Active NPI
Rajan Gaur, M.D.
- Internal Medicine Physician
- Phoenix, AZ
National Provider Identifier
1720047590
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Internal Medicine Physician
- License
- 31881
- Practice address
- 4530 E Muirwood Dr
Suite#105
Phoenix, AZ 85048-7639 - Phone
- (480) 961-2303
- Fax
- (480) 961-0419
- NPI assigned
- Mar 21, 2006
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Internal Medicine Physician | 207R00000X | 31881 | AZ | Primary |
Addresses
Primary practice location
4530 E Muirwood Dr
Suite#105
Phoenix, AZ 85048-7639
Mailing address
4530 E Muirwood Dr
Suite#105
Phoenix, AZ 85048-7639
Phone (480) 961-2303
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 883878 | Medicaid | AZ |
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
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20040805000131 | AZ | Practitioner - Internal Medicine | 6608847397 | Reassigns benefits to 1 organization |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Zion Medical Group PLLC | Internal Medicine | Current | Accepting new patients |
| Premiere Physicians Inc | Internal Medicine | Past | Accepting new patients |
| Community Hospitalist Medical Group Inc. | Internal Medicine | Past | Accepting new patients |
| Central California Faculty Medical Group, Inc. | Internal Medicine | Past | Accepting new patients |
| Ajay Narwani MD PLLC | Past | Accepting new patients |
Locations
1515 W Chandler Blvd
Chandler, AZ 85224
Phone (480) 389-9529
5652 E Baseline Rd
Mesa, AZ 85206
Phone (480) 477-7112
350 W Thomas Rd
Phoenix, AZ 85013
Phone (480) 339-5001
Organizations & group practices 5
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.
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- NPI 1992742852
Internal Medicine
-
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- Fresno, CA
- NPI 1467437376
Internal Medicine
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1142899200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1296172800000",
"number": "1720047590",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "4530 E MUIRWOOD DR",
"address_2": "SUITE#105",
"city": "PHOENIX",
"state": "AZ",
"postal_code": "850487639",
"telephone_number": "480-961-2303",
"fax_number": "480-961-0419"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "4530 E MUIRWOOD DR",
"address_2": "SUITE#105",
"city": "PHOENIX",
"state": "AZ",
"postal_code": "850487639",
"telephone_number": "480-961-2303",
"fax_number": "480-961-0419"
}
],
"practiceLocations": [],
"basic": {
"last_name": "GAUR",
"first_name": "RAJAN",
"name_prefix": "Dr.",
"credential": "M.D.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-03-21",
"last_updated": "2011-01-28",
"status": "A"
},
"taxonomies": [
{
"code": "207R00000X",
"taxonomy_group": "",
"desc": "Internal Medicine",
"state": "AZ",
"license": "31881",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "883878",
"state": "AZ"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Phoenix, AZ
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 28, 2011; 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.