Individual provider Active NPI

James A Gunn, M.D.

  • Family Medicine Physician
  • Mesa, AZ
National Provider Identifier
1255643680
Registry record updated Jun 21, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
47378 Issued in AZ
Practice address
1425 S Greenfield Rd Ste 101
Mesa, AZ 85206-5505
Phone
(480) 964-5800
Fax
(480) 644-1372
NPI assigned
Jul 14, 2010
Last updated
Jun 21, 2022By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 21, 2022

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine Physician 207Q00000X 47378 AZ Primary

Addresses

Primary practice location

1425 S Greenfield Rd Ste 101
Mesa, AZ 85206-5505

Mailing address

1425 S Greenfield Rd Ste 101
Mesa, AZ 85206-5505
Phone (480) 964-5800

Other identifiers 1

IdentifierTypeStateIssuer
1255643680MedicaidIA

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: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20130830000307 AZ Practitioner - Family Practice 5496906927 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Family Practice
Education
Other, 2010
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Mesa Family Physicians, PLCGroup PAC ID 1456336320, 8 clinicians

Practice addresses (Care Compare)

1425 S Greenfield Rd
Suite 101
Mesa, AZ 85206-5505
Phone (701) 235-9624

Hospital & facility affiliations

Procedures performed for Medicare patients

ProcedureNumber of procedures
Removal of skin lesions28

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
47378AZMDFamily Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Mesa Family Physicians, PLC Family Medicine CurrentSince Aug 12, 2013 Accepting new patients

Locations

2550 E Guadalupe Rd
Ste 107
Gilbert, AZ 85234
Phone (480) 590-2783

1425 S Greenfield Rd
Ste 101
Mesa, AZ 85206
Phone (480) 964-5800

1440 S Country Club Dr
Ste 30
Mesa, AZ 85210
Phone (480) 505-0500

Interoperability endpoints

  • Direct secure messaging: mesafamilyphysicians.jamesgunn@117858.advancedmd-direct.com

Organizations & group practices 1

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

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": "1279065600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1655769600000",
    "number": "1255643680",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1425 S GREENFIELD RD STE 101",
            "city": "MESA",
            "state": "AZ",
            "postal_code": "852065505",
            "telephone_number": "480-964-5800",
            "fax_number": "480-644-1372"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1425 S GREENFIELD RD STE 101",
            "city": "MESA",
            "state": "AZ",
            "postal_code": "852065505",
            "telephone_number": "480-964-5800",
            "fax_number": "480-644-1372"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GUNN",
        "first_name": "JAMES",
        "middle_name": "A",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2010-07-14",
        "last_updated": "2022-06-21",
        "certification_date": "2022-06-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "AZ",
            "license": "47378",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1255643680",
            "state": "IA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Mesa, AZ

Sources for this page

Verify at the official NPI Registry.