Surgicalist of Az PLLC
NPI 1881196335ActiveOrganization· Surgery, Trauma Surgery· Goodyear, AZ
Surgery, Trauma Surgery in Goodyear, Arizona, registered in NPPES in March 2018, part of The Surgicalist Group PLLC. The authorized official on file is Mit Desai, MD, Ceo. Enrolled in Medicare as part b supplier - clinic/group practice.
Overview
| NPI | 1881196335 |
|---|---|
| Status | Active |
| Entity type | Organization (subpart) |
| Parent organization | The Surgicalist Group PLLC |
| NPI issued | Mar 1, 2018 |
| Last updated in NPPES | Sep 29, 2023 |
| Certified by provider | Sep 29, 2023 |
Specialties and licenses
| Taxonomy | Code | License | State |
|---|---|---|---|
| Surgery, Trauma Surgery Primary | 2086S0127X | — | — |
| Surgery | 208600000X | — | — |
| Surgery, Vascular Surgery | 2086S0129X | — | — |
Exclusion screening
| List | Result | Details |
|---|---|---|
| HHS-OIG LEIE · Nov 10, 2026 | No match | Checked by NPI and by name + state |
| North Carolina Medicaid · Nov 11, 2026 | No match | — |
| New York OMIG · Nov 11, 2026 | No match | — |
| Ohio Medicaid · Nov 11, 2026 | No match | — |
| Pennsylvania Medicheck · Nov 11, 2026 | No match | — |
| Washington HCA · Nov 11, 2026 | No match | — |
Official OIG search · How matching works ·Bulk check a roster
Medicare
| Enrollment (PECOS) | Enrolled Part B Supplier - Clinic/Group Practice (AZ) |
|---|
Other Surgery, Trauma Surgery providers in Goodyear
- 1235704669
- 1144916297