Individual provider Active NPI

Joshua James Gmyrek

  • Physician Assistant
  • Phoenix, AZ
National Provider Identifier
1215743927
Registry record updated Feb 24, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physician AssistantTaxonomy code 363A00000X
License
11465 Issued in AZ
Practice address
6901 E Chauncey LN
Phoenix, AZ 85054-5101
Phone
(612) 715-0793
NPI assigned
Dec 6, 2024
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Feb 24, 2026

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physician Assistant 363A00000X 11465 AZ Primary

Addresses

Primary practice location

6901 E Chauncey LN
Phoenix, AZ 85054-5101

Mailing address

6901 E Chauncey LN Apt 3137
Phoenix, AZ 85054-5144
Phone (612) 715-0793

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: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20260318001215 AZ Practitioner - Physician Assistant 0143704155 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Physician Assistant
Education
Other, 2025
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Banner Urgent Care Arizona LLCGroup PAC ID 3678749496, 47 clinicians

Practice addresses (Care Compare)

1676 E McMurray Blvd
Suite 1
Casa Grande, AZ 85122-4798
Phone (520) 316-0688

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
11465AZMDPhysician Assistant

Practice roles

OrganizationSpecialtyStatusNew patients
Banner Urgent Care Services, LLC CurrentSince Apr 1, 2026 Accepting new patients
Banner Urgent Care Arizona LLC CurrentSince Apr 1, 2026 Accepting new patients
Banner Urgent Care Arizona LLC CurrentSince Apr 1, 2026 Accepting new patients

Locations

1676 E McMurray Blvd
Ste 1
Casa Grande, AZ 85122
Phone (520) 316-0688

2950 S Alma School Rd
Ste 1
Chandler, AZ 85286
Phone (480) 821-2028

1908 E McKellips Rd
Mesa, AZ 85203
Phone (480) 827-5610

1955 W Guadalupe Rd
Ste 1
Mesa, AZ 85202
Phone (480) 207-2990

Organizations & group practices 4

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.

NPI Registry JSON

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

{
    "created_epoch": "1733443200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1771891200000",
    "number": "1215743927",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6901 E CHAUNCEY LN APT 3137",
            "city": "PHOENIX",
            "state": "AZ",
            "postal_code": "850545144",
            "telephone_number": "612-715-0793"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6901 E CHAUNCEY LN",
            "city": "PHOENIX",
            "state": "AZ",
            "postal_code": "850545101",
            "telephone_number": "612-715-0793"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GMYREK",
        "first_name": "JOSHUA",
        "middle_name": "JAMES",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2024-12-06",
        "last_updated": "2026-02-24",
        "certification_date": "2026-02-24",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "AZ",
            "license": "11465",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Phoenix, AZ

Sources for this page

Verify at the official NPI Registry.