Active NPI
Rajbir Gulati, MD.
- Rheumatology Physician
- Surprise, AZ
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Rheumatology Physician
- License
- 48972
- Practice address
- 12665 W Smokey Dr # 140
Surprise, AZ 85378-3703 - Phone
- (623) 219-4040
- Fax
- (623) 219-4050
- NPI assigned
- Dec 31, 2009
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Internal Medicine Physician | 207R00000X | 125053118 | IL | |
| Rheumatology Physician | 207RR0500X | 48972 | AZ | Primary |
Addresses
Primary practice location
12665 W Smokey Dr # 140
Surprise, AZ 85378-3703
Mailing address
12665 W Smokey Dr # 140
Surprise, AZ 85378-3703
Phone (623) 219-4040
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
- Rheumatology
- Education
- Other, 2001
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Telehealth
- Offers telehealth services
- Group practices
- BHSM Rehabilitation LLC
Practice addresses (Care Compare)
12665 W Smokey Dr
Suite 140
Surprise, AZ 85378-3732
Phone (623) 219-4040
25101 N Lake Pleasant Pkwy
Suite B 1340
Peoria, AZ 85383-1386
Phone (602) 610-6866
Hospital & facility affiliations
- Wickenburg Community Hospital
- Banner del E. Webb Medical Center
Merit-based Incentive Payment System (MIPS)
- Final score
- 75 of 100
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 125053118 | IL | MD | Internal Medicine Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| American Arthritis & Rheumatology Associates - Az PLLC | Rheumatology | Current | Accepting new patients |
| Frances Mahon Deaconess Hospital | Past | Accepting new patients | |
| Orange Medical LLC | Past | Accepting new patients |
Locations
19820 N 7th St
Ste 120
Phoenix, AZ 85024
Phone (480) 397-9560
12665 W Smokey Dr
Ste 140
Surprise, AZ 85378
Phone (623) 219-4040
2255 Glades Rd
Ste 228W
Boca Raton, FL 33431
Phone (561) 699-7101
Interoperability endpoints
- rajbir.gulati.p32@direct.aara1.nextgenshare.com
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 and National Provider Directory roles.
-
- Rheumatology Physician
- Surprise, AZ
- NPI 1346734944
-
- Interventional Pain Medicine Physician
- Chandler, AZ
- NPI 1497178081
-
- Critical Access Hospital
- Glasgow, MT
- NPI 1689685323
Hospital & facility affiliations 2
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- General Acute Care Hospital
- Sun City West, AZ
- NPI 1588823553
-
- Critical Access Hospital
- Wickenburg, AZ
- NPI 1841282852
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1262217600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1676246400000",
"number": "1598095226",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "12665 W SMOKEY DR # 140",
"city": "SURPRISE",
"state": "AZ",
"postal_code": "853783703",
"telephone_number": "623-219-4040",
"fax_number": "623-219-4050"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "12665 W SMOKEY DR # 140",
"city": "SURPRISE",
"state": "AZ",
"postal_code": "853783703",
"telephone_number": "623-219-4040",
"fax_number": "623-219-4050"
}
],
"practiceLocations": [],
"basic": {
"last_name": "GULATI",
"first_name": "RAJBIR",
"name_prefix": "Dr.",
"credential": "MD.",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2009-12-31",
"last_updated": "2023-02-13",
"certification_date": "2023-02-13",
"status": "A"
},
"taxonomies": [
{
"code": "207R00000X",
"taxonomy_group": "",
"desc": "Internal Medicine",
"state": "IL",
"license": "125053118",
"primary": false
},
{
"code": "207RR0500X",
"taxonomy_group": "",
"desc": "Internal Medicine, Rheumatology",
"state": "AZ",
"license": "48972",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Surprise, AZ
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 13, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; 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.