Individual provider Active NPI

Puja Chhetri, PA-C

  • Physician Assistant
  • Peoria, AZ
National Provider Identifier
1619783313
Registry record updated Oct 23, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physician AssistantTaxonomy code 363A00000X
License
11338 Issued in AZ
Practice address
9171 W Thunderbird Rd Ste 101
Peoria, AZ 85381-4872
Phone
(623) 877-0100
Fax
(623) 328-8713
NPI assigned
Dec 6, 2024
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 23, 2025

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physician Assistant 363A00000X 11338 AZ Primary

Addresses

Primary practice location

9171 W Thunderbird Rd Ste 101
Peoria, AZ 85381-4872

Mailing address

9171 W Thunderbird Rd Ste 101
Peoria, AZ 85381-4872
Phone (623) 877-0100

Other practice location 1

12361 W Bola Dr Ste 109
Surprise, AZ 85378-9021
Phone (623) 227-1000

Other practice location 2

16928 W Bell Rd Ste 701
Surprise, AZ 85374-8948
Phone (623) 850-0026

Other practice location 3

18275 N 59th Ave Ste 138
Glendale, AZ 85308-1253
Phone (602) 564-0078

Other practice location 4

3552 W Baseline Rd Ste 140
Laveen, AZ 85339-3042
Phone (602) 635-6951

Other practice location 5

7725 N 43rd Ave Ste 510
Phoenix, AZ 85051-5771
Phone (623) 207-5465

Other practice location 6

26224 N Tatum Blvd Ste 15A
Phoenix, AZ 85050-7500
Phone (480) 663-9632

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: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20251006000835 AZ Practitioner - Physician Assistant 0547766842 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Physician Assistant
Education
Other, 2025
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Prescott Healthcare Solutions LLCGroup PAC ID 4385940295, 199 clinicians

Practice addresses (Care Compare)

12361 W Bola Dr
Suite 109
Surprise, AZ 85378-9021
Phone (623) 227-1000

3151 N Windsong Dr
Prescott Valley, AZ 86314-2240
Phone (928) 458-7583

3336 E Chandler Heights Rd
Suite 132
Gilbert, AZ 85298-4264
Phone (480) 988-4645

7725 N 43Rd Ave
Suite 510
Phoenix, AZ 85051-5771
Phone (623) 207-5465

8914 N 91St Ave
Suite 100
Peoria, AZ 85345-8390
Phone (623) 877-0100

9171 W Thunderbird Rd
Suite 101
Peoria, AZ 85381-4872
Phone (623) 815-7800

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Physician Assistant

Practice roles

OrganizationSpecialtyStatusNew patients
Prescott Healthcare Solutions LLC CurrentSince Sep 22, 2025 Accepting new patients

Locations

3336 E Chandler Heights Rd
Ste 132
Gilbert, AZ 85298
Phone (480) 988-4645

18275 N 59th Ave
Ste 138
Glendale, AZ 85308
Phone (602) 564-0078

18275 N 59th Ave
#G138
Glendale, AZ 85308

3552 W Baseline Rd
Ste 140
Laveen, AZ 85339
Phone (602) 635-6941

9171 W Thunderbird Rd
Ste 101
Peoria, AZ 85381
Phone (623) 877-0100

8914 N 91st Ave
Ste 100
Peoria, AZ 85345
Phone (623) 877-0100

26224 N Tatum Blvd
Ste 15A
Phoenix, AZ 85050
Phone (480) 663-9632

7725 N 43rd Ave
Ste 510
Phoenix, AZ 85051
Phone (623) 207-5465

3151 N Windsong Dr
Prescott Vly, AZ 86314
Phone (928) 458-7583

16928 W Bell Rd
Ste 701
Surprise, AZ 85374
Phone (623) 214-1106

12361 W Bola Dr
Ste 109
Surprise, AZ 85378
Phone (623) 227-1000

Organizations & group practices 1

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.

NPI Registry JSON

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

{
    "created_epoch": "1733443200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1761177600000",
    "number": "1619783313",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9171 W THUNDERBIRD RD STE 101",
            "city": "PEORIA",
            "state": "AZ",
            "postal_code": "853814872",
            "telephone_number": "623-877-0100",
            "fax_number": "623-328-8713"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9171 W THUNDERBIRD RD STE 101",
            "city": "PEORIA",
            "state": "AZ",
            "postal_code": "853814872",
            "telephone_number": "623-877-0100",
            "fax_number": "623-328-8713"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "12361 W Bola Dr Ste 109",
            "address_purpose": "LOCATION",
            "city": "Surprise",
            "state": "AZ",
            "postal_code": "853789021",
            "country_code": "US",
            "telephone_number": "623-227-1000",
            "fax_number": "623-227-2000",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "16928 W Bell Rd Ste 701",
            "address_purpose": "LOCATION",
            "city": "Surprise",
            "state": "AZ",
            "postal_code": "853748948",
            "country_code": "US",
            "telephone_number": "623-850-0026",
            "fax_number": "623-850-0027",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "18275 N 59th Ave Ste 138",
            "address_purpose": "LOCATION",
            "city": "Glendale",
            "state": "AZ",
            "postal_code": "853081253",
            "country_code": "US",
            "telephone_number": "602-564-0078",
            "fax_number": "602-564-1154",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "3552 W Baseline Rd Ste 140",
            "address_purpose": "LOCATION",
            "city": "Laveen",
            "state": "AZ",
            "postal_code": "853393042",
            "country_code": "US",
            "telephone_number": "602-635-6951",
            "fax_number": "602-635-6952",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "7725 N 43rd Ave Ste 510",
            "address_purpose": "LOCATION",
            "city": "Phoenix",
            "state": "AZ",
            "postal_code": "850515771",
            "country_code": "US",
            "telephone_number": "623-207-5465",
            "fax_number": "623-207-5405",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "26224 N Tatum Blvd Ste 15A",
            "address_purpose": "LOCATION",
            "city": "Phoenix",
            "state": "AZ",
            "postal_code": "850507500",
            "country_code": "US",
            "telephone_number": "480-663-9632",
            "fax_number": "623-748-1914",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "CHHETRI",
        "first_name": "PUJA",
        "credential": "PA-C",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2024-12-06",
        "last_updated": "2025-10-23",
        "certification_date": "2025-10-23",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "AZ",
            "license": "11338",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Peoria, AZ

Sources for this page

Verify at the official NPI Registry.