Organization Active NPI

Gary Betz II MD PC

  • Internal Medicine Physician
  • Phoenix, AZ
National Provider Identifier
1477517423
Registry record updated Dec 5, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
License
32580 Issued in AZ
Legal business name
GARY BETZ II MD PC
Practice address
7010 E. Chauncey Lane
Suite 145
Phoenix, AZ 85054
Phone
(480) 502-5533
Fax
(480) 502-5761
NPI assigned
Apr 14, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Dec 5, 2014

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

Authorized official

Name
Dr. Gary A Betz, M.D.NPI 1518959527
Title
President
Phone
(480) 502-5533

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 1

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 207R00000X 32580 AZ Primary

Addresses

Primary practice location

7010 E. Chauncey Lane
Suite 145
Phoenix, AZ 85054

Mailing address

7010 E. Chauncey Lane
Suite 145
Phoenix, AZ 85054
Phone (480) 502-5533

Other names 1

  • Thompson Peak Internal Medicine Doing business as

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20050902000769 AZ Part B Supplier - Clinic/Group Practice 5991737504 Receives reassigned benefits from 2 practitioners
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
03D1072004Gary Betz II MD PC7010 E Chauncey Lane #145, Phoenix, AZ 85054Certificate of waiverAug 6, 2027

National Provider Directory

National Provider Directory

Locations

7010 E Chauncey Ln
Ste 145
Phoenix, AZ 85054
Phone (480) 502-5533

Practitioners & affiliated clinicians

Practitioners 2

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

NPI Registry JSON

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

{
    "created_epoch": "1144972800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1417737600000",
    "number": "1477517423",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7010 E. CHAUNCEY LANE",
            "address_2": "SUITE 145",
            "city": "PHOENIX",
            "state": "AZ",
            "postal_code": "85054",
            "telephone_number": "480-502-5533",
            "fax_number": "480-502-5761"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7010 E. CHAUNCEY LANE",
            "address_2": "SUITE 145",
            "city": "PHOENIX",
            "state": "AZ",
            "postal_code": "85054",
            "telephone_number": "480-502-5533",
            "fax_number": "480-502-5761"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "GARY BETZ II MD PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-04-14",
        "last_updated": "2014-12-05",
        "status": "A",
        "authorized_official_last_name": "BETZ",
        "authorized_official_first_name": "GARY",
        "authorized_official_middle_name": "A",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "480-502-5533",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Internal Medicine",
            "state": "AZ",
            "license": "32580",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Thompson Peak Internal Medicine",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

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 Dec 5, 2014; 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.