NPIMap

Organization Active NPI

Excelcare Medical Practice

  • Internal Medicine Physician
  • Gilbert, AZ
National Provider Identifier
1063972925
Registry record updated May 7, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
Legal business name
EXCELCARE MEDICAL PRACTICE
Practice address
1027 W Calypso CT
Gilbert, AZ 85233-6769
Phone
(651) 246-7242
Fax
(855) 450-1054
NPI assigned
Mar 25, 2019
Organization subpart
No

NPPES NPI Registry

Updated by the provider on May 7, 2021

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

Authorized official

Name
Anthony Aghenta, MDNPI 1316084130
Title
Owner
Phone
(651) 246-7242

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)CodeLicenseStatePrimary
Internal Medicine PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 207R00000X Primary

Addresses

Primary practice location

1027 W Calypso CT
Gilbert, AZ 85233-6769

Mailing address

1027 W Calypso CT
Gilbert, AZ 85233-6769
Phone (480) 935-8855

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1553472000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1620345600000",
    "number": "1063972925",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1027 W CALYPSO CT",
            "city": "GILBERT",
            "state": "AZ",
            "postal_code": "852336769",
            "telephone_number": "480-935-8855",
            "fax_number": "855-450-1054"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1027 W CALYPSO CT",
            "city": "GILBERT",
            "state": "AZ",
            "postal_code": "852336769",
            "telephone_number": "651-246-7242",
            "fax_number": "855-450-1054"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "EXCELCARE MEDICAL PRACTICE",
        "organizational_subpart": "NO",
        "enumeration_date": "2019-03-25",
        "last_updated": "2021-05-07",
        "certification_date": "2021-05-07",
        "status": "A",
        "authorized_official_last_name": "AGHENTA",
        "authorized_official_first_name": "ANTHONY",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "651-246-7242",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Internal Medicine",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Gilbert, AZ

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 7, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.