The Group Gastro, LLC

Primary specialty

Gastroenterology PhysicianTaxonomy code 207RG0100X

Legal business name

THE GROUP GASTRO, LLC

Practice address

10238 E Hampton Ave Ste 205
Mesa, AZ 85209-3318

Phone

(480) 856-8252

Fax

(470) 268-9921

NPI assigned

Oct 3, 2025

Organization subpart

No

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

Authorized official

Name

Dr. Jae H. Kim, MDNPI 1861578759

Title

Ceo

Phone

(470) 687-5511

Specialties & licenses 2

Addresses

Electronic endpoints 1

Medicare fee-for-service enrollment

Enrolled in AZ

Enrollment records 1

Subparts reporting this organization as parent 1

Organizations that report themselves as subparts in NPPES and name this organization, in the same state, as their parent.

• The Group Path LLC

  • Gastroenterology Physician
  • Mesa, AZ
  • NPI 1831023233
  NPPES parent name

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Jae H. Kim, M.D.

  • Gastroenterology Physician
  • Mesa, AZ
  • NPI 1861578759
  Medicare reassignment Care Compare group NPD Authorized official
• Alpesh Patel, M.D.

  • Gastroenterology Physician
  • Mesa, AZ
  • NPI 1003906751
  Medicare reassignment Care Compare group NPD

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

{
    "created_epoch": "1759449600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1782259200000",
    "number": "1609740455",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 1684",
            "city": "QUEEN CREEK",
            "state": "AZ",
            "postal_code": "851421837",
            "telephone_number": "480-856-8252",
            "fax_number": "470-268-9921"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "10238 E HAMPTON AVE STE 205",
            "city": "MESA",
            "state": "AZ",
            "postal_code": "852093318",
            "telephone_number": "480-856-8252",
            "fax_number": "470-268-9921"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "145 S 79th St Ste 35",
            "address_purpose": "LOCATION",
            "city": "Chandler",
            "state": "AZ",
            "postal_code": "852261742",
            "country_code": "US",
            "telephone_number": "480-856-8252",
            "fax_number": "470-268-9921",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "1125 S Alma School Rd Ste 100",
            "address_purpose": "LOCATION",
            "city": "Chandler",
            "state": "AZ",
            "postal_code": "852862810",
            "country_code": "US",
            "telephone_number": "480-550-6089",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "37000 N Gantzel Rd",
            "address_purpose": "LOCATION",
            "city": "Queen Creek",
            "state": "AZ",
            "postal_code": "851407303",
            "country_code": "US",
            "telephone_number": "480-394-4000",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "3920 S Rome St",
            "address_purpose": "LOCATION",
            "city": "Gilbert",
            "state": "AZ",
            "postal_code": "852977366",
            "country_code": "US",
            "telephone_number": "480-597-4778",
            "fax_number": "480-597-4782",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "1500 S Mill Ave",
            "address_purpose": "LOCATION",
            "city": "Tempe",
            "state": "AZ",
            "postal_code": "852816699",
            "country_code": "US",
            "telephone_number": "480-784-5500",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "1301 S Crismon Rd",
            "address_purpose": "LOCATION",
            "city": "Mesa",
            "state": "AZ",
            "postal_code": "852093767",
            "country_code": "US",
            "telephone_number": "480-358-6100",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "37200 N Gantzel Rd Ste 100",
            "address_purpose": "LOCATION",
            "city": "Queen Creek",
            "state": "AZ",
            "postal_code": "851407368",
            "country_code": "US",
            "telephone_number": "480-307-6741",
            "fax_number": "480-546-5327",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "4545 N Hunt Hwy",
            "address_purpose": "LOCATION",
            "city": "Florence",
            "state": "AZ",
            "postal_code": "851326937",
            "country_code": "US",
            "telephone_number": "520-868-3333",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "THE GROUP GASTRO, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2025-10-03",
        "last_updated": "2026-06-24",
        "certification_date": "2026-06-24",
        "status": "A",
        "authorized_official_last_name": "KIM",
        "authorized_official_first_name": "JAE",
        "authorized_official_middle_name": "H.",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "470-687-5511",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207RG0100X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Internal Medicine, Gastroenterology",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "207ZP0101X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Pathology, Anatomic Pathology",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "Jrodriguez@thegroupgastro.com",
            "affiliation": "N",
            "use": "DIRECT",
            "useDescription": "Direct",
            "address_1": "10238 E Hampton Ave Ste 205",
            "city": "Mesa",
            "state": "AZ",
            "country_code": "US",
            "postal_code": "852093318",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

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• Gastroenterology Physician in Mesa, AZ
• Providers in Mesa, AZ by specialty
• Gastroenterology Physician in Arizona

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 24, 2026; 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.