Ace Health and Wellness Center PLLC
Organization Active NPI Internal Medicine Physician · Sun City, AZ
NPI 1972200657 · NPPES record last updated Feb 13, 2023
Key facts
- NPI
- 1972200657
- Entity type
- Organization (NPI type 2)
- Primary specialty
- Internal Medicine Physician 207R00000X
- Legal business name
- ACE HEALTH AND WELLNESS CENTER PLLC
- Practice address
- 14815 N del Webb Blvd
Sun City, AZ 85351-2145 - Phone
- (623) 248-1717
- Fax
- (623) 248-1688
- NPI assigned
- Feb 13, 2023
- Organization subpart
- No
Authorized official
- Name
- Isha Gupta, MD
- Title
- Physician
- Phone
- (623) 248-1717
Practitioners 4
-
Isha Gupta, MD
-
Jujhar Singh, DO
-
Ruchi Chhabra, M.D.
Laboratory certificates & supplier records
CLIA laboratory certificates
| CLIA number | Laboratory | Certificate | Expires |
|---|---|---|---|
| 03D0531279 | Ace Health and Wellness Center PLLC | Certificate of waiver | Mar 13, 2027 |
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in AZ
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| O20230413001760 | AZ | Part B Supplier - Clinic/Group Practice | 4486029006 |
Receives reassigned benefits from 3 practitioners Practice locations: Sun City, AZ |
National Provider Directory
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Internal Medicine Physician |
207R00000X | Yes |
Addresses
Primary practice location
14815 N del Webb Blvd
Sun City, AZ 85351-2145
Mailing address
14815 N del Webb Blvd
Sun City, AZ 85351-2145
Phone (623) 248-1717
Other identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| PENDING | Other | AZ | PENDING MEDICARE |
Other providers in Sun City, AZ
- Aanddhomehealthcarellc
- Abc Children'S Eye Specialists PC
- Accelerated Physical Therapy and Rehabilitation,PC
- Acclaim Intergrated Clinic
- Acclaim Intergrated Clinic LLC
- Chirag Acharya
- Active Life Health of Sun City PLLC
- Active Life Health of Sun City PLLC
- Acuity Specialty Hospital of Arizona at Sun City LLC
- Acuity Specialty Hospital of Arizona at Sun City LLC
All providers in Sun City, AZ · Internal Medicine Physician in Arizona
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Feb 13, 2023. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- Medicare Care Compare provider data (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.