Gautam Aggarwal, MD

Primary specialty

Family Medicine PhysicianTaxonomy code 207Q00000X

License

48026 Issued in AZ

Practice address

4131 N 24TH St
Ste. B-102
Phoenix, AZ 85016-6262

Phone

(602) 955-6632

Fax

(602) 381-1341

NPI assigned

Mar 17, 2011

Last updated

May 29, 2018By the provider in NPPES

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

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

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

Practice roles

Locations

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Honorhealth Ambulatory

  dba HonorHealth Research Institute

  • Hematology & Oncology Physician
  • Scottsdale, AZ
  • NPI 1407050917
  Medicare reassignment NPD
• Honorhealth Ambulatory

  • Emergency Medicine Physician
  • Mesa, AZ
  • NPI 1891518130
  NPD
• Scottsdale Healthcare Corporation

  • Family Medicine Physician
  • Scottsdale, AZ
  • NPI 1497163166
  NPD
• Honorhealth Medical Group, LLC

  • Family Medicine Physician
  • Scottsdale, AZ
  • NPI 1285338343
  NPD (past)

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

{
    "created_epoch": "1300320000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1527552000000",
    "number": "1700185667",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4041 N CENTRAL AVE",
            "address_2": "BLDG C",
            "city": "PHOENIX",
            "state": "AZ",
            "postal_code": "850123313",
            "telephone_number": "602-279-5262",
            "fax_number": "602-279-5390"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4131 N 24TH ST",
            "address_2": "STE. B-102",
            "city": "PHOENIX",
            "state": "AZ",
            "postal_code": "850166262",
            "telephone_number": "602-955-6632",
            "fax_number": "602-381-1341"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "AGGARWAL",
        "first_name": "GAUTAM",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2011-03-17",
        "last_updated": "2018-05-29",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "AZ",
            "license": "48026",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Ageless Health Institute, PC (BodyLogicMD of Phoenix)
• Ageless Nutrition Bar Holdings, Inc (Ageless Men's Health)
• Jacqueline Lea Agenbroad, NP
• Michelle Elaine Ageno, M.S.,R.D.
• Gaurav Aggarwal, M.D.
• Sourabh Aggarwal, MD
• Agh Laveen LLC (Dignity Health Arizona General Hospital Emergency Room)
• Agh Laveen LLC (Dignity Health Arizona General Hospital Emergency Room)
• Agh Mesa LLC (Dignity Health Arizona General Hospital Emergency Room - Ahwatukee)
• Ahmed K Agha, M.D., PHARMD

• Family Medicine Physician in Phoenix, AZ
• Providers in Phoenix, AZ by specialty
• Family Medicine Physician in Arizona

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 29, 2018; 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.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.