Individual provider Active NPI

Sumita Gyawali, ARNP

  • Family Nurse Practitioner
  • Glendale, AZ
National Provider Identifier
1356001507
Registry record updated Aug 19, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
341615 Issued in AZ
Practice address
5859 W Talavi Blvd Ste 100
Glendale, AZ 85306-1870
Phone
(206) 303-8402
NPI assigned
Dec 28, 2021
Last updated
Aug 19, 2026By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Aug 19, 2026

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse Practitioner 363LF0000X 341615 AZ Primary

Addresses

Primary practice location

5859 W Talavi Blvd Ste 100
Glendale, AZ 85306-1870

Mailing address

5859 W Talavi Blvd Ste 100
Glendale, AZ 85306-1870
Phone (206) 303-8402

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in IA
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20220201000757 IA Practitioner - Nurse Practitioner 8527451202 Reassigns benefits to 3 organizations

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2021
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Central Iowa Hospital CorporationGroup PAC ID 1052229275, 233 clinicians
Trinity Regional Medical CenterGroup PAC ID 7315858529, 170 clinicians

Practice addresses (Care Compare)

1215 Pleasant St
Suite 414
Des Moines, IA 50309-1408
Phone (515) 241-5700

802 Kenyon Rd
Fort Dodge, IA 50501-5740
Phone (515) 573-3101

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
82.56 of 100Reported as group
Quality
83.65
Promoting interoperability
78
Improvement activities
40
Cost
76.53

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Nurse Practitioner

State licenses

LicenseStateTypeSpecialty
341615AZMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Central Iowa Hospital Corporation CurrentSince May 9, 2022 Accepting new patients
Trinity Regional Medical Center Multi-Specialty CurrentSince Jun 21, 2023 Accepting new patients
St Luke's Methodist Hospital Current Accepting new patients
Central Iowa Hospital Corporation Multi-Specialty CurrentSince May 9, 2022 Accepting new patients
Signify Health Medical Associates, PLLC Multi-Specialty CurrentSince Jan 5, 2026 Accepting new patients

Locations

1215 Duff Ave
Ames, IA 50010
Phone (515) 239-4400

410 NW Ash Dr
Ankeny, IA 50023
Phone (515) 964-1101

1215 Pleasant St
Ste 414
Des Moines, IA 50309
Phone (515) 241-5700

1301 Pennsylvania Ave
Ste 100
Des Moines, IA 50316
Phone (515) 263-2400

400 E Court Ave
Ste 110
Des Moines, IA 50309

802 Kenyon Rd
Fort Dodge, IA 50501
Phone (515) 574-6565

4055 Valley View Ln
Ste 400
Dallas, TX 75244
Phone (469) 466-7037

Interoperability endpoints

  • Direct secure messaging: sgyawali869532@direct.unitypoint.org

Organizations & group practices 5

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 4

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": "1640649600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1787097600000",
    "number": "1356001507",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5859 W TALAVI BLVD STE 100",
            "city": "GLENDALE",
            "state": "AZ",
            "postal_code": "853061870",
            "telephone_number": "206-303-8402"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5859 W TALAVI BLVD STE 100",
            "city": "GLENDALE",
            "state": "AZ",
            "postal_code": "853061870",
            "telephone_number": "206-303-8402"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GYAWALI",
        "first_name": "SUMITA",
        "credential": "ARNP",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2021-12-28",
        "last_updated": "2026-08-19",
        "certification_date": "2026-08-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "AZ",
            "license": "341615",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Glendale, AZ

Sources for this page

Verify at the official NPI Registry.