The Group Gastro, LLC
NPI 1609740455ActiveOrganization· Internal Medicine, Gastroenterology· Mesa, AZ
Internal Medicine, Gastroenterology in Mesa, Arizona, registered in NPPES in October 2025. The authorized official on file is Jae H. Kim, MD, Ceo. Enrolled in Medicare as part b supplier - clinic/group practice.
Overview
| NPI | 1609740455 |
|---|---|
| Status | Active |
| Entity type | Organization |
| NPI issued | Oct 3, 2025 |
| Last updated in NPPES | Jun 24, 2026 |
| Certified by provider | Jun 24, 2026 |
Specialties and licenses
| Taxonomy | Code | License | State |
|---|---|---|---|
| Internal Medicine, Gastroenterology Primary | 207RG0100X | — | — |
| Pathology, Anatomic Pathology | 207ZP0101X | — | — |
Exclusion screening
| List | Result | Details |
|---|---|---|
| HHS-OIG LEIE · Oct 9, 2026 | No match | Checked by NPI and by name + state |
| North Carolina Medicaid · Nov 10, 2026 | No match | — |
| New York OMIG · Nov 10, 2026 | No match | — |
| Ohio Medicaid · Nov 10, 2026 | No match | — |
| Pennsylvania Medicheck · Nov 10, 2026 | No match | — |
| Washington HCA · Nov 10, 2026 | No match | — |
Official OIG search · How matching works ·Bulk check a roster
Medicare
| Enrollment (PECOS) | Enrolled Part B Supplier - Clinic/Group Practice (AZ) |
|---|
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