Organization Active NPI

Mountain View Headache and Spine Institute PLLC

  • Pain Medicine (Anesthesiology) Physician
  • Phoenix, AZ
National Provider Identifier
1356925960
Registry record updated Oct 3, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pain Medicine (Anesthesiology) PhysicianTaxonomy code 207LP2900X
Legal business name
MOUNTAIN VIEW HEADACHE AND SPINE INSTITUTE PLLC
Practice address
4729 E Union Hills Dr
Suite 111
Phoenix, AZ 85050-3390
Phone
(602) 767-0007
NPI assigned
May 10, 2021
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 3, 2025

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

Authorized official

Name
Ruchir Gupta, MDNPI 1265668453
Title
Owner / Ceo
Phone
(917) 443-1263

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
Pain Medicine (Anesthesiology) PhysicianGroup: 193200000X MULTI-SPECIALTY GROUP 207LP2900X Primary
Internal Medicine PhysicianGroup: 193200000X MULTI-SPECIALTY GROUP 207R00000X

Addresses

Primary practice location

4729 E Union Hills Dr
Suite 111
Phoenix, AZ 85050-3390

Mailing address

4729 E Union Hills Dr
Suite 111
Phoenix, AZ 85050-3390
Phone (602) 767-0007

Other practice location 1

7525 E Broadway Rd
Suite 3/4
Mesa, AZ 85208-2002
Phone (602) 767-0007

Other practice location 2

9159 W Thunderbird Rd
Peoria, AZ 85381-4910
Phone (602) 767-0007

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in AZ2 enrollments

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
O20210701003433 AZ Part B Supplier - Clinic/Group Practice 9830590439 Receives reassigned benefits from 25 practitioners
Practice locations: Phoenix, AZ; Sun City, AZ; Peoria, AZ
O20220225000836 AZ DME Supplier - Physician - AnesthesiologyDME Supplier - Physician - Interventional Pain Management 9830590439 Practice locations: Phoenix, AZ

Laboratory certificates & supplier records

Derived by NPIMap

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

CLIA numberLaboratoryCertificateExpires
03D2321080Mountain View Headache and Spine Institute, LLC4729 E Union Hills Dr Ste 111, Phoenix, AZ 85050Certificate of waiverMar 27, 2027

National Provider Directory

National Provider Directory

Locations

7525 E Broadway Rd
Ste 34
Mesa, AZ 85208
Phone (602) 767-0007

4105 N 20th St
Ste 260B
Phoenix, AZ 85016

4045 E Union Hills Dr
Bldg 1
Phoenix, AZ 85050

Practitioners & affiliated clinicians

Practitioners 25

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

View all 25

NPI Registry JSON

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

{
    "created_epoch": "1620604800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1759449600000",
    "number": "1356925960",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4729 E UNION HILLS DR",
            "address_2": "SUITE 111",
            "city": "PHOENIX",
            "state": "AZ",
            "postal_code": "850503390",
            "telephone_number": "602-767-0007",
            "fax_number": "602-767-0027"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4729 E UNION HILLS DR",
            "address_2": "SUITE 111",
            "city": "PHOENIX",
            "state": "AZ",
            "postal_code": "850503390",
            "telephone_number": "602-767-0007"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "7525 E Broadway Rd",
            "address_2": "Suite 3/4",
            "address_purpose": "LOCATION",
            "city": "Mesa",
            "state": "AZ",
            "postal_code": "852082002",
            "country_code": "US",
            "telephone_number": "602-767-0007",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "9159 W Thunderbird Rd",
            "address_purpose": "LOCATION",
            "city": "Peoria",
            "state": "AZ",
            "postal_code": "853814910",
            "country_code": "US",
            "telephone_number": "602-767-0007",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "MOUNTAIN VIEW HEADACHE AND SPINE INSTITUTE PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2021-05-10",
        "last_updated": "2025-10-03",
        "certification_date": "2025-10-03",
        "status": "A",
        "authorized_official_last_name": "GUPTA",
        "authorized_official_first_name": "RUCHIR",
        "authorized_official_title_or_position": "OWNER / CEO",
        "authorized_official_telephone_number": "917-443-1263",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207LP2900X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Anesthesiology, Pain Medicine",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "207R00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Internal Medicine",
            "state": null,
            "license": null,
            "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 Oct 3, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • 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.

Verify at the official NPI Registry.