Active NPI
Cave Creek Consultant PLLC
- Internal Medicine Physician
- Phoenix, AZ
National Provider Identifier
1831863406
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Internal Medicine Physician
- Legal business name
- CAVE CREEK CONSULTANT PLLC
- Practice address
- 2553 E Rose Garden Lane
Suite 77348
Phoenix, AZ 85050 - Phone
- (602) 218-9483
- NPI assigned
- Aug 5, 2021
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Hemang G Gandhi, MD
- Title
- Member
- Phone
- (623) 252-3286
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Internal Medicine Physician | 207R00000X | Primary |
Addresses
Primary practice location
2553 E Rose Garden Lane
Suite 77348
Phoenix, AZ 85050
Mailing address
PO Box 2510
Mesa, AZ 85214-2510
Phone (602) 432-0146
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in AZ
Enrollment records 1
National Provider Directory
National Provider DirectoryLocations
2553 E Rose GDN LN
Ste 77348
Phoenix, AZ 85050
Phone (602) 218-9483
2553 E Rose GDN LN
Phoenix, AZ 85050
Practitioners & affiliated clinicians
Practitioners 1
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
-
- Internal Medicine Physician
- Phoenix, AZ
- NPI 1467560565
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1628121600000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1637280000000",
"number": "1831863406",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 2510",
"city": "MESA",
"state": "AZ",
"postal_code": "852142510",
"telephone_number": "602-432-0146"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2553 E ROSE GARDEN LANE",
"address_2": "SUITE 77348",
"city": "PHOENIX",
"state": "AZ",
"postal_code": "85050",
"telephone_number": "602-218-9483"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "CAVE CREEK CONSULTANT PLLC",
"organizational_subpart": "NO",
"enumeration_date": "2021-08-05",
"last_updated": "2021-11-19",
"certification_date": "2021-11-19",
"status": "A",
"authorized_official_last_name": "GANDHI",
"authorized_official_first_name": "HEMANG",
"authorized_official_middle_name": "G",
"authorized_official_title_or_position": "MEMBER",
"authorized_official_telephone_number": "623-252-3286",
"authorized_official_credential": "MD"
},
"taxonomies": [
{
"code": "207R00000X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Internal Medicine",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Phoenix, AZ
- Terrence J Cavanaugh, MD
- Nicholas Cavaretta, PA-C
- Monica Camille Vinoya Cavarlez-Cowden, MD
- Lorena Patricia Cavazos, C.N.M.
- Cave Creek Clinic, LLC
- Cave Creek Mental Health and Wellness
- Jordan Alexandra Cave, DPT
- Lee Louis Cavellini, OTR/L
- Matthew James Cavendish, D.D.S.
- Anne Caveness, DNP, APRN, CPNP-PC
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 19, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.