Individual provider Active NPI

Arvind Umesh Gowda, M.D.

  • Plastic Surgery Physician
  • Phoenix, AZ
National Provider Identifier
1972965820
Registry record updated Dec 19, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Plastic Surgery PhysicianTaxonomy code 208200000X
License
70948 Issued in AZ
Practice address
2801 E Camelback Rd Ste 100
Phoenix, AZ 85016-4363
Phone
(480) 576-4310
Fax
(480) 576-4311
NPI assigned
Mar 22, 2016
Last updated
Dec 19, 2023By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Dec 19, 2023

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Plastic Surgery Physician 208200000X 4301505697 MI
Student in an Organized Health Care Education/Training Program 390200000X
Plastic Surgery Physician 208200000X 70948 AZ Primary

Addresses

Primary practice location

2801 E Camelback Rd Ste 100
Phoenix, AZ 85016-4363

Mailing address

2801 E Camelback Rd Ste 100
Phoenix, AZ 85016-4363
Phone (480) 576-4310

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file
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.
Opted out of Medicare
Yes, effective May 14, 2024 through May 14, 2028

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
70948AZMDPlastic Surgery Physician
4301505697MIMDPlastic Surgery Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Southwest Breast and Aesthetics, LLC Plastic Surgery PastSince Feb 1, 2021 Accepting new patients
Joseph Zakhary MD LLC Plastic Surgery Past Accepting new patients

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": "1458604800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1702944000000",
    "number": "1972965820",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2801 E CAMELBACK RD STE 100",
            "city": "PHOENIX",
            "state": "AZ",
            "postal_code": "850164363",
            "telephone_number": "480-576-4310",
            "fax_number": "480-576-4311"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2801 E CAMELBACK RD STE 100",
            "city": "PHOENIX",
            "state": "AZ",
            "postal_code": "850164363",
            "telephone_number": "480-576-4310",
            "fax_number": "480-576-4311"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GOWDA",
        "first_name": "ARVIND",
        "middle_name": "UMESH",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2016-03-22",
        "last_updated": "2023-12-19",
        "certification_date": "2023-12-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208200000X",
            "taxonomy_group": "",
            "desc": "Plastic Surgery",
            "state": "MI",
            "license": "4301505697",
            "primary": false
        },
        {
            "code": "390200000X",
            "taxonomy_group": "",
            "desc": "Student in an Organized Health Care Education/Training Program",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "208200000X",
            "taxonomy_group": "",
            "desc": "Plastic Surgery",
            "state": "AZ",
            "license": "70948",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Phoenix, AZ

Sources for this page

Verify at the official NPI Registry.