NPIMap

Organization Active NPI

United Physicians Group LLC

  • Internal Medicine Physician
  • Phoenix, AZ
National Provider Identifier
1316336845
Registry record updated Nov 12, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
Legal business name
UNITED PHYSICIANS GROUP LLC
Practice address
20235 N Cave Creek Rd
Ste 104, #622
Phoenix, AZ 85024-4455
Phone
(602) 363-1116
NPI assigned
Jan 21, 2015
Last updated
Nov 12, 2020By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Nov 12, 2020

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

Authorized official

Name
Dr. James D Stewart, D.O.NPI 1285895920
Title
President
Phone
(602) 363-1116

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 2

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine Physician 207R00000X NU Primary
Hospitalist Physician 208M00000X 005591 AZ

Addresses

Primary practice location

20235 N Cave Creek Rd
Ste 104, #622
Phoenix, AZ 85024-4455

Mailing address

13462 W Jesse Red Dr
Peoria, AZ 85383-7904
Phone (023) 631-1166

Other practice location 1

13462 W Jesse Red Dr
Peoria, AZ 85383-7904
Phone (602) 363-1116

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in AZ

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20160720002996 AZ Part B Supplier - Clinic/Group Practice 9830482330 Receives reassigned benefits from 9 practitioners
Practice locations: Phoenix, AZ

National Provider Directory

National Provider Directory

Interoperability endpoints

  • FHIR API: https://api.platform.athenahealth.com/22543/brand/1/csg/1/fhir/r4

Practitioners & affiliated clinicians

Practitioners 9

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1421798400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1605139200000",
    "number": "1316336845",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "13462 W JESSE RED DR",
            "city": "PEORIA",
            "state": "AZ",
            "postal_code": "853837904",
            "telephone_number": "023-631-1166"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "20235 N CAVE CREEK RD",
            "address_2": "STE 104, #622",
            "city": "PHOENIX",
            "state": "AZ",
            "postal_code": "850244455",
            "telephone_number": "602-363-1116"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "13462 W Jesse Red Dr",
            "address_purpose": "LOCATION",
            "city": "Peoria",
            "state": "AZ",
            "postal_code": "853837904",
            "country_code": "US",
            "telephone_number": "602-363-1116",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "UNITED PHYSICIANS GROUP LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2015-01-21",
        "last_updated": "2020-11-12",
        "certification_date": "2020-11-10",
        "status": "A",
        "authorized_official_last_name": "STEWART",
        "authorized_official_first_name": "JAMES",
        "authorized_official_middle_name": "D",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "602-363-1116",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "D.O."
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "NU",
            "license": null,
            "primary": true
        },
        {
            "code": "208M00000X",
            "taxonomy_group": "",
            "desc": "Hospitalist",
            "state": "AZ",
            "license": "005591",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Phoenix, AZ

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 12, 2020; 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.