ARIZONA FAMILY & GERIATRIC MEDICINE PLLC
NPI 1740596733
Clinic/Center - Primary Care in Mesa, AZ
About Arizona Family & Geriatric Medicine Pllc NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
ARIZONA FAMILY & GERIATRIC MEDICINE PLLC (NPI 1740596733) is a healthcare organization registered as a primary care in Mesa, Arizona and active in the NPI registry since August 2010. The organization holds a CLIA Waiver certificate valid through December 6, 2027 and lists Minh Luong, Physician, Co-owner, as its authorized official.
NPPES Registry Identity
Specialties & Licenses
Other Identifiers 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)
Arizona Family & Geriatric Medicine Pllc is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).
Clinicians Billing Medicare Through This Organization
3Medicare enrollment records show 3 clinicians reassign Medicare billing to Arizona Family & Geriatric Medicine PLLC, which bills Medicare for the services they deliver. Of these, 2 practice at this address. They are listed nearest first.
Clinicians, nearest first (3)
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
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 03D2000793
Arizona Family & Geriatric Medicine PLLC · Mesa, 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 Arizona Family & Geriatric Medicine PLLC's NPI number?
The NPI number for Arizona Family & Geriatric Medicine PLLC is 1740596733. It was assigned to this organization in the NPPES registry on August 27, 2010.
Where is Arizona Family & Geriatric Medicine PLLC located?
Arizona Family & Geriatric Medicine PLLC is located at 5602 E. Main St., Mesa, AZ 85205. The listed phone number is (480) 854-9004.
What is Arizona Family & Geriatric Medicine PLLC's specialty?
The primary specialty registered for this NPI is Clinic/Center, specializing in Primary Care, with taxonomy code 261QP2300X.
Is Arizona Family & Geriatric Medicine PLLC enrolled in Medicare?
Yes. Arizona Family & Geriatric Medicine PLLC is registered in the Medicare PECOS enrollment system.
How many clinicians bill Medicare through Arizona Family & Geriatric Medicine PLLC?
According to the CMS Revalidation Reassignment List (October 2026 release), 3 clinicians reassign their Medicare billing to Arizona Family & Geriatric Medicine PLLC, in Family Practice and Nurse Practitioner. 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.
Does Arizona Family & Geriatric Medicine PLLC hold a CLIA laboratory certificate?
Yes. A Certificate of Waiver (number 03D2000793) is associated with this NPI, valid through December 6, 2027. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.
What insurance does Arizona Family & Geriatric Medicine PLLC accept?
Health plans from Ambetter Health and Ambetter from Arizona Complete Health list Arizona Family & Geriatric Medicine PLLC 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 Arizona Family & Geriatric Medicine PLLC was last updated on October 12, 2017. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 9 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.
# Arizona Family & Geriatric Medicine Pllc · NPI 1740596733
Primary Care organization in Mesa, Arizona. Organization record, active in the CMS NPPES registry since August 27, 2010.
## Identity
- **NPI:** 1740596733 (Entity type: Organization)
- **Enumerated:** August 27, 2010
- **Primary specialty:** Clinic/Center - Primary Care · taxonomy 261QP2300X
- **Organization subpart:** No
- **Authorized official:** Minh Luong, PHYSICIAN, CO-OWNER
## Practice location
- **Address:** 5602 E. MAIN ST., Mesa, AZ 85205
- **Phone:** (480) 854-9004 · **Fax:** (480) 832-1858
## Medicare
- **Medicare:** Enrolled in Medicare (PECOS)
- **Clinicians billing through this organization:** 3 clinicians in 2 Medicare specialties reassign Medicare billing to this organization (form CMS-855R); largest: Nurse Practitioner (2), Family Practice (1); 2 practice at this address · CMS Revalidation Reassignment List, October 2026 release
## Record status
- **NPPES last updated:** October 12, 2017
- **Other identifiers:** Medicare PIN OB1083820761 (AZ)
- **CLIA laboratory certificates:** 1 on file
---
Source: [NPI Profile](https://npiprofile.com/npi/1740596733) · Data from the CMS NPPES public registry.