Arizona Gastroenterology Clinic LLC

Primary specialty

Gastroenterology PhysicianTaxonomy code 207RG0100X

License

27357 Issued in AZ

Legal business name

ARIZONA GASTROENTEROLOGY CLINIC LLC

Practice address

14155 N 83Rd Ave Ste 122
Peoria, AZ 85381-5640

Phone

(623) 773-1161

Fax

(623) 773-1181

NPI assigned

May 16, 2012

Organization subpart

No

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

Authorized official

Name

Dr. Daljit Singh Bal, M.D.NPI 1144273533

Title

President

Phone

(623) 773-1161

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in AZ

Enrollment records 1

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

Practitioners 8

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Daljit S Bal, MD

  • Gastroenterology Physician
  • Peoria, AZ
  • NPI 1144273533
  Medicare reassignment Care Compare group NPD Authorized official
• Anil Prasad Rama Rao, M.D.

  • Anatomic Pathology & Clinical Pathology Physician
  • Tucson, AZ
  • NPI 1659481661
  Medicare reassignment Care Compare group NPD
• Akash Nabh, M.D.

  • Gastroenterology Physician
  • Glendale, AZ
  • NPI 1437325313
  Medicare reassignment NPD
• Amber Rose Senator, NP

  • Nurse Practitioner
  • Phoenix, AZ
  • NPI 1558863597

  Single Specialty

  Medicare reassignment NPD
• Akshay Vijay Shah, M.D.

  • Gastroenterology Physician
  • Peoria, AZ
  • NPI 1003040981
  Medicare reassignment NPD
• Swarnjit Singh, M.D.

  • Gastroenterology Physician
  • Chandler, AZ
  • NPI 1134128069
  Medicare reassignment NPD
• Puja Verma, MD

  • Anatomic Pathology & Clinical Pathology Physician
  • Tempe, AZ
  • NPI 1497735815
  Medicare reassignment NPD
• Kelly Lime Brannan, PA

  • Physician Assistant
  • Peoria, AZ
  • NPI 1366476004
  Medicare reassignment

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

{
    "created_epoch": "1337126400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1337126400000",
    "number": "1649539255",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "14155 N 83RD AVE STE 122",
            "city": "PEORIA",
            "state": "AZ",
            "postal_code": "853815640",
            "telephone_number": "623-773-1161",
            "fax_number": "623-773-1181"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "14155 N 83RD AVE STE 122",
            "city": "PEORIA",
            "state": "AZ",
            "postal_code": "853815640",
            "telephone_number": "623-773-1161",
            "fax_number": "623-773-1181"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ARIZONA GASTROENTEROLOGY CLINIC LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2012-05-16",
        "last_updated": "2012-05-16",
        "status": "A",
        "authorized_official_last_name": "BAL",
        "authorized_official_first_name": "DALJIT",
        "authorized_official_middle_name": "SINGH",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "623-773-1161",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "207RG0100X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Internal Medicine, Gastroenterology",
            "state": "AZ",
            "license": "27357",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 16, 2012; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• 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.

Verify at the official NPI Registry.