Active NPI
Deven S Gujrathi, MD
- Otolaryngology Physician
- Yuma, AZ
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Otolaryngology Physician
- License
- 29849
- Practice address
- 2680 S Avenue B
Yuma, AZ 85364 - Phone
- (928) 336-1476
- Fax
- (928) 336-9622
- NPI assigned
- Jun 9, 2005
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Otolaryngology Physician | 207Y00000X | 29849 | AZ | Primary |
Addresses
Primary practice location
2680 S Avenue B
Yuma, AZ 85364
Mailing address
2400 S Avenue a
Yuma, AZ 85364-7127
Phone (928) 344-2000
Other practice location 1
9250 N 3rd St Ste 2025
Phoenix, AZ 85020-2404
Phone (602) 944-3311
Other identifiers 2
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1154325876 | Other | AZ | NPI |
| Z71626 | Other | AZ | PTAN |
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
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Otolaryngology
- Education
- Other, 1991
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
2400 S Ave a
Yuma, AZ 85364-7127
Phone (928) 344-2000
2680 S Ave B
Yuma, AZ 85364-6901
Phone (928) 336-1476
Hospital & facility affiliations
- Yuma Regional Medical Center
Procedures performed for Medicare patients
| Procedure | Number of procedures |
|---|---|
| Upper gastrointestinal (GI) endoscopy for acid reflux | 1-10 |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 29849 | AZ | MD | Otolaryngology Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Yuma Regional Medical Center | Current | Accepting new patients | |
| Yuma Regional Medical Center | Current | Accepting new patients | |
| Valley ENT, PC | Otolaryngology | Past | Accepting new patients |
| Arizona Otolaryngology Consultants, PC | Specialist | Past | Accepting new patients |
Locations
2680 S Avenue B
Yuma, AZ 85364
Phone (928) 336-1476
2400 S Avenue A
Yuma, AZ 85364
Phone (928) 336-7100
2851 S Avenue B
Bldg 25
Yuma, AZ 85364
Phone (928) 336-7020
Organizations & group practices 5
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.
-
- General Acute Care Hospital
- Yuma, AZ
- NPI 1194706655
-
- Otolaryngology Physician
- Phoenix, AZ
- NPI 1235120411
-
- General Practice Physician
- Yuma, AZ
- NPI 1598993420
-
- Specialist
- Phoenix, AZ
- NPI 1679538441
-
- Otolaryngology Physician
- Scottsdale, AZ
- NPI 1508990185
Hospital & facility affiliations 1
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- General Acute Care Hospital
- Yuma, AZ
- NPI 1194706655
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1118275200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1733702400000",
"number": "1154325876",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2400 S AVENUE A",
"city": "YUMA",
"state": "AZ",
"postal_code": "853647127",
"telephone_number": "928-344-2000"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2680 S AVENUE B",
"city": "YUMA",
"state": "AZ",
"postal_code": "85364",
"telephone_number": "928-336-1476",
"fax_number": "928-336-9622"
}
],
"practiceLocations": [
{
"address_1": "9250 N 3rd St Ste 2025",
"address_purpose": "LOCATION",
"city": "Phoenix",
"state": "AZ",
"postal_code": "850202404",
"country_code": "US",
"telephone_number": "602-944-3311",
"fax_number": "602-944-1968",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "GUJRATHI",
"first_name": "DEVEN",
"middle_name": "S",
"credential": "MD",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2005-06-09",
"last_updated": "2024-12-09",
"certification_date": "2024-12-09",
"status": "A"
},
"taxonomies": [
{
"code": "207Y00000X",
"taxonomy_group": "",
"desc": "Otolaryngology",
"state": "AZ",
"license": "29849",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "NPI",
"identifier": "1154325876",
"state": "AZ"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "PTAN",
"identifier": "Z71626",
"state": "AZ"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Yuma, AZ
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 9, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.