Active NPI
Gustavo Riffel, M.D.
- Internal Medicine Physician
- Phoenix, AZ
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Internal Medicine Physician
- License
- 54534
- Practice address
- 1107 E Bell Rd
Phoenix, AZ 85022-2691 - Phone
- (602) 567-4800
- Fax
- (602) 567-9939
- NPI assigned
- Oct 21, 2014
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Internal Medicine Physician | 207R00000X | 54534 | AZ | Primary |
Addresses
Primary practice location
1107 E Bell Rd
Phoenix, AZ 85022-2691
Mailing address
PO Box 35380
Las Vegas, NV 89133-5380
Phone (702) 838-8265
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1588068415 | Medicaid | CA |
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
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Internal Medicine
- Education
- Other, 1990
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
20040 N 19TH Ave
Phoenix, AZ 85027-4255
Phone (602) 249-0115
5830 N 19TH Ave
Phoenix, AZ 85015-2494
Phone (602) 336-1966
Hospital & facility affiliations
- D'Amore Hospice, LLC
- New Beginning Hospice and Palliative Care, LLC
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 54534 | AZ | MD | Internal Medicine Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Greater Phoenix Collaborative Care PC | Current | Accepting new patients | |
| Greater Phoenix Collaborative Care PC | Current | Accepting new patients |
Locations
30845 N Cave Creek Rd
Ste 101
Cave Creek, AZ 85331
Phone (480) 342-9547
600 S Dobson Rd
Ste D27
Chandler, AZ 85224
Phone (480) 496-0000
1107 E Bell Rd
Phoenix, AZ 85022
Phone (602) 567-4800
1107 E Bell Rd
Ste 3
Phoenix, AZ 85022
1107 E Bell Rd
Ste 4
Phoenix, AZ 85022
Phone (602) 567-4800
5830 N 19th Ave
Phoenix, AZ 85015
Phone (602) 249-0115
Interoperability endpoints
- griffel114329@westdirect.optum.com
Ownership & related parties
All facility ownership & control disclosures 1
Facilities whose Medicare enrollment lists this provider’s PECOS associate ID as an owner or managing party.
| Facility | Type | Role | Since |
|---|---|---|---|
| D'Amore Hospice LLC | Hospice | Contracted Managing Employee (30%) Corporate Director (30%) Operational/Managerial Control (30%) |
Jan 26, 2021 Jan 26, 2021 Jan 26, 2021 |
Owned or controlled facilities with NPI records 1
Facilities whose Medicare enrollment lists this provider as an owner, officer, director or managing party.
-
- Community Based Hospice Care Agency
- Phoenix, AZ
- NPI 1518550714
Contracted Managing Employee, Corporate Director, Operational/Managerial Control
Organizations & group practices 2
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.
-
- Clinic/Center
- Phoenix, AZ
- NPI 1750686614
-
- Diagnostic Radiology Physician
- Phoenix, AZ
- NPI 1790581742
Hospital & facility affiliations 2
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- Community Based Hospice Care Agency
- Phoenix, AZ
- NPI 1518550714
-
- Community Based Hospice Care Agency
- Glendale, AZ
- NPI 1972974954
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1413849600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1663286400000",
"number": "1588068415",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 35380",
"city": "LAS VEGAS",
"state": "NV",
"postal_code": "891335380",
"telephone_number": "702-838-8265",
"fax_number": "702-804-3788"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1107 E BELL RD",
"city": "PHOENIX",
"state": "AZ",
"postal_code": "850222691",
"telephone_number": "602-567-4800",
"fax_number": "602-567-9939"
}
],
"practiceLocations": [],
"basic": {
"last_name": "RIFFEL",
"first_name": "GUSTAVO",
"credential": "M.D.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2014-10-21",
"last_updated": "2022-09-16",
"certification_date": "2022-09-16",
"status": "A"
},
"taxonomies": [
{
"code": "207R00000X",
"taxonomy_group": "",
"desc": "Internal Medicine",
"state": "AZ",
"license": "54534",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "1588068415",
"state": "CA"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Phoenix, AZ
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 16, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; facility enrollments, owners and changes of ownership; Provider of Services certification data; Order and Referring.
- 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.