GAIA VIRTUAL MEDICINE. LLC
NPI 1730800475
Family Medicine in Glendale, AZ

Q: What is Gaia Virtual Medicine. LLC's NPI number?

The NPI number for Gaia Virtual Medicine. LLC is 1730800475. It was assigned to this organization in the NPPES registry on September 12, 2022.

Q: What is Gaia Virtual Medicine. LLC's specialty?

The primary specialty registered for this NPI is Family Medicine with taxonomy code 207Q00000X.

Active since September 12, 2022

4494 W PEORIA AVE #115A, SUITE 8, GLENDALE, AZ 85302(602) 626-4473 Get Directions Write a Review

NPPES record last updated: May 20, 2025. Verified against the NPPES registry weekly; last sync: October 18, 2026.

Record update history: May 20, 2025, Oct 15, 2022, Sep 12, 2022 (3 updates tracked since 2022).

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About Gaia Virtual Medicine. Llc NPPES

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

GAIA VIRTUAL MEDICINE. LLC (NPI 1730800475) is a healthcare organization registered as a family medicine in Glendale, Arizona and active in the NPI registry since September 2022. The organization lists Keqiang Shen, Ceo, as its authorized official.

NPPES Registry Identity

NPI1730800475

Entity TypeOrganization

Primary Taxonomy207Q00000X

Legal Business NameGAIA VIRTUAL MEDICINE. LLC

Location Address4494 W PEORIA AVE #115A, SUITE 8Glendale, AZ 85302

Mailing Address28913 N 23rd DrPhoenix, AZ 85085-0715 · (602) 626-4473

Phone(602) 626-4473

Organization SubpartNo

Authorized OfficialKeqiang ShenCeo · (480) 876-4013

Enumeration DateSeptember 12, 2022

Last NPPES UpdateMay 20, 20253 updates tracked since enumeration

NPPES CertifiedMay 20, 2025

✔ NPI 1730800475 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 3

★ Primary SpecialtyFamily MedicineAllopathic & Osteopathic Physicians

Taxonomy Code207Q00000X

Definition

Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity.

Also ListedPsychologistTaxonomy 103T00000X

Also ListedIn Home Supportive CareTaxonomy 253Z00000X

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

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Gaia Virtual Medicine. Llc is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Clinicians Billing Medicare Through This Organization

Medicare enrollment records show 5 clinicians reassign Medicare billing to Gaia Virtual Medicine. LLC, which bills Medicare for the services they deliver. They are listed nearest first.

Clinicians, nearest first (5)

Lillian Foster, DNP,NP-C,PMHNP-C

Nurse Practitioner

NPI 1093380891

8700 E VIA DE VENTURA STE 280
Scottsdale, AZ 85258

(480) 674-9200

✔ PECOS✔ Accepts Medicare

Daniel Kiddy, DPM

Podiatry

NPI 1144214529

PO BOX 755
Scottsdale, AZ 85252

(833) 242-0100

✔ PECOS✔ Accepts Medicare

Ali Rajaei-Tehrani, DO

Internal Medicine

NPI 1447337647

7550 N 19TH AVE C-142
Phoenix, AZ 85021

(602) 973-3100

✔ PECOS✔ Accepts Medicare

Keqiang Shen, FNP

Nurse Practitioner

NPI 1154713048

2680 S VAL VISTA DR STE 146
Gilbert, AZ 85295

(623) 888-6266

✔ PECOS✔ Accepts Medicare

Mengyao Zhao

Nurse Practitioner

NPI 1932935566

550 N 3RD STREET HEALTH NORTH BUILDING, 3RD FLOOR
Phoenix, AZ 85004

(602) 496-0907

✔ PECOS✔ Accepts Medicare

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 Gaia Virtual Medicine. LLC's NPI number?

The NPI number for Gaia Virtual Medicine. LLC is 1730800475. It was assigned to this organization in the NPPES registry on September 12, 2022.

Where is Gaia Virtual Medicine. LLC located?

Gaia Virtual Medicine. LLC is located at 4494 W Peoria Ave #115a Suite 8, Glendale, AZ 85302. The listed phone number is (602) 626-4473.

What is Gaia Virtual Medicine. LLC's specialty?

The primary specialty registered for this NPI is Family Medicine with taxonomy code 207Q00000X.

Is Gaia Virtual Medicine. LLC enrolled in Medicare?

Yes. Gaia Virtual Medicine. LLC is registered in the Medicare PECOS enrollment system.

How many clinicians bill Medicare through Gaia Virtual Medicine. LLC?

According to the CMS Revalidation Reassignment List (October 2026 release), 5 clinicians in 3 Medicare specialties reassign their Medicare billing to Gaia Virtual Medicine. 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. The largest specialties are Nurse Practitioner (3), Internal Medicine (1) and Podiatry (1). Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

When was this NPI record last updated?

The NPPES record for Gaia Virtual Medicine. LLC was last updated on May 20, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 17 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.