicine Physician 207Q00000X 35816 AZ
Family Medicine Physician 207Q00000X EMC0001633 MI
Family Medicine Physician 207Q00000X 42.0017921 VT
Family Medicine Physician 207Q00000X E-15169 AR
Family Medicine Physician 207Q00000X CDR.0001523 CO
Family Medicine Physician 207Q00000X 98592 GA
Family Medicine Physician 207Q00000X 295426 MA
Family Medicine Physician 207Q00000X 36163072 IL

Addresses

Primary practice location

161 E Rivulon Blvd Ste 210
Gilbert, AZ 85297-0035

Mailing address

161 E Rivulon Blvd Ste 210
Gilbert, AZ 85297-0087
Phone (480) 494-2465

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in AZ, IL, NV, VT, ND, GA, MT, WY8 enrollments
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 8

Enrollment IDStateProvider typePAC IDDetails
I20130603000591 AZ Practitioner - Family PracticePractitioner - Other (Physician) 1355347170 Reassigns benefits to 1 organization
I20230721002460 IL Practitioner - Family Practice 1355347170 Reassigns benefits to 1 organization
I20240208004505 NV Practitioner - Family Practice 1355347170 Reassigns benefits to 1 organization
I20240913003461 VT Practitioner - Family Practice 1355347170 Reassigns benefits to 1 organization
I20241217002974 ND Practitioner - Family Practice 1355347170 Reassigns benefits to 1 organization
I20250224001961 GA Practitioner - Family Practice 1355347170 Reassigns benefits to 1 organization
I20250407001722 MT Practitioner - Family Practice 1355347170 Reassigns benefits to 1 organization
I20250911001838 WY Practitioner - Family Practice 1355347170 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Family Practice
Education
Other, 2003
Medicare assignment
May accept Medicare assignment

Practice addresses (Care Compare)

161 E Rivulon Blvd
Suite 210
Gilbert, AZ 85297-0087

99 Hawley LN
Suite 1102
Stratford, CT 06614-1211

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
E-15169ARMDFamily Medicine Physician
CDR.0001523COMDFamily Medicine Physician
36163072ILMDFamily Medicine Physician
295426MAMDFamily Medicine Physician
EMC0001633MIMDFamily Medicine Physician
78796MNMDFamily Medicine Physician
MED-PHYS-139695MTMDFamily Medicine Physician
U8906TXMDFamily Medicine Physician
42.0017921VTMDFamily Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Aim Healthcare Providers, LLC Family Medicine CurrentSince Dec 1, 2020 Accepting new patients
Aim Healthcare Providers Ga, PC Family Medicine CurrentSince Oct 16, 2024 Accepting new patients
Aim Healthcare Providers Wy, LLC Family Medicine CurrentSince Sep 1, 2025 Accepting new patients
Aim Healthcare Providers VT, LLC Family Medicine CurrentSince Sep 6, 2024 Accepting new patients
Aim Healthcare Providers Mt, PLLC Family Medicine CurrentSince Jan 24, 2025 Accepting new patients
Aim Healthcare Providers Il, SC Family Medicine CurrentSince Jun 1, 2023 Accepting new patients
Aim Healthcare Providers North Dakota, PC Family Medicine CurrentSince Sep 28, 2024 Accepting new patients
Aim Healthcare Providers Mt, PLLC Family Medicine PastSince Feb 1, 2025 Accepting new patients
Aim Healthcare Providers Ga, PC Family Medicine PastSince Feb 1, 2025 Accepting new patients

Locations

161 E Rivulon Blvd
Ste 210
Gilbert, AZ 85297
Phone (480) 244-1724

40 W Baseline Rd
Ste 110
Tempe, AZ 85283
Phone 48049424654008

1230 Peachtree St NE
Ste 550
Atlanta, GA 30309

1901 Butterfield Rd
Ste 810
Downers Grove, IL 60515
Phone (484) 494-2465

2425 W Central Ave
Ste 203205
Missoula, MT 59801

2000 44th St S
Ste 201
Fargo, ND 58103

725 Community Dr
Ste 302
South Burlington, VT 05403

1621 Central Ave
Cheyenne, WY 82001
Phone (214) 984-1306

Organizations & group practices 10

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

NPI Registry JSON

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

{
    "created_epoch": "1157068800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1761264000000",
    "number": "1053413286",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "161 E RIVULON BLVD STE 210",
            "city": "GILBERT",
            "state": "AZ",
            "postal_code": "852970087",
            "telephone_number": "480-494-2465",
            "fax_number": "480-534-4087"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "161 E RIVULON BLVD STE 210",
            "city": "GILBERT",
            "state": "AZ",
            "postal_code": "852970035",
            "telephone_number": "480-494-2465",
            "fax_number": "480-534-4087"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PUROHIT",
        "first_name": "AMISH",
        "middle_name": "SURESHCHANDRA",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-09-01",
        "last_updated": "2025-10-24",
        "certification_date": "2025-10-24",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "MN",
            "license": "78796",
            "primary": false
        },
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "MT",
            "license": "MED-PHYS-139695",
            "primary": false
        },
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "ND",
            "license": "18052",
            "primary": false
        },
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "NV",
            "license": "17209",
            "primary": false
        },
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "WY",
            "license": "17093C",
            "primary": false
        },
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "TX",
            "license": "U8906",
            "primary": true
        },
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "AZ",
            "license": "35816",
            "primary": false
        },
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "MI",
            "license": "EMC0001633",
            "primary": false
        },
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "VT",
            "license": "42.0017921",
            "primary": false
        },
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "AR",
            "license": "E-15169",
            "primary": false
        },
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "CO",
            "license": "CDR.0001523",
            "primary": false
        },
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "GA",
            "license": "98592",
            "primary": false
        },
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "MA",
            "license": "295426",
            "primary": false
        },
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "IL",
            "license": "36163072",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Gilbert, AZ

Sources for this page

Verify at the official NPI Registry.