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AVIGAYIL MALIA TANAMI PA
NPI 1124748413
Physician Assistant in Gilbert, AZ

Active since August 29, 2022PECOS EnrolledAccepts Medicare Assignment
81.49/100
CMS Quality Rating
2946 E BANNER GATEWAY DRIVE, GILBERT, AZ 85234(480) 256-6444(480) 256-3682 Get Directions Write a Review

NPPES record last updated: September 3, 2025. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Sep 3, 2025, Aug 9, 2023, Jan 4, 2023 and 1 more (4 updates tracked since 2022).

About Avigayil Malia Tanami Pa NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

AVIGAYIL MALIA TANAMI PA (NPI 1124748413) is an individual physician assistant in Gilbert, Arizona, licensed in Arizona (9202) and active in the NPI registry since August 2022. She is enrolled in Medicare PECOS and is a graduate of Touro Un Col Of Osteopathic Medicine, New York (2022).

NPPES Registry Identity

NPI1124748413
Entity TypeIndividualFemale
Primary Taxonomy363A00000X
Provider Legal NameAVIGAYIL MALIA TANAMICredential: PA
Location Address2946 E BANNER GATEWAY DRIVEGilbert, AZ 85234-2165
Mailing Address2946 E Banner Gateway DriveGilbert, AZ 85234-2165 · (480) 256-6444 · Fax (480) 256-3682
Phone(480) 256-6444
Fax(480) 256-3682
Sole ProprietorYes
Medical School CMSTouro Un Col Of Osteopathic Medicine, New YorkGraduated 2022
Enumeration DateAugust 29, 2022
Last NPPES UpdateSeptember 3, 20254 updates tracked since enumeration
NPPES CertifiedSeptember 3, 2025
✔ NPI 1124748413 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyPhysician AssistantPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363A00000X
Licenses✔ Licensed in AZ · 9202✔ Licensed in NY · 028735
Definition
A physician assistant is a person who has successfully completed an accredited education program for physician assistant, is licensed by the state and is practicing within the scope of that license. Physician assistants are formally trained to perform many of the routine, time-consuming tasks a physician can do. In some states, they may prescribe medications. They take medical histories, perform physical exams, order lab tests and x-rays, and give inoculations. Most states require that they work under the supervision of a physician.
Also ListedPhysician Assistant · SurgicalTaxonomy 363AS0400X · License 9202 (AZ)
2946 E BANNER GATEWAY DRIVE, Gilbert, AZ 85234
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Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Blue Cross Blue Shield of Arizona.Insurance ›

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

✔

Enrolled in Medicare and accepts Medicare assignment

Avigayil Malia Tanami Pa is registered in PECOS and agrees to accept the Medicare-approved amount as full payment. Medicare patients are not billed beyond the standard deductible and coinsurance.

PECOS PAC ID1850769894
PECOS Enrollment IDI20221122001704
Eligible to Order & Refer✔ Part B Labs & Imaging✔ Durable Medical Equipment✔ Home Health Agency✔ Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

Areas of Expertise CMS Part B claims

Services this provider delivered to Medicare fee-for-service patients, from the CMS Medicare utilization data. Higher counts generally reflect more experience with a service; care delivered outside Medicare is not included.

Partial removal of breast 19301
A partial removal of the breast, also known as a lumpectomy, involves taking out a portion of the breast tissue to eliminate concerning cells. It's typically performed when the problem area is limited in size. This procedure helps to preserve most of the breast's appearance while aiming to remove all the unhealthy cells.
25 services25 patients

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 85234 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.

New Patient
$85.89 typical visit price
range $55.44 – $168.60
Typical copayment $21.47 (range $13.86 – $42.15)
Most-billed visit code 99203
Established Patient
$69.24 typical visit price
range $17.72 – $137.41
Typical copayment $17.31 (range $4.43 – $34.35)
Most-billed visit code 99213
Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

Medicare Quality Performance CMS QPP · MIPS

Performance in the CMS Quality Payment Program: the MIPS final score across four weighted categories, and the individual quality measures reported to Medicare.

81.49/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored as part of a group practice
Promoting Interoperability100
Improvement Activities40
Cost38.3

Other Providers at the Same Location NPPES 19

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

DR. AHMED AL-NIAIMI MD
Obstetrics & Gynecology (Gynecologic Oncology)
2946 E BANNER GATEWAY DRIVE
GILBERT, AZ 85234
Maricopa County (480) 256-6444
BANNER GATEWAY MEDICAL CENTER
Durable Medical Equipment & Medical Supplies
2946 E BANNER GATEWAY DRIVE, RM 2008
GILBERT, AZ 85234
Maricopa County (480) 256-6444
DR. RYAN ANDREW MACKE M.D.
Thoracic Surgery (Cardiothoracic Vascular Surgery)
2946 E BANNER GATEWAY DRIVE
GILBERT, AZ 85234
Maricopa County (480) 256-6444
MRS. MCKENZIE MOMBERGER PA-C
Physician Assistant
2946 E BANNER GATEWAY DRIVE
GILBERT, AZ 85234
Maricopa County (480) 256-6444
WENDY SHEEN FNP
Nurse Practitioner (Family)
2946 E BANNER GATEWAY DRIVE
GILBERT, AZ 85234
Maricopa County (480) 256-6444
BRITTANY LYNN MURPHY MD
Surgery
2946 E BANNER GATEWAY DRIVE
GILBERT, AZ 85234
Maricopa County (480) 256-6444
KAITLYN LEAHEY PA-C
Physician Assistant
2946 E BANNER GATEWAY DRIVE
GILBERT, AZ 85234
Maricopa County (480) 256-6444
KRISTIN N OEHLER APRN;FNP-C
Nurse Practitioner
2946 E BANNER GATEWAY DRIVE
GILBERT, AZ 85234
Maricopa County (480) 256-6444

Frequently 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 Avigayil Tanami's NPI number?

The NPI number for Avigayil Tanami is 1124748413. It was assigned to this individual provider in the NPPES registry on August 29, 2022.

Where is Avigayil Tanami located?

Avigayil Tanami practices at 2946 E Banner Gateway Drive, Gilbert, AZ 85234. The listed phone number is (480) 256-6444.

What is Avigayil Tanami's specialty?

The primary specialty registered for this NPI is Physician Assistant with taxonomy code 363A00000X.

Is Avigayil Tanami enrolled in Medicare?

Yes. Avigayil Tanami is registered in the Medicare PECOS system and accepts Medicare assignment, which means accepting the Medicare-approved amount as payment in full for covered services.

What insurance does Avigayil Tanami accept?

Health plans from Blue Cross Blue Shield of Arizona list Avigayil Tanami as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

When was this NPI record last updated?

The NPPES record for Avigayil Tanami was last updated on September 3, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 11 months 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.