THE GROUP GASTRO, LLC
NPI 1609740455
Internal Medicine - Gastroenterology in Mesa, AZ

Active since October 03, 2025
10238 E HAMPTON AVE STE 205, MESA, AZ 85209(480) 856-8252(470) 268-9921 Get Directions Write a Review

NPPES record last updated: June 24, 2026. Verified against the NPPES registry weekly; last sync: October 25, 2026.

Record update history: Apr 23, 2026, Feb 5, 2026, Dec 26, 2025 and 3 more (6 updates tracked since 2025).

About The Group Gastro, Llc NPPES

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

THE GROUP GASTRO, LLC (NPI 1609740455) is a healthcare organization registered as a gastroenterology in Mesa, Arizona and active in the NPI registry since October 2025. The organization maintains 8 additional practice locations and lists Jae H. Kim, Ceo, as its authorized official.

NPPES Registry Identity

NPI1609740455
Entity TypeOrganization
Primary Taxonomy207RG0100X
Legal Business NameTHE GROUP GASTRO, LLC
Location Address10238 E HAMPTON AVE STE 205Mesa, AZ 85209-3318
Mailing AddressPo Box 1684Queen Creek, AZ 85142-1837 · (480) 856-8252 · Fax (470) 268-9921
Fax(470) 268-9921
Organization SubpartNo
Authorized OfficialJae H. KimCeo · (470) 687-5511
Enumeration DateOctober 3, 2025
Last NPPES UpdateJune 24, 20266 updates tracked since enumeration
NPPES CertifiedJune 24, 2026
✔ NPI 1609740455 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyInternal Medicine · GastroenterologyAllopathic & Osteopathic Physicians
Taxonomy Code207RG0100X
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 ListedPathology · Anatomic PathologyTaxonomy 207ZP0101X
10238 E HAMPTON AVE STE 205, Mesa, AZ 85209

Secondary Practice Locations 8

Location 1145 S 79th St Ste 35Chandler, AZ 85226-1742 · Phone (480) 856-8252 · Fax (470) 268-9921
Location 21125 S Alma School Rd Ste 100Chandler, AZ 85286-2810 · Phone (480) 550-6089
Location 337000 N Gantzel RdQueen Creek, AZ 85140-7303 · Phone (480) 394-4000
Location 43920 S Rome StGilbert, AZ 85297-7366 · Phone (480) 597-4778 · Fax (480) 597-4782
Location 51500 S Mill AveTempe, AZ 85281-6699 · Phone (480) 784-5500
Location 61301 S Crismon RdMesa, AZ 85209-3767 · Phone (480) 358-6100
Location 737200 N Gantzel Rd Ste 100Queen Creek, AZ 85140-7368 · Phone (480) 307-6741 · Fax (480) 546-5327
Location 84545 N Hunt HwyFlorence, AZ 85132-6937 · Phone (520) 868-3333

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

Medicare Participation & PECOS CMS

Medicare enrollment and the clinicians who bill Medicare through this organization, from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

The Group Gastro, Llc is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Clinicians Billing Medicare Through This Organization

2

Medicare enrollment records show 2 clinicians reassign Medicare billing to The Group Gastro, LLC, which bills Medicare for the services they deliver. Of these, 2 practice at this address. They are listed nearest first.

Clinicians, nearest first (2)

Gastroenterology
NPI 1861578759
10238 E HAMPTON AVE STE 205
Mesa, AZ 85209
(480) 856-8252
✔ PECOS✔ Accepts MedicareSame address
Gastroenterology
NPI 1003906751
10238 E HAMPTON AVE STE 205
Mesa, AZ 85209
(480) 856-8252
✔ PECOS✔ Accepts MedicareSame address

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 The Group Gastro, LLC's NPI number?

The NPI number for The Group Gastro, LLC is 1609740455. It was assigned to this organization in the NPPES registry on October 3, 2025.

Where is The Group Gastro, LLC located?

The Group Gastro, LLC is located at 10238 E Hampton Ave Ste 205, Mesa, AZ 85209. The listed phone number is (480) 856-8252.

What is The Group Gastro, LLC's specialty?

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

Is The Group Gastro, LLC enrolled in Medicare?

Yes. The Group Gastro, LLC is registered in the Medicare PECOS enrollment system.

How many clinicians bill Medicare through The Group Gastro, LLC?

According to the CMS Revalidation Reassignment List (October 2026 release), 2 clinicians, all in Gastroenterology, reassign their Medicare billing to The Group Gastro, LLC. 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, 2 practice at this address. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

What insurance does The Group Gastro, LLC accept?

Health plans from Cigna HealthCare of Arizona, Inc list The Group Gastro, LLC 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 The Group Gastro, LLC was last updated on June 24, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 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.