Individual provider Active NPI

Govind Acharya, MD

  • Plastic Surgery Physician
  • Phoenix, AZ
National Provider Identifier
1487716692
Registry record updated Mar 25, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Plastic Surgery PhysicianTaxonomy code 208200000X
License
12166 Issued in AZ
Practice address
5121 N Central Ave
Phoenix, AZ 85012
Phone
(602) 266-2772
NPI assigned
Dec 14, 2006
Last updated
Mar 25, 2020By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 25, 2020

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Plastic Surgery Physician 208200000X 12166 AZ Primary

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

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in AZ
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 1

Enrollment IDStateProvider typePAC IDDetails
I20040621000451 AZ Practitioner - Plastic and Reconstructive Surgery 0840275574 Reassigns benefits to 1 organization

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Biswas Plastic Surgery, PLLC Plastic Surgery PastSince Jun 5, 2015 Accepting new patients

Organizations & group practices 3

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.

NPI Registry JSON

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

{
    "created_epoch": "1166054400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1585094400000",
    "number": "1487716692",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5121 N CENTRAL AVENUE",
            "city": "PHOENIX",
            "state": "AZ",
            "postal_code": "85012",
            "telephone_number": "602-266-2772",
            "fax_number": "602-266-4856"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5121 N CENTRAL AVE",
            "city": "PHOENIX",
            "state": "AZ",
            "postal_code": "85012",
            "telephone_number": "602-266-2772"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "4915 E Baseline Rd Ste 104",
            "address_purpose": "LOCATION",
            "city": "Gilbert",
            "state": "AZ",
            "postal_code": "852342966",
            "country_code": "US",
            "telephone_number": "480-626-1746",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "2745 S Alma School Rd Ste 3",
            "address_purpose": "LOCATION",
            "city": "Chandler",
            "state": "AZ",
            "postal_code": "852864405",
            "country_code": "US",
            "telephone_number": "480-616-0356",
            "fax_number": "480-616-0603",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "6036 N 19th Ave Ste 204",
            "address_purpose": "LOCATION",
            "city": "Phoenix",
            "state": "AZ",
            "postal_code": "850152104",
            "country_code": "US",
            "telephone_number": "480-616-0356",
            "fax_number": "480-616-0603",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "ACHARYA",
        "first_name": "GOVIND",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-12-14",
        "last_updated": "2020-03-25",
        "certification_date": "2020-03-25",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208200000X",
            "taxonomy_group": "",
            "desc": "Plastic Surgery",
            "state": "AZ",
            "license": "12166",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Phoenix, AZ

Sources for this page

Verify at the official NPI Registry.