Organization Active NPI

The Group Path LLC

  • Gastroenterology Physician
  • Mesa, AZ
National Provider Identifier
1831023233
Registry record updated Jun 10, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Gastroenterology PhysicianTaxonomy code 207RG0100X
Legal business name
THE GROUP PATH LLC
Practice address
10238 E Hampton Ave Ste 205
Mesa, AZ 85209-3318
Phone
(480) 856-8252
Fax
(470) 268-9921
NPI assigned
Jun 10, 2026
Organization subpart
Yes
Parent organization
THE GROUP GASTRO, LLCAs reported in NPPES

NPPES NPI Registry

Updated by the provider on Jun 10, 2026

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

Authorized official

Name
Dr. Jae Ho Kim, MDNPI 1861578759
Title
Ceo
Phone
(480) 856-8252

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Gastroenterology PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 207RG0100X Primary

Addresses

Primary practice location

10238 E Hampton Ave Ste 205
Mesa, AZ 85209-3318

Mailing address

PO Box 1684
Queen Creek, AZ 85142-1837
Phone (480) 856-8252

National Provider Directory

National Provider Directory

Ownership & related parties

Parent organization (reported in NPPES) 1

This organization reports itself as a subpart in NPPES; the parent’s legal name matches this organization in the same state.

Practitioners & affiliated clinicians

Practitioners 2

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

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1781049600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1781049600000",
    "number": "1831023233",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 1684",
            "city": "QUEEN CREEK",
            "state": "AZ",
            "postal_code": "851421837",
            "telephone_number": "480-856-8252",
            "fax_number": "470-268-9921"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "10238 E HAMPTON AVE STE 205",
            "city": "MESA",
            "state": "AZ",
            "postal_code": "852093318",
            "telephone_number": "480-856-8252",
            "fax_number": "470-268-9921"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "THE GROUP PATH LLC",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "THE GROUP GASTRO, LLC",
        "enumeration_date": "2026-06-10",
        "last_updated": "2026-06-10",
        "certification_date": "2026-06-10",
        "status": "A",
        "authorized_official_last_name": "KIM",
        "authorized_official_first_name": "JAE",
        "authorized_official_middle_name": "HO",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "480-856-8252",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207RG0100X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Internal Medicine, Gastroenterology",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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 Jun 10, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.