Organization Active NPI

MGPP Medical PLLC

  • Internal Medicine Physician
  • Gilbert, AZ
National Provider Identifier
1235809583
Registry record updated Sep 17, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
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

Updated by the provider on Sep 17, 2021

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

Authorized official

Name
Hope Ijaola, MDNPI 1518120500
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)CodeLicenseStatePrimary
Internal Medicine PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 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

Enrollment IDStateProvider typePAC IDDetails
O20220207000279 AZ Part B Supplier - Clinic/Group Practice 6800289331 Receives reassigned benefits from 1 practitioner
Practice locations: Gilbert, AZ

National Provider Directory

National Provider Directory

Locations

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.

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.

Verify at the official NPI Registry.