AVISTA MEDICAL CENTER & WEIGHT LOSS
NPI 1073807202
Family Medicine in Gilbert, AZ
About Avista Medical Center & Weight Loss NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
AVISTA MEDICAL CENTER & WEIGHT LOSS (NPI 1073807202) is a healthcare organization registered as a family medicine in Gilbert, Arizona and active in the NPI registry since June 2011. The organization holds a CLIA Waiver certificate valid through December 30, 2026 and lists Chad Gammage, Ceo, as its authorized official.
NPPES Registry Identity
Specialties & Licenses
Other Names 1
Group Practice 1
Medicare Participation & PECOS CMS
Medicare enrollment, revalidation and the clinicians who bill Medicare through this organization, from CMS.
Medicare Enrollment Status
Enrolled in Medicare (PECOS)
Avista Medical Center & Weight Loss is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).
Medicare Revalidation Due Date
Revalidation due by November 30, 2026
Medicare-enrolled providers and suppliers confirm their enrollment information with CMS on a set cycle, every 5 years for most and every 3 years for medical equipment suppliers. CMS sets the due date for each enrollment.
Clinicians Billing Medicare Through This Organization
2Medicare enrollment records show 2 clinicians reassign Medicare billing to Avista Medical Center & Weight Loss, which bills Medicare for the services they deliver. Of these, 1 practice at this address and 2 within 10 miles. They are listed nearest first.
Clinicians, nearest first (2)
Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.
CLIA Laboratory Certificates CMS CLIA
Laboratory certificates issued under the Clinical Laboratory Improvement Amendments (CLIA) program, which sets federal quality standards for human laboratory testing in the United States. There is no official CMS crosswalk between CLIA and NPI numbers; these certificates are associated with this NPI by matching facility names, locations and phone numbers in the CMS CLIA registry.
Certificate of Waiver 03D1013102
Avista Medical Center · Gilbert, AZFrequently Asked Questions NPPES & CMS
Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.
What is Punyakam PLLC's NPI number?
The NPI number for Punyakam PLLC is 1073807202. It was assigned to this organization in the NPPES registry on June 6, 2011. The provider is doing business as Avista Medical Center & Weight Loss.
Where is Punyakam PLLC located?
Punyakam PLLC is located at 690 E Warner Rd Ste 133, Gilbert, AZ 85296. The listed phone number is (480) 892-1212.
What is Punyakam PLLC's specialty?
The primary specialty registered for this NPI is Family Medicine with taxonomy code 207Q00000X.
Is Punyakam PLLC enrolled in Medicare?
Yes. Punyakam PLLC is registered in the Medicare PECOS enrollment system.
When is Punyakam PLLC's Medicare revalidation due?
According to the CMS Revalidation Due Date List (October 2026 release), the Medicare Non-DME Part B enrollment for this organization (Arizona, Clinic/Group Practice) is due for revalidation by November 30, 2026. Medicare providers and suppliers revalidate their enrollment every 5 years, and medical equipment suppliers every 3 years. Confirm current requirements with your Medicare Administrative Contractor.
How many clinicians bill Medicare through Punyakam PLLC?
According to the CMS Revalidation Reassignment List (October 2026 release), 2 clinicians reassign their Medicare billing to Punyakam PLLC, in Family Practice and Nurse Practitioner. A reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for the clinician's services. Of these, 1 practice at this address and 2 within 10 miles. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.
Does Punyakam PLLC hold a CLIA laboratory certificate?
Yes. A Certificate of Waiver (number 03D1013102) is associated with this NPI, valid through December 30, 2026. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.
When was this NPI record last updated?
The NPPES record for Punyakam PLLC was last updated on February 8, 2022. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.
# Avista Medical Center & Weight Loss · NPI 1073807202
Family Medicine organization in Gilbert, Arizona. Organization record, active in the CMS NPPES registry since June 6, 2011.
## Identity
- **NPI:** 1073807202 (Entity type: Organization)
- **Enumerated:** June 6, 2011
- **Primary specialty:** Family Medicine · taxonomy 207Q00000X
- **Legal business name:** Punyakam Pllc
- **Organization subpart:** No
- **Authorized official:** Chad Gammage, CEO
## Practice location
- **Address:** 690 E WARNER RD STE 133, Gilbert, AZ 85296-3057
- **Phone:** (480) 892-1212 · **Fax:** (480) 892-4941
## Medicare
- **Medicare:** Enrolled in Medicare (PECOS)
- **Medicare revalidation due:** November 30, 2026 (Non-DME Part B, Arizona, Clinic/Group Practice) · CMS Revalidation Due Date List, October 2026 release
- **Clinicians billing through this organization:** 2 clinicians in 2 Medicare specialties reassign Medicare billing to this organization (form CMS-855R); largest: Family Practice (1), Nurse Practitioner (1); 1 practice at this address and 2 within 10 miles · CMS Revalidation Reassignment List, October 2026 release
## Record status
- **NPPES last updated:** February 8, 2022
- **CLIA laboratory certificates:** 1 on file
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Source: [NPI Profile](https://npiprofile.com/npi/1073807202) · Data from the CMS NPPES public registry.