East Valley Urology Center PLC

Primary specialty

Medical Specialty Clinic/CenterTaxonomy code 261QM2500X

License

45544 Issued in AZ

Legal business name

EAST VALLEY UROLOGY CENTER PLC

Practice address

6116 E Arbor Ave
Mesa, AZ 85206-6107

Phone

(480) 219-1010

Fax

(480) 219-1771

NPI assigned

Feb 13, 2017

Organization subpart

No

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

Authorized official

Name

Rahul D Mehan, M.D.NPI 1770740367

Title

Manager/Member

Phone

(480) 409-5080

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in AZ

Enrollment records 1

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

CLIA laboratory certificates

Practitioners 13

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Rahul D. Mehan, M.D.

  • Urology Physician
  • Mesa, AZ
  • NPI 1770740367
  Medicare reassignment Care Compare group Authorized official
• Kamalani Hanamaikai, D.O.

  • Vascular & Interventional Radiology Physician
  • Phoenix, AZ
  • NPI 1982019113
  Medicare reassignment Care Compare group NPD
• Kacy Newcomb, FNP-BC

  • Family Nurse Practitioner
  • Mesa, AZ
  • NPI 1558003830
  Medicare reassignment Care Compare group NPD
• Barry Edmund Gordon, M.D.

  • Urology Physician
  • Gilbert, AZ
  • NPI 1821074048
  Medicare reassignment Care Compare group
• Mitchell C Kaye, MD

  • Urology Physician
  • Phoenix, AZ
  • NPI 1760487367
  Medicare reassignment Care Compare group
• Casey Brant Lythgoe, MD

  • Urology Physician
  • Mesa, AZ
  • NPI 1780995670
  Medicare reassignment Care Compare group
• Greggory Keith Peifer, D.O.

  • Urology Physician
  • Mesa, AZ
  • NPI 1326420746
  Medicare reassignment Care Compare group
• Harpreet Singh Wadhwa, MD

  • Urology Physician
  • Mesa, AZ
  • NPI 1386943801
  Medicare reassignment Care Compare group
• John Matthew Williams

  • Urology Physician
  • Mesa, AZ
  • NPI 1942797477
  Medicare reassignment Care Compare group
• Jocelyn Moll

  • Family Nurse Practitioner
  • Mesa, AZ
  • NPI 1285090902
  Medicare reassignment
• Ankit Agarwal, M.D.

  • Radiation Oncology Physician
  • San Antonio, TX
  • NPI 1629430376

  AZ

  Medicare reassignment
• Steven Marc Kurtzman, MD

  • Radiation Oncology Physician
  • San Antonio, TX
  • NPI 1114918851

  AZ

  Medicare reassignment

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

{
    "created_epoch": "1486944000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1622073600000",
    "number": "1487193371",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6116 E ARBOR AVE",
            "city": "MESA",
            "state": "AZ",
            "postal_code": "852066107",
            "telephone_number": "480-219-1010",
            "fax_number": "480-219-1771"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6116 E ARBOR AVE",
            "city": "MESA",
            "state": "AZ",
            "postal_code": "852066107",
            "telephone_number": "480-219-1010",
            "fax_number": "480-219-1771"
        }
    ],
    "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": {
        "organization_name": "EAST VALLEY UROLOGY CENTER PLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2017-02-13",
        "last_updated": "2021-05-27",
        "certification_date": "2021-05-27",
        "status": "A",
        "authorized_official_last_name": "MEHAN",
        "authorized_official_first_name": "RAHUL",
        "authorized_official_middle_name": "D",
        "authorized_official_title_or_position": "MANAGER/MEMBER",
        "authorized_official_telephone_number": "480-409-5080",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "261QM2500X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Medical Specialty",
            "state": "AZ",
            "license": "45544",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• East Valley Urgent Care,LLC (Urgent Care Extra-Southern)
• East Valley Urology, P.C.
• East Valley Vaccination and Examination Center
• Joann Eastman, FNP-BC
• Aphrodite Easton, MSW
• Eastridge Family Dentistry, Inc.

• Medical Specialty Clinic/Center in Mesa, AZ
• Providers in Mesa, AZ by specialty
• Medical Specialty Clinic/Center in Arizona

• 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.
• 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.