Individual provider Active NPI

Andrew S Ma, M.D.

  • Gastroenterology Physician
  • Chandler, AZ
National Provider Identifier
1477085041
Registry record updated Aug 16, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Gastroenterology PhysicianTaxonomy code 207RG0100X
License
73037 Issued in AZ
Practice address
875 S Dobson Rd Ste 1
Chandler, AZ 85224-5720
Phone
(480) 899-9800
NPI assigned
Apr 1, 2017
Last updated
Aug 16, 2024By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 16, 2024

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine Physician 207R00000X D0089181 MD
Student in an Organized Health Care Education/Training Program 390200000X
Gastroenterology Physician 207RG0100X 73037 AZ Primary

Addresses

Primary practice location

875 S Dobson Rd Ste 1
Chandler, AZ 85224-5720

Mailing address

875 S Dobson Rd Ste 1
Chandler, AZ 85224-5720
Phone (480) 899-9800

Other practice location 1

3591 S Mercy Rd Ste 303
Gilbert, AZ 85297-3301
Phone (480) 782-5005

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MD, AZ2 enrollments
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
I20200813001744 MD Practitioner - Internal Medicine 0143595827 Reassigns benefits to 2 organizations
I20240812002188 AZ Practitioner - Internal Medicine 0143595827 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Internal Medicine
Education
New York University School of Medicine, 2017
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Southeast Valley Gastroenterology Consultants, P.C.Group PAC ID 9436142270, 32 clinicians

Practice addresses (Care Compare)

875 S Dobson Rd
Chandler, AZ 85224-5710
Phone (480) 899-9800

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
95.75 of 100Reported as group
Promoting interoperability
95
Improvement activities
40

Procedures performed for Medicare patients

ProcedureNumber of procedures
Colonoscopy161
Upper gastrointestinal (GI) endoscopy for acid reflux146

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
D0089181MDMDInternal Medicine Physician
73037AZMDGastroenterology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Southeast Valley Gastroenterology Consultants, P.C. Gastroenterology CurrentSince Jul 1, 2024 Accepting new patients
St Paul Place Specialists Inc CurrentSince Jul 17, 2023 Accepting new patients
Maryland Family Care, Inc. Internal Medicine CurrentSince Jul 16, 2020 Accepting new patients
St. Paul Place Specialists , Inc. CurrentSince Jul 17, 2023 Accepting new patients
St. Paul Place Specialists, Inc. Current Accepting new patients
Saint Paul Place Specialists, Inc. Past Accepting new patients
Southeast Valley Endoscopy Center,LLC PastSince Aug 18, 2024 Accepting new patients

Locations

875 S Dobson Rd
Chandler, AZ 85224
Phone (480) 899-9800

875 S Dobson Rd
Ste 1
Chandler, AZ 85224
Phone (480) 899-8900

3591 S Mercy Rd
Ste 303
Gilbert, AZ 85297
Phone (480) 782-5005

301 Saint Paul St
Baltimore, MD 21202
Phone (410) 385-4930

7602 Belair Rd
Nottingham, MD 21236
Phone (410) 332-9654

Organizations & group practices 7

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 1

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": "1491004800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1723766400000",
    "number": "1477085041",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "875 S DOBSON RD STE 1",
            "city": "CHANDLER",
            "state": "AZ",
            "postal_code": "852245720",
            "telephone_number": "480-899-9800"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "875 S DOBSON RD STE 1",
            "city": "CHANDLER",
            "state": "AZ",
            "postal_code": "852245720",
            "telephone_number": "480-899-9800"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "3591 S Mercy Rd Ste 303",
            "address_purpose": "LOCATION",
            "city": "Gilbert",
            "state": "AZ",
            "postal_code": "852973301",
            "country_code": "US",
            "telephone_number": "480-782-5005",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "MA",
        "first_name": "ANDREW",
        "middle_name": "S",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2017-04-01",
        "last_updated": "2024-08-16",
        "certification_date": "2024-08-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "MD",
            "license": "D0089181",
            "primary": false
        },
        {
            "code": "390200000X",
            "taxonomy_group": "",
            "desc": "Student in an Organized Health Care Education/Training Program",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "207RG0100X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Gastroenterology",
            "state": "AZ",
            "license": "73037",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Chandler, AZ

Sources for this page

Verify at the official NPI Registry.