REDDY GI ASSOCIATES - NPI 1194957241 - Internal Medicine in Mesa, AZ

Q: What is Reddy Gi Associates's NPI number?

The NPI number for Reddy Gi Associates is 1194957241. It was assigned to this organization in the NPPES registry on August 21, 2009. The provider is doing business as AZ Gastro Care.

Q: What is Reddy Gi Associates's specialty?

The primary specialty registered for this NPI is Internal Medicine, specializing in Gastroenterology, with taxonomy code 207RG0100X.

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About Reddy Gi Associates NPPES

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

REDDY GI ASSOCIATES (NPI 1194957241), doing business as Az Gastro Care, is a healthcare organization registered as a gastroenterology in Mesa, Arizona and active in the NPI registry since August 2009. The organization holds a CLIA Certificate of Compliance certificate valid through May 15, 2027, maintains a secondary practice location in Chandler, and lists Jae H. Kim, Medical Director, as its authorized official.

NPPES Registry Identity

NPI1194957241

Entity TypeOrganization

Primary Taxonomy207RG0100X

Legal Business NameREDDY GI ASSOCIATES

Location Address5555 E BASELINE RDMesa, AZ 85206-4709

Mailing Address5555 E Baseline RdMesa, AZ 85206-4709 · (480) 393-0575 · Fax (480) 704-4019

Phone(480) 393-0575

Fax(480) 704-4019

Organization SubpartNo

Authorized OfficialJae H. KimMedical Director · (480) 393-0575

Enumeration DateAugust 21, 2009

Last NPPES UpdateJune 11, 20254 updates tracked since enumeration

NPPES CertifiedJune 11, 2025

✔ NPI 1194957241 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyInternal Medicine · GastroenterologyAllopathic & Osteopathic Physicians

Taxonomy Code207RG0100X

License✔ Licensed in AZ · 36640

Definition

An internist who specializes in diagnosis and treatment of diseases of the digestive organs including the stomach, bowels, liver and gallbladder. This specialist treats conditions such as abdominal pain, ulcers, diarrhea, cancer and jaundice and performs complex diagnostic and therapeutic procedures using endoscopes to visualize internal organs.

Also ListedSurgeryTaxonomy 208600000X · License 36640 (AZ)

5555 E BASELINE RD, Mesa, AZ 85206

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Other Names 1

Doing Business AsAz Gastro Care

Secondary Practice Location 1

Location 1604 W Warner Rd Ste D1Chandler, AZ 85225-2945 · Phone (480) 393-0575 · Fax (480) 704-4019

Other Identifiers 1

Medicaid194943AZ

Group Practice 1

Group TaxonomyThis provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.193400000X MULTIPLE SINGLE SPECIALTY GROUP

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Ambetter from Arizona Complete Health.Insurance ›

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 Compliance 06D2324014

Reddy Gi Associates, LLC · Englewood, CO

Active · expires May 15, 2027

CLIA Number06D2324014

Laboratory TypeIndependent

Certificate Effective DateMay 16, 2025

Certificate Expiration DateMay 15, 2027

Laboratory DirectorMichael A. Gilger

Laboratory Phone(480) 393-0575

Laboratory LocationReddy Gi Associates, LLC8591 Prairie Trail Drive Suite 400 A, Englewood, CO 80112

CLIA data matches this NPI record on: Name Phone

This certificate is issued to a laboratory after an inspection that finds the laboratory to be in compliance with all applicable CLIA requirements.

Other Providers at the Same Location NPPES 15

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

DR. RAUL A. LOPEZ GONZALEZ M.D.

Surgery