Organization Active NPI

Ace Health and Wellness Center PLLC

  • Internal Medicine Physician
  • Sun City, AZ
National Provider Identifier
1972200657
Registry record updated Feb 13, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 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
Last updated
Feb 13, 2023By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Feb 13, 2023

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

Authorized official

Name
Isha Gupta, MDNPI 1255598744
Title
Physician
Phone
(623) 248-1717

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
Internal Medicine Physician 207R00000X Primary

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 1

IdentifierTypeStateIssuer
PENDINGOtherAZPENDING MEDICARE

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in AZ

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20230413001760 AZ Part B Supplier - Clinic/Group Practice 4486029006 Receives reassigned benefits from 3 practitioners
Practice locations: Sun City, AZ

Laboratory certificates & supplier records

Derived by NPIMap

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

CLIA numberLaboratoryCertificateExpires
03D0531279Ace Health and Wellness Center PLLC14815 N del Webb Blvd, Sun City, AZ 85351Certificate of waiverMar 13, 2027

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 4

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1676246400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1676246400000",
    "number": "1972200657",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "14815 N DEL WEBB BLVD",
            "city": "SUN CITY",
            "state": "AZ",
            "postal_code": "853512145",
            "telephone_number": "623-248-1717",
            "fax_number": "623-248-1688"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "14815 N DEL WEBB BLVD",
            "city": "SUN CITY",
            "state": "AZ",
            "postal_code": "853512145",
            "telephone_number": "623-248-1717",
            "fax_number": "623-248-1688"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ACE HEALTH AND WELLNESS CENTER PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2023-02-13",
        "last_updated": "2023-02-13",
        "certification_date": "2023-02-13",
        "status": "A",
        "authorized_official_last_name": "GUPTA",
        "authorized_official_first_name": "ISHA",
        "authorized_official_title_or_position": "PHYSICIAN",
        "authorized_official_telephone_number": "623-248-1717",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "PENDING MEDICARE",
            "identifier": "PENDING",
            "state": "AZ"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Sun City, AZ

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 13, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.