Active NPI
Antoine Ghorayeb, DO
- Urology Physician
- Gilbert, AZ
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Urology Physician
- License
- 010394
- Practice address
- 2730 S Val Vista Dr Ste 177
Gilbert, AZ 85295-1683 - Phone
- (480) 394-0200
- NPI assigned
- Mar 21, 2018
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Urology Physician | 208800000X | 010394 | AZ | Primary |
Addresses
Primary practice location
2730 S Val Vista Dr Ste 177
Gilbert, AZ 85295-1683
Mailing address
2730 S Val Vista Dr Ste 177
Gilbert, AZ 85295-1683
Other practice location 1
1653 W Congress Pkwy
Chicago, IL 60612-3833
Phone (312) 942-5000
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
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Urology
- Education
- Arizona College of Osteopathic Medicine Mid Western University, 2018
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Telehealth
- Offers telehealth services
- Group practices
Practice addresses (Care Compare)
36493 N Gantzel Rd
Suite 100
San Tan Valley, AZ 85140-7345
Phone (480) 394-0200
Hospital & facility affiliations
- Chandler Regional Medical Center
- Banner Desert Medical Center
- Mercy Gilbert Medical Center
- Banner Ocotillo Medical Center
Procedures performed for Medicare patients
| Procedure | Number of procedures |
|---|---|
| Prostate resection | 1-10 |
| Removal of tissue | 1-10 |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Osteopathy
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Arizona State Urological Institute LLC | Urology | Current | Accepting new patients |
Locations
1445 W Chandler Blvd
Ste A5
Chandler, AZ 85224
Phone (480) 360-4009
2730 S Val Vista Dr
Ste 177
Gilbert, AZ 85295
Phone (480) 504-0127
36493 N Gantzel Rd
Ste 100
San Tan Valley, AZ 85140
Interoperability endpoints
- antoine.ghorayeb@363.securemail.prognocis.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 and National Provider Directory roles.
-
- Urology Physician
- Gilbert, AZ
- NPI 1144231895
Hospital & facility affiliations 4
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- General Acute Care Hospital
- Mesa, AZ
- NPI 1720011810
-
- General Acute Care Hospital
- Chandler, AZ
- NPI 1972139004
-
- General Acute Care Hospital
- Chandler, AZ
- NPI 1700910189
-
- General Acute Care Hospital
- Gilbert, AZ
- NPI 1992735088
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1521590400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1695686400000",
"number": "1255835526",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2730 S VAL VISTA DR STE 177",
"city": "GILBERT",
"state": "AZ",
"postal_code": "852951683"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2730 S VAL VISTA DR STE 177",
"city": "GILBERT",
"state": "AZ",
"postal_code": "852951683",
"telephone_number": "480-394-0200"
}
],
"practiceLocations": [
{
"address_1": "1653 W Congress Pkwy",
"address_purpose": "LOCATION",
"city": "Chicago",
"state": "IL",
"postal_code": "606123833",
"country_code": "US",
"telephone_number": "312-942-5000",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "GHORAYEB",
"first_name": "ANTOINE",
"credential": "DO",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2018-03-21",
"last_updated": "2023-09-26",
"certification_date": "2023-09-26",
"status": "A"
},
"taxonomies": [
{
"code": "208800000X",
"taxonomy_group": "",
"desc": "Urology",
"state": "AZ",
"license": "010394",
"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 26, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.