Individual provider Active NPI

Gargi M Dwivedi, M.D.

  • Family Medicine Physician
  • Phoenix, AZ
National Provider Identifier
1700874153
Registry record updated Jan 10, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
33472 Issued in AZ
Practice address
4455 E Camelback Rd Ste D155
Phoenix, AZ 85018-2888
Phone
(480) 626-2444
NPI assigned
Oct 10, 2005
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 10, 2026

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine Physician 207Q00000X 33472 AZ Primary

Addresses

Primary practice location

4455 E Camelback Rd Ste D155
Phoenix, AZ 85018-2888

Mailing address

PO Box 88747
Milwaukee, WI 53288-8747
Phone (480) 626-2444

Other practice location 1

4135 S Power Rd Ste 113
Mesa, AZ 85212-3625
Phone (480) 626-2444

Other identifiers 2

IdentifierTypeStateIssuer
7627675OtherAZAETNA
AZ0774830OtherAZBLUE CROSS BLUE SHEILD

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
I20050329001233 AZ Practitioner - Family Practice 4183670417 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Family Practice
Education
Other, 1998
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Forte - Phoenix PLLCGroup PAC ID 7618240797, 11 clinicians

Practice addresses (Care Compare)

4455 E Camelback Rd
Suite D155
Phoenix, AZ 85018-2888
Phone (480) 626-2444

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
33472AZMDFamily Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Camelback Sports Therapy LLC CurrentSince Sep 2, 2025 Accepting new patients
Turnwell Mental Health of Arizona, PC Family Medicine CurrentSince Jul 2, 2024 Accepting new patients
Forte - Phoenix, PLLC CurrentSince Sep 2, 2025 Accepting new patients

Locations

4135 S Power Rd
Ste 113
Mesa, AZ 85212
Phone (435) 994-9135

4455 E Camelback Rd
Ste D155
Phoenix, AZ 85018
Phone (480) 626-2444

4455 E Camelback Rd
Ste 155
Phoenix, AZ 85018
Phone (480) 626-2444

8350 E Raintree Dr
Ste 130
Scottsdale, AZ 85260
Phone (480) 508-0882

1492 S Mill Ave
Ste 206
Tempe, AZ 85281
Phone (480) 508-0882

Organizations & group practices 3

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": "1128902400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1768003200000",
    "number": "1700874153",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 88747",
            "city": "MILWAUKEE",
            "state": "WI",
            "postal_code": "532888747",
            "telephone_number": "480-626-2444"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4455 E CAMELBACK RD STE D155",
            "city": "PHOENIX",
            "state": "AZ",
            "postal_code": "850182888",
            "telephone_number": "480-626-2444"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "4135 S Power Rd Ste 113",
            "address_purpose": "LOCATION",
            "city": "Mesa",
            "state": "AZ",
            "postal_code": "852123625",
            "country_code": "US",
            "telephone_number": "480-626-2444",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "DWIVEDI",
        "first_name": "GARGI",
        "middle_name": "M",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2005-10-10",
        "last_updated": "2026-01-10",
        "certification_date": "2026-01-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "AZ",
            "license": "33472",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "AETNA",
            "identifier": "7627675",
            "state": "AZ"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE CROSS BLUE SHEILD",
            "identifier": "AZ0774830",
            "state": "AZ"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Phoenix, AZ

Sources for this page

Verify at the official NPI Registry.