NPIMap

Individual provider Active NPI

Van Stephen Leavitt, D.O.

  • Surgery Physician
  • Gilbert, AZ
National Provider Identifier
1780976480
Registry record updated Jul 15, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Surgery PhysicianTaxonomy code 208600000X
License
006665 Issued in AZ
Practice address
3477 S Mercy Rd Ste 208
Gilbert, AZ 85297-0448
Phone
(480) 728-6590
Fax
(480) 728-6591
NPI assigned
May 12, 2011
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jul 15, 2026

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Surgery Physician 208600000X 006665 AZ Primary

Addresses

Primary practice location

3477 S Mercy Rd Ste 208
Gilbert, AZ 85297-0448

Mailing address

PO Box 33269
Phoenix, AZ 85067-3269
Phone (602) 406-4786

Other practice location 1

20715 E Ocotillo Rd Ste 102
Queen Creek, AZ 85142-6118
Phone (480) 987-0987

Other practice location 2

1100 S Dobson Rd Ste 204
Chandler, AZ 85286-6160
Phone (602) 582-5233

Other identifiers 1

IdentifierTypeStateIssuer
024924MedicaidAZ

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in AZ
Eligible to order & refer
  • Part B services
  • Medical equipment
  • Home health
  • Power mobility devices
  • Hospice
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20151222000760 AZ Practitioner - General SurgeryPractitioner - Other (Physician) 6406157130 Reassigns benefits to 3 organizations

Care Compare profile

Medicare Care Compare
Specialty
General Surgery
Education
Other, 2010
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Sjhmc Physician ServicesGroup PAC ID 4486646197, 645 clinicians

Practice addresses (Care Compare)

1501 N Gilbert Rd
Suite 200
Gilbert, AZ 85234-2394
Phone (480) 728-4430

Hospital & facility affiliations

Procedures performed for Medicare patients

ProcedureNumber of procedures
Colonoscopy1-10
Hernia repair - groin (open)1-10
Hernia repair (minimally invasive)1-10
Upper gastrointestinal (GI) endoscopy for acid reflux1-10
Removal of tissue1-10

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Agave Surgical Associates PC Surgery CurrentSince Aug 1, 2016 Accepting new patients
Chandler Regional Medical Center CurrentSince Nov 1, 2022 Accepting new patients
St. Joseph'S Hospital and Medical Center CurrentSince Aug 30, 2020 Accepting new patients
Sjhmc Physician Services CurrentSince Nov 1, 2022 Accepting new patients

Locations

1955 W Frye Rd
Chandler, AZ 85224
Phone (480) 507-2961

1100 S Dobson Rd
Ste 204
Chandler, AZ 85286
Phone (602) 582-5233

3420 S Mercy Rd
Ste 200
Gilbert, AZ 85297
Phone (480) 909-3788

1501 N Gilbert Rd
Ste 200
Gilbert, AZ 85234
Phone (480) 507-7901

3477 S Mercy Rd
Ste 208
Gilbert, AZ 85297
Phone (480) 728-4700

3555 S Val Vista Dr
Gilbert, AZ 85297
Phone (480) 434-4356

2919 S Ellsworth Rd
Ste 101
Mesa, AZ 85212
Phone (480) 305-1000

9130 E Elliot Rd
Mesa, AZ 85212
Phone (480) 410-4500

1301 S Crismon Rd
Mesa, AZ 85209
Phone (480) 358-6300

500 W Thomas Rd
Ste 680
Phoenix, AZ 85013
Phone (602) 406-6017

10401 W Thunderbird Blvd
Sun City, AZ 85351
Phone (623) 815-7690

5240 E Knight Dr
Ste 116
Tucson, AZ 85712
Phone (520) 320-5665

File 56765
Los Angeles, CA 90074

Interoperability endpoints

  • FHIR API: https://fhir.nextgen.com/nge/prod/fhir-api-r4/fhir/r4/

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 11

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": "1305158400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1784073600000",
    "number": "1780976480",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 33269",
            "city": "PHOENIX",
            "state": "AZ",
            "postal_code": "850673269",
            "telephone_number": "602-406-4786",
            "fax_number": "916-636-4358"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3477 S MERCY RD STE 208",
            "city": "GILBERT",
            "state": "AZ",
            "postal_code": "852970448",
            "telephone_number": "480-728-6590",
            "fax_number": "480-728-6591"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "20715 E Ocotillo Rd Ste 102",
            "address_purpose": "LOCATION",
            "city": "Queen Creek",
            "state": "AZ",
            "postal_code": "851426118",
            "country_code": "US",
            "telephone_number": "480-987-0987",
            "fax_number": "480-987-0940",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "1100 S Dobson Rd Ste 204",
            "address_purpose": "LOCATION",
            "city": "Chandler",
            "state": "AZ",
            "postal_code": "852866160",
            "country_code": "US",
            "telephone_number": "602-582-5233",
            "fax_number": "623-208-5075",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "LEAVITT",
        "first_name": "VAN",
        "middle_name": "STEPHEN",
        "credential": "D.O.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2011-05-12",
        "last_updated": "2026-07-15",
        "certification_date": "2026-07-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208600000X",
            "taxonomy_group": "",
            "desc": "Surgery",
            "state": "AZ",
            "license": "006665",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "024924",
            "state": "AZ"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Gilbert, AZ

Sources for this page

Verify at the official NPI Registry.