Individual provider Active NPI

Ashish P Mogal, MD, PHD

  • Anatomic Pathology & Clinical Pathology Physician
  • Chandler, AZ
National Provider Identifier
1992997100
Registry record updated Aug 7, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Anatomic Pathology & Clinical Pathology PhysicianTaxonomy code 207ZP0102X
License
46029 Issued in AZ
Practice address
1955 W Frye Rd
Chandler, AZ 85224-6282
Phone
(602) 685-5211
Fax
(602) 685-5325
NPI assigned
Aug 11, 2007
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 7, 2020

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Anatomic Pathology & Clinical Pathology Physician 207ZP0102X 46029 AZ Primary

Addresses

Primary practice location

1955 W Frye Rd
Chandler, AZ 85224-6282

Mailing address

PO Box 42210
Phoenix, AZ 85080-2210
Phone (623) 266-7770

Other practice location 1

2109 S 48th St
Tempe, AZ 85282-1018
Phone (602) 685-5211

Other practice location 2

424 S 56th St Ste 120
Phoenix, AZ 85034-2177
Phone (602) 685-5211

Other identifiers 1

IdentifierTypeStateIssuer
459218MedicaidAZ

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
I20120709000340 AZ Practitioner - Pathology 1951588052 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Pathology
Education
Other, 2001
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Clin-Path PathologyGroup PAC ID 5193717866, 30 clinicians
Pathology Specialist of Arizona, LLPGroup PAC ID 4789583188, 69 clinicians

Practice addresses (Care Compare)

1301 S Crimson Rd
Mesa, AZ 85209-3767
Phone (602) 685-5166

1400 S Dobson Rd
Mesa, AZ 85202-4707
Phone (602) 685-5211

1500 S Mill Ave
Tempe, AZ 85281-6699
Phone (602) 685-5166

1900 N Higley Rd
Gilbert, AZ 85234-1604
Phone (602) 685-5211

1955 W Frye Rd
Chandler, AZ 85224-6282
Phone (602) 685-5166

2000 W Bethany Home Rd
Phoenix, AZ 85015-2443
Phone (602) 685-5166

3555 S Val Vista Dr
Gilbert, AZ 85297-7323
Phone (602) 685-5166

5555 W Thunderbird Rd
Glendale, AZ 85306-4622
Phone (602) 685-5211

9201 W Thomas Rd
Phoenix, AZ 85037-3332
Phone (602) 685-5211

Hospital & facility affiliations

  • Banner Gateway Medical Center Hospital, Gilbert, AZ, CCN 030122
  • Banner Desert Medical Center Hospital, Mesa, AZ, CCN 030065
  • Chandler Regional Medical Center Hospital, Chandler, AZ, CCN 030036
  • Mercy Gilbert Medical Center Hospital, Gilbert, AZ, CCN 030119
  • Banner Estrella Medical Center Hospital, Phoenix, AZ, CCN 030115

Merit-based Incentive Payment System (MIPS)

Final score
78.75 of 100Reported as group
Quality
75
Improvement activities
40

Merit-based Incentive Payment System (MIPS)

Final score
78.75 of 100Reported as group
Quality
75
Improvement activities
40

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
46029AZMDAnatomic Pathology & Clinical Pathology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Pathology Specialist of Arizona, LLP Anatomic Pathology & Clinical Pathology CurrentSince Jul 1, 2012 Accepting new patients
Clin-Path Pathology Anatomic Pathology & Clinical Pathology CurrentSince Jul 1, 2012 Accepting new patients
Sonoran Radiology LTD Past Accepting new patients

Locations

1955 W Frye Rd
Chandler, AZ 85224
Phone (480) 507-2961

1400 S Dobson Rd
Mesa, AZ 85202
Phone (480) 412-3000

424 S 56th St
Ste 110
Phoenix, AZ 85034
Phone (480) 478-8057

2000 W Bethany Home Rd
Phoenix, AZ 85015
Phone (480) 209-4000

4313 E Cotton Center Blvd
Ste 120
Phoenix, AZ 85040
Phone (480) 478-8000

424 S 56th St
Ste 120
Phoenix, AZ 85034
Phone (480) 478-8059

2109 S 48th St
Tempe, AZ 85282

1255 W Washington St
Tempe, AZ 85288
Phone 602685521145166

Organizations & group practices 3

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

Hospital & facility affiliations 5

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1186790400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1596758400000",
    "number": "1992997100",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 42210",
            "city": "PHOENIX",
            "state": "AZ",
            "postal_code": "850802210",
            "telephone_number": "623-266-7770",
            "fax_number": "623-322-4639"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1955 W FRYE RD",
            "city": "CHANDLER",
            "state": "AZ",
            "postal_code": "852246282",
            "telephone_number": "602-685-5211",
            "fax_number": "602-685-5325"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "2109 S 48th St",
            "address_purpose": "LOCATION",
            "city": "Tempe",
            "state": "AZ",
            "postal_code": "852821018",
            "country_code": "US",
            "telephone_number": "602-685-5211",
            "fax_number": "602-685-5211",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "424 S 56th St Ste 120",
            "address_purpose": "LOCATION",
            "city": "Phoenix",
            "state": "AZ",
            "postal_code": "850342177",
            "country_code": "US",
            "telephone_number": "602-685-5211",
            "fax_number": "602-685-5325",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "MOGAL",
        "first_name": "ASHISH",
        "middle_name": "P",
        "name_prefix": "Dr.",
        "credential": "MD, PHD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2007-08-11",
        "last_updated": "2020-08-07",
        "certification_date": "2020-08-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207ZP0102X",
            "taxonomy_group": "",
            "desc": "Pathology, Anatomic Pathology & Clinical Pathology",
            "state": "AZ",
            "license": "46029",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "459218",
            "state": "AZ"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Chandler, AZ

Sources for this page

Verify at the official NPI Registry.