NPIMap

Organization Active NPI

Urologic Surgeons of Arizona PLC

  • Urology Physician
  • Mesa, AZ
National Provider Identifier
1780929141
Registry record updated Sep 2, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Urology PhysicianTaxonomy code 208800000X
Legal business name
UROLOGIC SURGEONS OF ARIZONA PLC
Practice address
1234 S Power Rd Ste 102
Mesa, AZ 85206-3700
Phone
(480) 409-5060
Fax
(480) 648-9905
NPI assigned
Dec 11, 2012
Organization subpart
No

Authorized official

NPPES NPI Registry
Name
Kashif Alvi, MDNPI 1407982887
Title
Owner
Phone
(203) 506-7786

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Other NPIs on the same Medicare enrollment 1

NPIs listed together on one Medicare enrollment, typically parts of the same organization.

Practitioners 11

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

Laboratory certificates & supplier records

Derived by NPIMap

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

CLIA numberLaboratoryCertificateExpires
03D2062835Urologic Surgeons of Arizona1234 S Power Rd Ste 102, Mesa, AZ 85206Certificate of waiverJul 30, 2027

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in AZ, TX2 enrollments

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
O20130315000128 AZ Part B Supplier - Clinic/Group Practice 7911142286 Receives reassigned benefits from 10 practitioners
1 other NPI on this enrollment
Practice locations: Chandler, AZ; Mesa, AZ
O20250312001059 TX Part B Supplier - Independent Clinical Laboratory 7911142286 Practice locations: Farmers Branch, TX

National Provider Directory

National Provider Directory

Locations

1234 S Power Rd
Mesa, AZ 85206
Phone (480) 758-4252

1234 S Power Rd
Ste 102
Mesa, AZ 85206
Phone (480) 409-5060

Specialties & licenses 2

NPPES NPI Registry
Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine PhysicianGroup: 193200000X MULTI-SPECIALTY GROUP 207R00000X
Urology PhysicianGroup: 193200000X MULTI-SPECIALTY GROUP 208800000X Primary

Addresses

NPPES NPI Registry

Primary practice location

1234 S Power Rd Ste 102
Mesa, AZ 85206-3700

Mailing address

1234 S Power Rd Ste 102
Mesa, AZ 85206-3700
Phone (480) 409-5060

Other identifiers 1

NPPES NPI Registry
IdentifierTypeStateIssuer
770883MedicaidAZ

Other names 1

NPPES NPI Registry
  • USA Primary Care and Wellness Doing business as

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format, last updated by the provider on Sep 2, 2025.

{
    "created_epoch": "1355184000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1756771200000",
    "number": "1780929141",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1234 S POWER RD STE 102",
            "city": "MESA",
            "state": "AZ",
            "postal_code": "852063700",
            "telephone_number": "480-409-5060",
            "fax_number": "480-648-9905"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1234 S POWER RD STE 102",
            "city": "MESA",
            "state": "AZ",
            "postal_code": "852063700",
            "telephone_number": "480-409-5060",
            "fax_number": "480-648-9905"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "UROLOGIC SURGEONS OF ARIZONA PLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2012-12-11",
        "last_updated": "2025-09-02",
        "certification_date": "2025-06-05",
        "status": "A",
        "authorized_official_last_name": "ALVI",
        "authorized_official_first_name": "KASHIF",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "203-506-7786",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Internal Medicine",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "208800000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Urology",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "770883",
            "state": "AZ"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "USA Primary Care and Wellness",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Mesa, AZ

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 2, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.