Organization Active NPI

Urologic Surgeons of Arizona PLC

  • Urology Physician
  • Mesa, AZ
National Provider Identifier
1508750324
Registry record updated Jun 5, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Urology PhysicianTaxonomy code 208800000X
Legal business name
UROLOGIC SURGEONS OF ARIZONA PLC
Practice address
4555 E Inverness Ave Ste 1
Mesa, AZ 85206-4630
Phone
(480) 409-5060
Fax
(480) 648-9905
NPI assigned
Jun 5, 2025
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jun 5, 2025

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

Authorized official

Name
Kashif Alvi, MDNPI 1407982887
Title
Director/Ceo/Owner/Provider
Phone
(203) 506-7786

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
Urology PhysicianGroup: 193200000X MULTI-SPECIALTY GROUP 208800000X Primary

Addresses

Primary practice location

4555 E Inverness Ave Ste 1
Mesa, AZ 85206-4630

Mailing address

1234 S Power Rd Ste 102
Mesa, AZ 85206-3700
Phone (480) 409-5060

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20130315000128 AZ Part B Supplier - Clinic/Group Practice 7911142286 Receives reassigned benefits from 10 practitioners
1 other NPI on this enrollment
This NPI is an additional NPI on the enrollment
Practice locations: Chandler, AZ; Mesa, AZ

Other NPIs on the same Medicare enrollment 1

NPIs listed together on one Medicare enrollment, typically parts of the same organization.

National Provider Directory

National Provider Directory
Tax ID family
Urologic Surgeons of Arizona PLC3 organizations share this tax ID, including this one

Other organizations with this tax ID 2

Organizations that report the same tax identification number in the National Provider Directory.

Locations

1125 S Alma School Rd
Ste 202
Chandler, AZ 85286
Phone (480) 409-5060

3501 S Mercy Rd
Ste 101
Gilbert, AZ 85297
Phone (480) 409-5060

4555 E Inverness Ave
Ste 1
Mesa, AZ 85206
Phone (480) 409-5060

8 Medical Pkwy
Ste 308C
Farmers Branch, TX 75234
Phone (469) 798-8111

Practitioners & affiliated clinicians

Practitioners 8

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": "1749081600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1749081600000",
    "number": "1508750324",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1234 S POWER RD STE 102",
            "city": "MESA",
            "state": "AZ",
            "postal_code": "852063700",
            "telephone_number": "480-409-5060",
            "fax_number": "480-648-9905"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4555 E INVERNESS AVE STE 1",
            "city": "MESA",
            "state": "AZ",
            "postal_code": "852064630",
            "telephone_number": "480-409-5060",
            "fax_number": "480-648-9905"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "UROLOGIC SURGEONS OF ARIZONA PLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2025-06-05",
        "last_updated": "2025-06-05",
        "certification_date": "2025-06-05",
        "status": "A",
        "authorized_official_last_name": "ALVI",
        "authorized_official_first_name": "KASHIF",
        "authorized_official_title_or_position": "DIRECTOR/CEO/OWNER/PROVIDER",
        "authorized_official_telephone_number": "203-506-7786",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "208800000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Urology",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Mesa, AZ

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 5, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.