Govind Acharya, MD
Individual provider Active NPI Plastic Surgery Physician · Phoenix, AZ
NPI 1487716692 · NPPES record last updated Mar 25, 2020
Key facts
- NPI
- 1487716692
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Plastic Surgery Physician 208200000X
- License
- 12166 (AZ)
- Practice address
- 5121 N Central Ave
Phoenix, AZ 85012 - Phone
- (602) 266-2772
- NPI assigned
- Dec 14, 2006
- Sex
- Male
- Sole proprietor
- No
Organizations & group practices 2
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in AZ
- Eligible to order & refer
- Part B services: Yes · DME: Yes · Home health: Yes · Power mobility devices: Yes · Hospice: Yes
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20040621000451 | AZ | Practitioner - Plastic and Reconstructive Surgery | 0840275574 | Reassigns benefits to 1 organization |
National Provider Directory
- Medicare enrollment (NPD)
- Yes
- Credentials
- Doctor of Medicine
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Biswas Plastic Surgery, PLLC | Plastic Surgery | Past |
Accepting new patients |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Plastic Surgery Physician | 208200000X | 12166 | AZ | Yes |
Addresses
Primary practice location
5121 N Central Ave
Phoenix, AZ 85012
Mailing address
5121 N Central Avenue
Phoenix, AZ 85012
Phone (602) 266-2772
Other practice location 1
4915 E Baseline Rd Ste 104
Gilbert, AZ 85234-2966
Phone (480) 626-1746
Other practice location 2
2745 S Alma School Rd Ste 3
Chandler, AZ 85286-4405
Phone (480) 616-0356
Other practice location 3
6036 N 19th Ave Ste 204
Phoenix, AZ 85015-2104
Phone (480) 616-0356
Other identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 3453358 | Other | AETNA | |
| 218190 | Other | PHOENIX HEALTH PLAN |
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Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Mar 25, 2020. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- Order and Referring (CMS).
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.