Active NPI
Peak Health Medical Group LLC
- Rural Health Clinic/Center
- Payson, AZ
National Provider Identifier
1164315560
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Rural Health Clinic/Center
- Legal business name
- PEAK HEALTH MEDICAL GROUP LLC
- Practice address
- 127 E Main St Ste a
Payson, AZ 85541-5646 - Phone
- (928) 492-9222
- NPI assigned
- Jun 2, 2025
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Chika Ugorji, MD
- Title
- Administrator/Cfo
- Phone
- (928) 951-0395
Specialties & licenses 8
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Dermatology Physician | 207N00000X | |||
| MOHS-Micrographic Surgery Physician | 207ND0101X | |||
| Pediatric Dermatology Physician | 207NP0225X | |||
| Family Medicine Physician | 207Q00000X | |||
| Pediatrics Physician | 208000000X | |||
| Rural Health Clinic/Center | 261QR1300X | Primary | ||
| Nurse Practitioner | 363L00000X | |||
| Family Nurse Practitioner | 363LF0000X |
Addresses
Primary practice location
127 E Main St Ste a
Payson, AZ 85541-5646
Mailing address
13921 W Grand Ave BLDG E
Surprise, AZ 85374-2439
Phone (904) 994-4532
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
Rural health clinic certification: CCN 033856
Name & address match This certification has no NPI in the Medicare enrollment files. CMS publishes enrollment files for six facility types only, so it was connected to this NPI by matching the name and address CMS publishes for it.
- Legal name
- PEAK HEALTH MEDICAL GROUP LLC
- Certification status
- Active
- Provider type (POS)
- Rural health clinic
- Participating since
- Apr 24, 2026
- Last certification
- Apr 24, 2026
- Ownership / control type
- 1C
- Facility address
- 127 East Main Street Suite a
Payson, AZ 85541
National Provider Directory
National Provider Directory- Tax ID family
- Peak Health Medical Group
Other organizations with this tax ID 1
Organizations that report the same tax identification number in the National Provider Directory.
-
- Family Medicine Physician
- Payson, AZ
- NPI 1518787100
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1748822400000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1783987200000",
"number": "1164315560",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "13921 W GRAND AVE BLDG E",
"city": "SURPRISE",
"state": "AZ",
"postal_code": "853742439",
"telephone_number": "904-994-4532"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "127 E MAIN ST STE A",
"city": "PAYSON",
"state": "AZ",
"postal_code": "855415646",
"telephone_number": "928-492-9222"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "PEAK HEALTH MEDICAL GROUP LLC",
"organizational_subpart": "NO",
"enumeration_date": "2025-06-02",
"last_updated": "2026-07-14",
"certification_date": "2026-07-14",
"status": "A",
"authorized_official_last_name": "UGORJI",
"authorized_official_first_name": "CHIKA",
"authorized_official_title_or_position": "ADMINISTRATOR/CFO",
"authorized_official_telephone_number": "928-951-0395",
"authorized_official_credential": "MD"
},
"taxonomies": [
{
"code": "207N00000X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Dermatology",
"state": null,
"license": null,
"primary": false
},
{
"code": "207ND0101X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Dermatology, MOHS-Micrographic Surgery",
"state": null,
"license": null,
"primary": false
},
{
"code": "207NP0225X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Dermatology, Pediatric Dermatology",
"state": null,
"license": null,
"primary": false
},
{
"code": "207Q00000X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Family Medicine",
"state": null,
"license": null,
"primary": false
},
{
"code": "208000000X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Pediatrics",
"state": null,
"license": null,
"primary": false
},
{
"code": "261QR1300X",
"taxonomy_group": "",
"desc": "Clinic/Center, Rural Health",
"state": null,
"license": null,
"primary": true
},
{
"code": "363L00000X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Nurse Practitioner",
"state": null,
"license": null,
"primary": false
},
{
"code": "363LF0000X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Nurse Practitioner, Family",
"state": null,
"license": null,
"primary": false
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Payson, AZ
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 14, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; facility enrollments, owners and changes of ownership; Provider of Services certification data.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.