NPIMap

Individual provider Active NPI

Amit Waghray, MD

  • Internal Medicine Physician
  • Chandler, AZ
National Provider Identifier
1487677886
Registry record updated Oct 13, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
License
34299 Issued in AZ
Practice address
3115 S Price Rd
Chandler, AZ 85248-3544
Phone
(888) 488-7640
Fax
(480) 452-0715
NPI assigned
Jul 26, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 13, 2014

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine Physician 207R00000X 34299 AZ Primary
Internal Medicine Physician 207R00000X ME108755 FL

Addresses

Primary practice location

3115 S Price Rd
Chandler, AZ 85248-3544

Mailing address

PO Box 7540
Chandler, AZ 85246-7540
Phone (480) 926-0170

Other identifiers 1

IdentifierTypeStateIssuer
951005MedicaidAZ

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20050819000568 AZ Practitioner - Internal Medicine 6002846961 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Internal Medicine
Education
Other, 2001
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Aia Hospitalists LLCGroup PAC ID 3375583636, 51 clinicians

Practice addresses (Care Compare)

4530 E Muirwood Dr
Suite 105
Phoenix, AZ 85048-7693
Phone (480) 961-2303

Hospital & facility affiliations

  • Chandler Regional Medical Center Hospital, Chandler, AZ, CCN 030036
  • Dignity Health Arizona General Hospital Hospital, Mesa, AZ, CCN 030139
  • Mercy Gilbert Medical Center Hospital, Gilbert, AZ, CCN 030119

Merit-based Incentive Payment System (MIPS)

Final score
67.01 of 100Reported as individual
Quality
72.86
Improvement activities
0
Cost
73.13

Merit-based Incentive Payment System (MIPS)

Final score
23.64 of 100Reported as individual
Quality
0
Improvement activities
0
Cost
78.81

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
ME108755FLMDInternal Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Aia Hospitalists LLC Internal Medicine CurrentSince Jan 30, 2024 Accepting new patients
Pioneer Hospitalists, PLLC Internal Medicine CurrentSince May 15, 2014 Accepting new patients
Affiliated Hospitalists, PLC Internal Medicine PastSince Jan 1, 2013 Accepting new patients
Agh Mesa LLC Past Accepting new patients
Dignity Community Care Past Accepting new patients
Pioneer Medical Group PLLC Internal Medicine Past Accepting new patients

Locations

1955 W Frye Rd
Chandler, AZ 85224
Phone (480) 507-2961

3100 W Ray Rd
Ste 201
Chandler, AZ 85226
Phone (269) 312-1446

3115 S Price Rd
Chandler, AZ 85248
Phone (480) 855-4011

3555 S Val Vista Dr
Gilbert, AZ 85297
Phone (480) 434-4356

4530 E Muirwood Dr
Ste 105
Phoenix, AZ 85048
Phone (480) 961-2303

Organizations & group practices 6

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

Hospital & facility affiliations 11

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": "1153872000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1413158400000",
    "number": "1487677886",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 7540",
            "city": "CHANDLER",
            "state": "AZ",
            "postal_code": "852467540",
            "telephone_number": "480-926-0170",
            "fax_number": "480-452-0715"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3115 S PRICE RD",
            "city": "CHANDLER",
            "state": "AZ",
            "postal_code": "852483544",
            "telephone_number": "888-488-7640",
            "fax_number": "480-452-0715"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WAGHRAY",
        "first_name": "AMIT",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-07-26",
        "last_updated": "2014-10-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "AZ",
            "license": "34299",
            "primary": true
        },
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "FL",
            "license": "ME108755",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "951005",
            "state": "AZ"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Chandler, AZ

Sources for this page

Verify at the official NPI Registry.