Individual provider Active NPI

Gustavo Riffel, M.D.

  • Internal Medicine Physician
  • Phoenix, AZ
National Provider Identifier
1588068415
Registry record updated Sep 16, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
License
54534 Issued in AZ
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

Updated by the provider on Sep 16, 2022

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
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

IdentifierTypeStateIssuer
1588068415MedicaidCA

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
I20180827003204 AZ Practitioner - Internal Medicine 7618268921 Reassigns benefits to 1 organization

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
Greater Phoenix Collaborative Care PCGroup PAC ID 0941503304, 111 clinicians

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 Hospice, Phoenix, AZ, CCN 031749
  • New Beginning Hospice and Palliative Care, LLC Hospice, Glendale, AZ, CCN 031652

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
54534AZMDInternal Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Greater Phoenix Collaborative Care PC CurrentSince Jul 1, 2018 Accepting new patients
Greater Phoenix Collaborative Care PC CurrentSince Jul 1, 2018 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

  • Direct secure messaging: 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.

FacilityTypeRoleSince
D'Amore Hospice LLCPhoenix, AZ, CCN 031749 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.

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.

Hospital & facility affiliations 2

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": "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

Verify at the official NPI Registry.