Individual provider Active NPI

Sanjay Verma, MD

  • Gastroenterology Physician
  • Avondale, AZ
National Provider Identifier
1770536138
Registry record updated Aug 1, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Gastroenterology PhysicianTaxonomy code 207RG0100X
License
31649 Issued in AZ
Practice address
10815 W McDowell Rd Ste 304
Avondale, AZ 85392-5016
Phone
(480) 840-1754
Fax
(480) 840-1764
NPI assigned
May 18, 2006
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Aug 1, 2024

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Gastroenterology Physician 207RG0100X 31649 AZ Primary

Addresses

Primary practice location

10815 W McDowell Rd Ste 304
Avondale, AZ 85392-5016

Mailing address

3815 E Bell Rd Ste 4500
Phoenix, AZ 85032-2171
Phone (602) 633-3848

Other practice location 1

2040 W Bethany Home Rd Ste 123
Phoenix, AZ 85015-2445
Phone (480) 840-1754

Other identifiers 2

IdentifierTypeStateIssuer
Z224189OtherAZMEDICARE
844987MedicaidAZ

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
I20040419001008 AZ Practitioner - Gastroenterology 5395737217 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Gastroenterology
Education
Other, 1994
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Privia Medical Group Arizona, LLCGroup PAC ID 1052328408, 94 clinicians

Practice addresses (Care Compare)

10815 W McDowell Rd
Suite 205
Avondale, AZ 85392-5010
Phone (623) 433-0202

Hospital & facility affiliations

  • Abrazo Central Campus Hospital, Phoenix, AZ, CCN 030030

Procedures performed for Medicare patients

ProcedureNumber of procedures
Colonoscopy163
Upper gastrointestinal (GI) endoscopy for acid reflux160

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
10201NVMDPharmacist
31649AZMDGastroenterology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Privia Medical Group Arizona, LLC CurrentSince Mar 9, 2019 Accepting new patients
Privia Medical Group Arizona, LLC CurrentSince Mar 9, 2019 Accepting new patients
Privia Medical Group Arizona, LLC Internal Medicine Current Accepting new patients
Arrowhead Gastroenterology Associates, P.C. Past Accepting new patients
Arizona Gastroenterology and Liver Clinic,P.C. Gastroenterology PastSince Jun 1, 2005 Accepting new patients

Locations

10815 W McDowell Rd
Ste 203
Avondale, AZ 85392
Phone (623) 907-4400

10815 W McDowell Rd
Ste 304
Avondale, AZ 85392
Phone (623) 433-0155

10815 W McDowell Rd
Ste 305
Avondale, AZ 85392
Phone (480) 840-1754

10815 W McDowell Rd
Ste 205
Avondale, AZ 85392
Phone (623) 848-3295

10815 W McDowell Rd
Ste 2
Avondale, AZ 85392

10815 W McDowell Rd
Ste 202
Avondale, AZ 85392

7330 N 99th Ave
Ste 325
Glendale, AZ 85307
Phone (480) 398-7620

13934 N 59th Ave
Ste 160
Glendale, AZ 85306
Phone (480) 478-0444

5601 W Eugie Ave
Ste 203
Glendale, AZ 85304
Phone (602) 548-1600

14415 W McDowell Rd
Ste D102
Goodyear, AZ 85395
Phone (623) 512-4190

2040 W Bethany Home Rd
Ste 123
Phoenix, AZ 85015
Phone (480) 840-1754

3815 E Bell Rd
Ste 3200
Phoenix, AZ 85032
Phone (480) 840-1754

3815 E Bell Rd
Ste 2200
Phoenix, AZ 85032
Phone (602) 931-4689

1301 S 7th Ave
Ste 400
Phoenix, AZ 85007
Phone (602) 824-3358

3815 E Bell Rd
Ste 4500
Phoenix, AZ 85032
Phone (602) 633-3838

14670 N Del Webb Blvd
Sun City, AZ 85351
Phone (602) 633-3824

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.

Hospital & facility affiliations 1

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": "1147910400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1722470400000",
    "number": "1770536138",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3815 E BELL RD STE 4500",
            "city": "PHOENIX",
            "state": "AZ",
            "postal_code": "850322171",
            "telephone_number": "602-633-3848",
            "fax_number": "602-633-3841"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "10815 W MCDOWELL RD STE 304",
            "city": "AVONDALE",
            "state": "AZ",
            "postal_code": "853925016",
            "telephone_number": "480-840-1754",
            "fax_number": "480-840-1764"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "2040 W Bethany Home Rd Ste 123",
            "address_purpose": "LOCATION",
            "city": "Phoenix",
            "state": "AZ",
            "postal_code": "850152445",
            "country_code": "US",
            "telephone_number": "480-840-1754",
            "fax_number": "480-840-1764",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "VERMA",
        "first_name": "SANJAY",
        "credential": "MD",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-05-18",
        "last_updated": "2024-08-01",
        "certification_date": "2024-08-01",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207RG0100X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Gastroenterology",
            "state": "AZ",
            "license": "31649",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICARE",
            "identifier": "Z224189",
            "state": "AZ"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "844987",
            "state": "AZ"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Avondale, AZ

Sources for this page

Verify at the official NPI Registry.