Individual provider Active NPI

Bereket Azeze Guangul, M.D.

  • Internal Medicine Physician
  • Glendale, AZ
National Provider Identifier
1700190964
Registry record updated Nov 7, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
License
43772 Issued in AZ
Practice address
18701 N 67TH Ave
Glendale, AZ 85308-7100
Phone
(235) 054-5906
Fax
(623) 933-3383
NPI assigned
Jul 29, 2010
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Nov 7, 2023

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine Physician 207R00000X 43772 AZ Primary

Addresses

Primary practice location

18701 N 67TH Ave
Glendale, AZ 85308-7100

Mailing address

19801 N 59TH Ave Unit 11073
Glendale, AZ 85318-5044
Phone (480) 228-3133

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
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20110418000828 AZ Practitioner - Internal MedicinePractitioner - Emergency Medicine 8820272792 Reassigns benefits to 2 organizations
Practice locations: Peoria, AZ; Phoenix, AZ; Glendale, AZ

Care Compare profile

Medicare Care Compare
Specialty
Internal MedicineAlso: Emergency Medicine
Education
Other, 1991
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Dvma LLCGroup PAC ID 0941302053, 56 clinicians

Practice addresses (Care Compare)

18701 N 64TH Ave
Abrazo Arrowhead Hosp
Glendale, AZ 85308
Phone (623) 561-1000

18701 N 67TH Ave
Glendale, AZ 85308-7100
Phone (480) 228-3133

Hospital & facility affiliations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

Practice roles

OrganizationSpecialtyStatusNew patients
Dr Bereket a Guangul Internal Medicine CurrentSince Jul 1, 2022 Accepting new patients
Dvma, LLC Internal Medicine CurrentSince Jun 1, 2011 Accepting new patients
Comprehensive Hospitalist Services of Arizona, LLC Past Accepting new patients
Comprehensive Hospitalist Services of Arizona LLC Past Accepting new patients

Locations

19801 N 59th Ave
Unit 11073
Glendale, AZ 85318

18701 N 67th Ave
Glendale, AZ 85308
Phone (623) 561-1000

13677 W McDowell Rd
Goodyear, AZ 85395
Phone (623) 536-4200

13350 N 94th Dr
Ste A101
Peoria, AZ 85381
Phone (623) 933-1010

13216 N Plaza del Rio Blvd
Peoria, AZ 85381
Phone (602) 327-9569

2000 W Bethany Home Rd
Phoenix, AZ 85015
Phone (480) 209-4000

3929 E Bell Rd
Phoenix, AZ 85032
Phone (602) 923-5000

1930 E Thomas Rd
Phoenix, AZ 85016
Phone (602) 532-1000

8144 E Cactus Rd
Ste 800
Scottsdale, AZ 85260
Phone (480) 307-9171

Organizations & group practices 4

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.

Hospital & facility affiliations 4

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1280361600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1699315200000",
    "number": "1700190964",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "19801 N 59TH AVE UNIT 11073",
            "city": "GLENDALE",
            "state": "AZ",
            "postal_code": "853185044",
            "telephone_number": "480-228-3133"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "18701 N 67TH AVE",
            "city": "GLENDALE",
            "state": "AZ",
            "postal_code": "853087100",
            "telephone_number": "235-054-5906",
            "fax_number": "623-933-3383"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GUANGUL",
        "first_name": "BEREKET",
        "middle_name": "AZEZE",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2010-07-29",
        "last_updated": "2023-11-07",
        "certification_date": "2023-11-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "AZ",
            "license": "43772",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Glendale, AZ

Sources for this page

Verify at the official NPI Registry.