Arizona Urology LLC
NPI 1770025439ActiveOrganization· Urology· Goodyear, AZ
Urology in Goodyear, Arizona, registered in NPPES in November 2016. The authorized official on file is Pankaj M. Jain, MD, Managing Partner. Enrolled in Medicare as part b supplier - clinic/group practice and part b supplier - independent clinical laboratory.
Overview
| NPI | 1770025439 |
|---|---|
| Status | Active |
| Entity type | Organization |
| NPI issued | Nov 12, 2016 |
| Last updated in NPPES | Jun 8, 2026 |
| Certified by provider | Jun 8, 2026 |
Specialties and licenses
| Taxonomy | Code | License | State |
|---|---|---|---|
| Urology Primary | 208800000X | — | — |
| Clinical Medical Laboratory | 291U00000X | — | — |
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); Part B Supplier - Independent Clinical Laboratory (MS) |
|---|
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