Active NPI
Greggory Keith Peifer, D.O.
- Urology Physician
- Mesa, AZ
National Provider Identifier
1326420746
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Urology Physician
- License
- 008490
- Practice address
- 6116 E Arbor Ave Ste 108
Mesa, AZ 85206-6103 - Phone
- (480) 219-1010
- NPI assigned
- Jun 22, 2015
- Sex
- Male
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Urology Physician | 208800000X | 5101021915 | MI | |
| Urology Physician | 208800000X | 008490 | AZ | Primary |
Addresses
Primary practice location
6116 E Arbor Ave Ste 108
Mesa, AZ 85206-6103
Mailing address
6116 E Arbor Ave Ste 108
Mesa, AZ 85206-6103
Phone (480) 219-1010
Other practice location 1
1155 E Combs Rd Ste 105
Queen Creek, AZ 85140-1217
Phone (480) 219-1010
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
- Other, 2015
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Telehealth
- Offers telehealth services
- Group practices
Practice addresses (Care Compare)
6116 E Arbor Ave
Suite 108
Mesa, AZ 85206-6103
Phone (480) 219-1010
Hospital & facility affiliations
- Banner Baywood Medical Center
- Dignity Health Arizona General Hospital
- Banner Ironwood Medical Center
- Mercy Gilbert Medical Center
Merit-based Incentive Payment System (MIPS)
- Final score
- 90.58 of 100
- Quality
- 96.98
- Improvement activities
- 40
- Cost
- 72.6
Procedures performed for Medicare patients
| Procedure | Number of procedures |
|---|---|
| Prostate resection | 19 |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Osteopathy, Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 008490 | AZ | MD | Urology Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Western Radiation Oncology Inc | Past | Accepting new patients |
Organizations & group practices 2
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.
-
- Medical Specialty Clinic/Center
- Mesa, AZ
- NPI 1487193371
-
- Radiation Oncology Physician
- West Warwick, RI
- NPI 1881685527
Hospital & facility affiliations 12
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- General Acute Care Hospital
- Mesa, AZ
- NPI 1689121188
-
- General Acute Care Hospital
- Mesa, AZ
- NPI 1194758284
-
- General Acute Care Hospital
- Queen Creek, AZ
- NPI 1124341672
-
- 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": "1434931200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1622073600000",
"number": "1326420746",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "6116 E ARBOR AVE STE 108",
"city": "MESA",
"state": "AZ",
"postal_code": "852066103",
"telephone_number": "480-219-1010"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "6116 E ARBOR AVE STE 108",
"city": "MESA",
"state": "AZ",
"postal_code": "852066103",
"telephone_number": "480-219-1010"
}
],
"practiceLocations": [
{
"address_1": "1155 E Combs Rd Ste 105",
"address_purpose": "LOCATION",
"city": "Queen Creek",
"state": "AZ",
"postal_code": "851401217",
"country_code": "US",
"telephone_number": "480-219-1010",
"fax_number": "480-219-1771",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "PEIFER",
"first_name": "GREGGORY",
"middle_name": "KEITH",
"name_prefix": "Dr.",
"credential": "D.O.",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2015-06-22",
"last_updated": "2021-05-27",
"certification_date": "2021-05-27",
"status": "A"
},
"taxonomies": [
{
"code": "208800000X",
"taxonomy_group": "",
"desc": "Urology",
"state": "MI",
"license": "5101021915",
"primary": false
},
{
"code": "208800000X",
"taxonomy_group": "",
"desc": "Urology",
"state": "AZ",
"license": "008490",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Mesa, AZ
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 27, 2021; 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.