Individual provider Active NPI

Sanjay Ahluwalia, M.D.

  • Gastroenterology Physician
  • Chandler, AZ
National Provider Identifier
1104807882
Registry record updated Mar 7, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Gastroenterology PhysicianTaxonomy code 207RG0100X
License
30933 Issued in AZ
Practice address
2971 W Elliot Rd
Suite 3
Chandler, AZ 85224-1636
Phone
(480) 733-5483
Fax
(480) 659-8366
NPI assigned
Nov 9, 2005
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 7, 2023

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Gastroenterology Physician 207RG0100X 30933 AZ Primary

Addresses

Primary practice location

2971 W Elliot Rd
Suite 3
Chandler, AZ 85224-1636

Mailing address

2971 W Elliot Rd
Suite 3
Chandler, AZ 85224-1636
Phone (480) 733-5483

Other identifiers 1

IdentifierTypeStateIssuer
747511MedicaidAZ

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
I20100618000303 AZ Practitioner - Gastroenterology 7719033133 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Gastroenterology
Education
Other, 1988
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Arizona Gastrointestinal Associates PLCGroup PAC ID 6901054014, 36 clinicians

Practice addresses (Care Compare)

2971 W Elliot Rd
Suite 3
Chandler, AZ 85224-1636
Phone (480) 733-5483

Hospital & facility affiliations

Procedures performed for Medicare patients

ProcedureNumber of procedures
Colonoscopy149
Upper gastrointestinal (GI) endoscopy for acid reflux79

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
30933AZMDGastroenterology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Arizona Gastrointestinal Associates, PLC Gastroenterology CurrentSince Aug 26, 2016 Accepting new patients

Locations

2971 W Elliot Rd
Ste 3
Chandler, AZ 85224
Phone (480) 733-0500

1900 N Higley Rd
Gilbert, AZ 85234
Phone (480) 543-2000

5111 N Scottsdale Rd
Ste 108
Scottsdale, AZ 85250
Phone (480) 219-6662

8761 E Bell Rd
Ste 105
Scottsdale, AZ 85260
Phone (480) 219-6662

5111 N Scottsdale Rd
Ste 1
Scottsdale, AZ 85250

Interoperability endpoints

  • Direct secure messaging: advgaga@directaddress.net

Organizations & group practices 1

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 1

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": "1131494400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1678147200000",
    "number": "1104807882",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2971 W ELLIOT RD",
            "address_2": "SUITE 3",
            "city": "CHANDLER",
            "state": "AZ",
            "postal_code": "852241636",
            "telephone_number": "480-733-5483",
            "fax_number": "480-659-8366"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2971 W ELLIOT RD",
            "address_2": "SUITE 3",
            "city": "CHANDLER",
            "state": "AZ",
            "postal_code": "852241636",
            "telephone_number": "480-733-5483",
            "fax_number": "480-659-8366"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "AHLUWALIA",
        "first_name": "SANJAY",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2005-11-09",
        "last_updated": "2023-03-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207RG0100X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Gastroenterology",
            "state": "AZ",
            "license": "30933",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "747511",
            "state": "AZ"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Chandler, AZ

Sources for this page

Verify at the official NPI Registry.