Active NPI
MGPP Medical PLLC
- Internal Medicine Physician
- Gilbert, AZ
National Provider Identifier
1235809583
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Internal Medicine Physician
- Legal business name
- MGPP MEDICAL PLLC
- Practice address
- 1720 E Boston St Ste 104
Gilbert, AZ 85295-6227 - Phone
- (480) 745-3705
- Fax
- (480) 745-3709
- NPI assigned
- Sep 17, 2021
- 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
- Hope Ijaola, MD
- Title
- Physician /Owner
- Phone
- (480) 862-9197
Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Internal Medicine Physician | 207R00000X | Primary |
Addresses
Primary practice location
1720 E Boston St Ste 104
Gilbert, AZ 85295-6227
Mailing address
1720 E Boston St Ste 104
Gilbert, AZ 85295-6227
Phone (480) 745-3705
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in AZ
Enrollment records 1
National Provider Directory
National Provider DirectoryLocations
1720 E Boston St
Ste 104
Gilbert, AZ 85295
Phone (480) 745-3705
Practitioners & affiliated clinicians
Practitioners 1
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
-
- Internal Medicine Physician
- Gilbert, AZ
- NPI 1518120500
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1631836800000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1631836800000",
"number": "1235809583",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1720 E BOSTON ST STE 104",
"city": "GILBERT",
"state": "AZ",
"postal_code": "852956227",
"telephone_number": "480-745-3705",
"fax_number": "480-745-3709"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1720 E BOSTON ST STE 104",
"city": "GILBERT",
"state": "AZ",
"postal_code": "852956227",
"telephone_number": "480-745-3705",
"fax_number": "480-745-3709"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "MGPP MEDICAL PLLC",
"organizational_subpart": "NO",
"enumeration_date": "2021-09-17",
"last_updated": "2021-09-17",
"certification_date": "2021-09-17",
"status": "A",
"authorized_official_last_name": "IJAOLA",
"authorized_official_first_name": "HOPE",
"authorized_official_title_or_position": "PHYSICIAN /OWNER",
"authorized_official_telephone_number": "480-862-9197",
"authorized_official_credential": "MD"
},
"taxonomies": [
{
"code": "207R00000X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Internal Medicine",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Gilbert, AZ
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 17, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.