ADVANCED MINIMALLY INVASIVE SURGICAL
NPI 1295056919
Surgery in Phoenix, AZ

Q: What is Advanced Minimally Invasive Surgical's NPI number?

The NPI number for Advanced Minimally Invasive Surgical is 1295056919. It was assigned to this organization in the NPPES registry on June 16, 2010.

Q: What is Advanced Minimally Invasive Surgical's specialty?

The primary specialty registered for this NPI is Surgery with taxonomy code 208600000X.

Active since June 16, 2010

202 E EARLL DR STE 360, PHOENIX, AZ 85012(480) 788-5621(480) 779-1277 Get Directions Write a Review

NPPES record last updated: October 18, 2022. Verified against the NPPES registry weekly; last sync: November 01, 2026.

Record update history: Oct 18, 2022, Sep 22, 2021, Jul 28, 2021 and 3 more (6 updates tracked since 2019).

On this page

About Advanced Minimally Invasive Surgical NPPES

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

ADVANCED MINIMALLY INVASIVE SURGICAL (NPI 1295056919) is a healthcare organization registered as a surgery in Phoenix, Arizona and active in the NPI registry since June 2010. The organization maintains 6 additional practice locations and lists Kiup Alex Kim, Manager, as its authorized official.

NPPES Registry Identity

NPI1295056919

Entity TypeOrganization

Primary Taxonomy208600000X

Legal Business NameADVANCED MINIMALLY INVASIVE SURGICAL

Location Address202 E EARLL DR STE 360Phoenix, AZ 85012-2677

Mailing Address202 E Earll Dr Ste 360Phoenix, AZ 85012-2677 · (480) 788-5621 · Fax (480) 779-1277

Phone(480) 788-5621

Fax(480) 779-1277

Organization SubpartNo

Authorized OfficialKiup Alex KimManager · (480) 299-7654

Enumeration DateJune 16, 2010

Last NPPES UpdateOctober 18, 20226 updates tracked since enumeration

NPPES CertifiedOctober 18, 2022

✔ NPI 1295056919 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 5

★ Primary SpecialtySurgeryAllopathic & Osteopathic Physicians

Taxonomy Code208600000X

Definition

A general surgeon has expertise related to the diagnosis - preoperative, operative and postoperative management - and management of complications of surgical conditions in the following areas: alimentary tract; abdomen; breast, skin and soft tissue; endocrine system; head and neck surgery; pediatric surgery; surgical critical care; surgical oncology; trauma and burns; and vascular surgery. General surgeons increasingly provide care through the use of minimally invasive and endoscopic techniques. Many general surgeons also possess expertise in transplantation surgery, plastic surgery and cardiothoracic surgery.

Also ListedFamily MedicineTaxonomy 207Q00000X

Also ListedFamily Medicine · Adult MedicineTaxonomy 207QA0505X

Also ListedFamily Medicine · Obesity MedicineTaxonomy 207QB0002X

Also ListedCommunity/Behavioral HealthTaxonomy 251S00000X

202 E EARLL DR STE 360, Phoenix, AZ 85012

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Secondary Practice Locations 6

Location 1202 E Earll Dr Ste 360Phoenix, AZ 85012-2677 · Phone (480) 788-5621 · Fax (480) 779-1277

Location 2333 N Dobson RdChandler, AZ 85224-4412 · Phone (480) 788-5621 · Fax (480) 779-1277

Location 35060 N 19th Ave Ste 106Phoenix, AZ 85015-3211 · Phone (480) 788-5621 · Fax (480) 779-1277

Location 42737 W Baseline Rd Ste 27Tempe, AZ 85283-1051 · Phone (480) 788-5621 · Fax (480) 779-1277

Location 55060 N 19th Ave Ste 207Phoenix, AZ 85015-3212 · Phone (480) 788-5621 · Fax (480) 779-1277

Location 61455 W Chandler Blvd Ste B11Chandler, AZ 85224-6128 · Phone (480) 788-5621 · Fax (480) 779-1277

Other Identifiers 4

Medicaid501341AZ

OtherZ139139AZ · Ptan

OtherP00924643Rr Ptan

OtherZ139140Medicare Ptan

Group Practice 1

Group TaxonomyThis provider is a business group of one or more individual practitioners, who practice with different areas of specialization.193200000X MULTI-SPECIALTY GROUP

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Florida Blue (BlueCross BlueShield FL), Florida Blue HMO (a BlueCross BlueShield FL company).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)

Advanced Minimally Invasive Surgical is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Clinicians Billing Medicare Through This Organization

Medicare enrollment records show 77 clinicians reassign Medicare billing to Advanced Minimally Invasive Surgical, which bills Medicare for the services they deliver. Of these, 1 practice at this address and 18 within 10 miles. Listed here are the 20 practicing nearest to this location.

Clinicians by Medicare Specialty 19

Nurse Practitioner25

Podiatry20

Family Practice6

General Surgery4

Chiropractic3

Internal Medicine3

Anesthesiology2

Diagnostic Radiology2

11 other specialties12

Nearest to this location (20)

See all 77

Kiup Kim, MD, RPVI

General Surgery

NPI 1225242985

202 E EARLL DR STE 360
Phoenix, AZ 85012

(480) 788-5621

✔ PECOSSame address

John Lee, D.O.

Osteopathic Manipulative Medicine

NPI 1568534741

3033 N CENTRAL AVE STE 700
Phoenix, AZ 85012

(602) 230-7373

✔ PECOS0.1 mi

Joy Albright, FNP

Nurse Practitioner

NPI 1275181844

3411 N 5TH AVE STE 301
Phoenix, AZ 85013

(602) 374-4101

✔ PECOS✔ Accepts Medicare0.6 mi

George Dooley, DPM

Podiatry

NPI 1588187389

650 E INDIAN SCHOOL RD
Phoenix, AZ 85012

(602) 277-5551

✔ PECOS✔ Accepts Medicare1.0 mi

Mark Almanza, DC

Chiropractic

NPI 1023505096

4222 N 12TH ST
Phoenix, AZ 85014

(602) 230-2225

✔ Accepts Medicare1.2 mi

Francis Reynold Serdenia, PMHNP-BC

Nurse Practitioner

NPI 1730871948

1919 E THOMAS RD
Phoenix, AZ 85016

(602) 933-0990

✔ PECOS1.8 mi

Stephen Joyce, MD

Geriatric Medicine

NPI 1619043890

5060 N 19TH AVE STE 207
Phoenix, AZ 85015

(480) 788-5621

✔ PECOS✔ Accepts Medicare2.5 mi

Tan Vu, M.D.

Family Practice

NPI 1932427341

727 E BETHANY HOME RD STE B112
Phoenix, AZ 85014

(602) 279-2400

✔ PECOS✔ Accepts Medicare2.7 mi

Joshua Kent

Nurse Practitioner

NPI 1720926058

727 E BETHANY HOME RD STE D118
Phoenix, AZ 85014

(602) 279-2400

✔ PECOS✔ Accepts Medicare2.7 mi

Xuan Vu, MD

Family Practice

NPI 1285842054

6036 N 19TH AVE 505
Phoenix, AZ 85015

(602) 841-0721

✔ PECOS✔ Accepts Medicare3.3 mi

Laureen Cota, DPM

Podiatry

NPI 1548275969

6707 N 19TH AVE #103
Phoenix, AZ 85015

(602) 274-4100

✔ PECOS✔ Accepts Medicare3.9 mi

Theresa Hensler, M.D.

Internal Medicine

NPI 1386761484

1668 W GLENDALE AVE SUITE 128
Phoenix, AZ 85021

(602) 544-8541

✔ PECOS✔ Accepts Medicare4.0 mi

George Armendariz, M.D.

Anesthesiology

NPI 1750387783

7600 N 16TH ST SUITE 150
Phoenix, AZ 85020

(602) 395-0718

✔ PECOS✔ Accepts Medicare4.6 mi

Brock Merritt, DO

Family Practice

NPI 1619933942

7550 N 19TH AVE
Phoenix, AZ 85021

(602) 973-3100

✔ PECOS✔ Accepts Medicare4.7 mi

Joseph Gibbs, PMHNP

Nurse Practitioner

NPI 1609767284

9015 N 3RD ST
Phoenix, AZ 85020

(480) 882-4545

✔ PECOS✔ Accepts Medicare5.8 mi

Pierre Gilles, MD

General Surgery

NPI 1780651737

4524 N MARYVALE PKWY SUITE 220
Phoenix, AZ 85031

(623) 535-4582

✔ PECOS6.0 mi

Irma Stewart, FNP

Nurse Practitioner

NPI 1689078636

13825 N 7TH ST STE A
Phoenix, AZ 85022

(602) 695-4049

✔ PECOS✔ Accepts Medicare8.8 mi

Stephen Kominsky, D.P.M.

Podiatry

NPI 1992706808

2525 W GREENWAY RD STE 2440
Phoenix, AZ 85023

(480) 573-0130

✔ PECOS✔ Accepts Medicare10.0 mi

Kristina Adams, APRN

Nurse Practitioner

NPI 1780399600

8705 E MCDOWELL RD
Scottsdale, AZ 85257

(480) 882-4545

✔ PECOS10 mi

Jose Cruz, DC

Chiropractic

NPI 1558995027

9150 W INDIAN SCHOOL RD STE 118
Phoenix, AZ 85037

(602) 815-1519

✔ PECOS✔ Accepts Medicare11 mi

See all 77 clinicians

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

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 Advanced Minimally Invasive Surgical's NPI number?

The NPI number for Advanced Minimally Invasive Surgical is 1295056919. It was assigned to this organization in the NPPES registry on June 16, 2010.

Where is Advanced Minimally Invasive Surgical located?

Advanced Minimally Invasive Surgical is located at 202 E Earll Dr Ste 360, Phoenix, AZ 85012. The listed phone number is (480) 788-5621.

What is Advanced Minimally Invasive Surgical's specialty?

The primary specialty registered for this NPI is Surgery with taxonomy code 208600000X.

Is Advanced Minimally Invasive Surgical enrolled in Medicare?

Yes. Advanced Minimally Invasive Surgical is registered in the Medicare PECOS enrollment system.

How many clinicians bill Medicare through Advanced Minimally Invasive Surgical?

According to the CMS Revalidation Reassignment List (October 2026 release), 77 clinicians in 19 Medicare specialties reassign their Medicare billing to Advanced Minimally Invasive Surgical. 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 (25), Podiatry (20) and Family Practice (6). Of these, 1 practice at this address and 18 within 10 miles. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

What insurance does Advanced Minimally Invasive Surgical accept?

Health plans from Florida Blue (BlueCross BlueShield FL) and Florida Blue HMO (a BlueCross BlueShield FL company) list Advanced Minimally Invasive Surgical 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 Advanced Minimally Invasive Surgical was last updated on October 18, 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.