Individual provider Active NPI

Gerald R. Bush, MD

  • Internal Medicine Physician
  • Surprise, AZ
National Provider Identifier
1811087653
Registry record updated Nov 19, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
License
32553 Issued in AZ
Practice address
14973 W Bell Rd Ste 100
Surprise, AZ 85374-3878
Phone
(623) 815-2900
NPI assigned
Oct 13, 2006
Last updated
Nov 19, 2024By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Nov 19, 2024

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine Physician 207R00000X 32553 AZ Primary

Addresses

Primary practice location

14973 W Bell Rd Ste 100
Surprise, AZ 85374-3878

Mailing address

PO Box 35380
Las Vegas, NV 89133-5380
Phone (702) 579-3203

Other practice location 1

6501 E Greenway Pkwy Ste 160
Scottsdale, AZ 85254-2069
Phone (480) 948-9903

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
I20080825000578 AZ Practitioner - Internal MedicinePractitioner - Family PracticePractitioner - Geriatric Medicine 3779561428 Reassigns benefits to 4 organizations

Care Compare profile

Medicare Care Compare
Specialty
Internal Medicine
Education
University of Arizona College of Medicine, 2000
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices

Practice addresses (Care Compare)

6501 E Greenway Pkwy
Scottsdale, AZ 85254-2067
Phone (702) 480-2550

Hospital & facility affiliations

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Surprise Health Center, PLLC Internal Medicine CurrentSince Jul 15, 2023 Accepting new patients
4C Medical Group PLC Internal Medicine CurrentSince Jun 1, 2013 Accepting new patients
Cogent Healthcare of Arizona PC Internal Medicine CurrentSince Nov 1, 2020 Accepting new patients
American Physicians, Inc. Hospitalist CurrentSince Jan 1, 2021 Accepting new patients
4C Medical Group PLC CurrentSince Jun 1, 2013 Accepting new patients
Greater Phoenix Collaborative Care PC CurrentSince Oct 15, 2023 Accepting new patients
Greater Phoenix Collaborative Care PC CurrentSince Oct 15, 2023 Accepting new patients
American Physicians, Inc Internal Medicine CurrentSince Jan 1, 2021 Accepting new patients
Prodigee Inpatient Physicians Group, P.L.L.C. Hospitalist Past Accepting new patients
Gregg Smith D.O., P.C. Hospitalist Past Accepting new patients
Medical Experts of Texas, P.a. Hospitalist PastSince Mar 1, 2014 Accepting new patients

Locations

4545 N Hunt Hwy
Florence, AZ 85132
Phone (480) 258-6100

3090 N Litchfield Rd
Ste 120
Goodyear, AZ 85395
Phone (602) 843-8426

21300 N John Wayne Pkwy
Ste 123
Maricopa, AZ 85139
Phone (520) 494-7778

433 E 6th St
Mesa, AZ 85203
Phone (480) 427-3000

16640 N 38th St
Phoenix, AZ 85032
Phone (602) 482-6671

2000 W Bethany Home Rd
Phoenix, AZ 85015
Phone (480) 209-4000

5830 N 19th Ave
Phoenix, AZ 85015
Phone (602) 249-0115

926 E McDowell Rd
Ste 202
Phoenix, AZ 85006
Phone (602) 609-4525

6501 E Greenway Pkwy
Scottsdale, AZ 85254
Phone (480) 368-7893

6501 E Greenway Pkwy
Ste 160
Scottsdale, AZ 85254
Phone (480) 365-6603

7400 E Osborn Rd
Scottsdale, AZ 85251
Phone (480) 481-4000

9003 E Shea Blvd
Scottsdale, AZ 85260
Phone (480) 323-3383

9590 E Ironwood Square Dr
Ste 125
Scottsdale, AZ 85258
Phone (480) 272-6400

5700 E Highway 90
Sierra Vista, AZ 85635
Phone (520) 263-2000

14973 W Bell Rd
Ste 100
Surprise, AZ 85374
Phone (623) 815-2900

1500 S Mill Ave
Tempe, AZ 85281
Phone (480) 784-5500

1460 W Valencia Rd
Tucson, AZ 85746
Phone (520) 573-0966

1601 W Saint Marys Rd
Tucson, AZ 85745
Phone (520) 622-5833

350 N Wilmot Rd
Tucson, AZ 85711
Phone (520) 873-3000

Interoperability endpoints

  • Direct secure messaging: gbush113406@westdirect.optum.com
  • FHIR API: https://api.platform.athenahealth.com/10780/brand/1/csg/1/fhir/r4

Organizations & group practices 11

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

Hospital & facility affiliations 2

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": "1160697600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1731974400000",
    "number": "1811087653",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 35380",
            "city": "LAS VEGAS",
            "state": "NV",
            "postal_code": "891335380",
            "telephone_number": "702-579-3203"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "14973 W BELL RD STE 100",
            "city": "SURPRISE",
            "state": "AZ",
            "postal_code": "853743878",
            "telephone_number": "623-815-2900"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "6501 E Greenway Pkwy Ste 160",
            "address_purpose": "LOCATION",
            "city": "Scottsdale",
            "state": "AZ",
            "postal_code": "852542069",
            "country_code": "US",
            "telephone_number": "480-948-9903",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "BUSH",
        "first_name": "GERALD",
        "middle_name": "R.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-10-13",
        "last_updated": "2024-11-19",
        "certification_date": "2024-11-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "AZ",
            "license": "32553",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Surprise, AZ

Sources for this page

Verify at the official NPI Registry.