Individual provider Active NPI

Ashay Vaidya, MD

  • Adult Medicine Physician
  • Gilbert, AZ
National Provider Identifier
1154995223
Registry record updated Dec 4, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Adult Medicine PhysicianTaxonomy code 207QA0505X
License
76831 Issued in AZ
Practice address
155 E Warner Rd
Gilbert, AZ 85296-3082
Phone
(480) 649-6600
Fax
(480) 649-6700
NPI assigned
May 13, 2021
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Dec 4, 2025

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Adult Medicine Physician 207QA0505X 76831 AZ Primary

Addresses

Primary practice location

155 E Warner Rd
Gilbert, AZ 85296-3082

Mailing address

155 E Warner Rd
Gilbert, AZ 85296-3082
Phone (480) 649-6600

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MI, AZ2 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 2

Enrollment IDStateProvider typePAC IDDetails
I20241016003380 MI Practitioner - Family Practice 4688077969 Reassigns benefits to 1 organization
I20250730000582 AZ Practitioner - Family Practice 4688077969 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Family Practice
Education
Southern Illinois University School of Medicine, 2021
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices

Practice addresses (Care Compare)

155 E Warner Rd
Gilbert, AZ 85296-3082
Phone (480) 649-6600

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
100 of 100Reported as apm
Quality
85.92
Promoting interoperability
100
Improvement activities
40

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
76831AZMDAdult Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Banner Primary Care Physicians Arizona LLC CurrentSince Aug 18, 2025 Accepting new patients
Banner Primary Care Physicians Arizona LLC CurrentSince Aug 18, 2025 Accepting new patients
Regents of the University of Michigan CurrentSince Sep 10, 2024 Accepting new patients
Banner Primary Care Physicians Arizona LLC Current Accepting new patients
Regents of the University of Michigan Family Medicine CurrentSince Sep 10, 2024 Accepting new patients

Locations

155 E Warner Rd
Gilbert, AZ 85296
Phone (480) 649-6600

13640 N Plaza del Rio Blvd
Peoria, AZ 85381
Phone (623) 876-3800

3621 S State St
Ann Arbor, MI 48108
Phone (734) 647-5229

14700 E Old US Highway 12
Chelsea, MI 48118
Phone (734) 475-1321

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.

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": "1620864000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1764806400000",
    "number": "1154995223",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "155 E WARNER RD",
            "city": "GILBERT",
            "state": "AZ",
            "postal_code": "852963082",
            "telephone_number": "480-649-6600",
            "fax_number": "480-649-6700"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "155 E WARNER RD",
            "city": "GILBERT",
            "state": "AZ",
            "postal_code": "852963082",
            "telephone_number": "480-649-6600",
            "fax_number": "480-649-6700"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "VAIDYA",
        "first_name": "ASHAY",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2021-05-13",
        "last_updated": "2025-12-04",
        "certification_date": "2025-12-04",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207QA0505X",
            "taxonomy_group": "",
            "desc": "Family Medicine, Adult Medicine",
            "state": "AZ",
            "license": "76831",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Gilbert, AZ

Sources for this page

Verify at the official NPI Registry.