GRAND CANYON FAMILY MEDICINE PC
NPI 1164510616
Family Medicine in Chandler, AZ
About Grand Canyon Family Medicine Pc NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
GRAND CANYON FAMILY MEDICINE PC (NPI 1164510616) is a healthcare organization registered as a family medicine in Chandler, Arizona and active in the NPI registry since October 2006. The organization holds 2 active CLIA laboratory certificates and lists Robert M Tognacci, Owner, as its authorized official.
NPPES Registry Identity
Specialties & Licenses
Other Identifiers 1
Group Practice 1
Accepted Insurance
Medicare Participation & PECOS CMS
Medicare enrollment and the clinicians who bill Medicare through this organization, from CMS.
Medicare Enrollment Status
Enrolled in Medicare (PECOS)
Grand Canyon Family Medicine Pc is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).
Clinicians Billing Medicare Through This Organization
8Medicare enrollment records show 8 clinicians reassign Medicare billing to Grand Canyon Family Medicine PC, which bills Medicare for the services they deliver. Of these, 4 practice at this address and 5 within 10 miles. They are listed nearest first.
Clinicians, nearest first (8)
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 2
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 03D1064080
Grand Canyon Family Medicine PC · Chandler, AZCertificate of Waiver 03D2340009
Grand Canyon Family Medicine · Chandler, 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 Grand Canyon Family Medicine PC's NPI number?
The NPI number for Grand Canyon Family Medicine PC is 1164510616. It was assigned to this organization in the NPPES registry on October 10, 2006.
Where is Grand Canyon Family Medicine PC located?
Grand Canyon Family Medicine PC is located at 3960 E Riggs Rd Suite 1, Chandler, AZ 85249. The listed phone number is (480) 786-4441.
What is Grand Canyon Family Medicine PC's specialty?
The primary specialty registered for this NPI is Family Medicine with taxonomy code 207Q00000X.
Is Grand Canyon Family Medicine PC enrolled in Medicare?
Yes. Grand Canyon Family Medicine PC is registered in the Medicare PECOS enrollment system.
How many clinicians bill Medicare through Grand Canyon Family Medicine PC?
According to the CMS Revalidation Reassignment List (October 2026 release), 8 clinicians in 2 Medicare specialties reassign their Medicare billing to Grand Canyon Family Medicine PC. 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. The largest specialties are Nurse Practitioner (6) and Family Practice (2). Of these, 4 practice at this address and 5 within 10 miles. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.
Does Grand Canyon Family Medicine PC hold CLIA laboratory certificates?
Yes. 2 active CLIA laboratory certificates are associated with this NPI under the federal Clinical Laboratory Improvement Amendments program. The certificates are listed in the CLIA Laboratory Certificates section above.
What insurance does Grand Canyon Family Medicine PC accept?
Health plans from Ambetter Health, Ambetter from Arizona Complete Health and Cigna HealthCare of Arizona, Inc list Grand Canyon Family Medicine PC 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 Grand Canyon Family Medicine PC was last updated on July 12, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 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.
# Grand Canyon Family Medicine Pc · NPI 1164510616
Family Medicine organization in Chandler, Arizona. Organization record, active in the CMS NPPES registry since October 10, 2006.
## Identity
- **NPI:** 1164510616 (Entity type: Organization)
- **Enumerated:** October 10, 2006
- **Primary specialty:** Family Medicine · taxonomy 207Q00000X
- **Organization subpart:** No
- **Authorized official:** Robert Tognacci, OWNER
## Practice location
- **Address:** 3960 E RIGGS RD, SUITE 1, Chandler, AZ 85249-5410
- **Phone:** (480) 786-4441 · **Fax:** (480) 786-4609
## Medicare
- **Medicare:** Enrolled in Medicare (PECOS)
- **Clinicians billing through this organization:** 8 clinicians in 2 Medicare specialties reassign Medicare billing to this organization (form CMS-855R); largest: Nurse Practitioner (6), Family Practice (2); 4 practice at this address and 5 within 10 miles · CMS Revalidation Reassignment List, October 2026 release
## Record status
- **NPPES last updated:** July 12, 2024
- **Other identifiers:** Medicaid 362513 (AZ)
- **CLIA laboratory certificates:** 2 on file
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Source: [NPI Profile](https://npiprofile.com/npi/1164510616) · Data from the CMS NPPES public registry.