Individual provider Active NPI

Gregory S Allen, MD

  • Family Medicine Physician
  • Mesa, AZ
National Provider Identifier
1952380925
Registry record updated Apr 3, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
36540 Issued in AZ
Practice address
7233 E Baseline Rd Ste 123
Mesa, AZ 85209-5007
Phone
(480) 832-7546
Fax
(480) 924-6892
NPI assigned
Jan 10, 2006
Last updated
Apr 3, 2024By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 3, 2024

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine Physician 207Q00000X 36540 AZ Primary

Addresses

Primary practice location

7233 E Baseline Rd Ste 123
Mesa, AZ 85209-5007

Mailing address

7233 E Baseline Rd Ste 123
Mesa, AZ 85209-5007
Phone (480) 832-7546

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
I20080108000922 AZ Practitioner - Family Practice 4880614015 Reassigns benefits to 1 organization

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Summit Medical Group Arizona LLC Family Medicine CurrentSince Jul 3, 2021 Accepting new patients
Allen Family Medicine PLLC Family Medicine CurrentSince Apr 18, 2012 Accepting new patients

Locations

1760 E Pecos Rd
Ste 102
Gilbert, AZ 85295
Phone (480) 690-8412

14541 W Indian School Rd
#600
Goodyear, AZ 85395
Phone (623) 535-5599

7233 E Baseline Rd
Ste 126
Mesa, AZ 85209
Phone (480) 699-2222

908 S Power Rd
Mesa, AZ 85206
Phone (480) 741-8041

Interoperability endpoints

  • FHIR API: https://api.platform.athenahealth.com/19654/brand/1/csg/1/fhir/r4
  • FHIR API: https://api.platform.athenahealth.com/21654/brand/1/csg/1/fhir/r4
  • FHIR API: https://api.platform.athenahealth.com/22064/brand/1/csg/1/fhir/r4

Organizations & group practices 2

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.

NPI Registry JSON

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

{
    "created_epoch": "1136851200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1712102400000",
    "number": "1952380925",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7233 E BASELINE RD STE 123",
            "city": "MESA",
            "state": "AZ",
            "postal_code": "852095007",
            "telephone_number": "480-832-7546",
            "fax_number": "480-325-3614"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7233 E BASELINE RD STE 123",
            "city": "MESA",
            "state": "AZ",
            "postal_code": "852095007",
            "telephone_number": "480-832-7546",
            "fax_number": "480-924-6892"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ALLEN",
        "first_name": "GREGORY",
        "middle_name": "S",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-01-10",
        "last_updated": "2024-04-03",
        "certification_date": "2024-04-03",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "AZ",
            "license": "36540",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Mesa, AZ

Sources for this page

Verify at the official NPI Registry.