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ARIZONA UROLOGY LLC
NPI 1770025439
Urology in Goodyear, AZ

Active since November 12, 2016CLIA Certified · 2 labs
13555 W MCDOWELL RD STE 302, GOODYEAR, AZ 85395(623) 512-4390(623) 512-4391 Get Directions Write a Review

NPPES record last updated: June 8, 2026. Verified against the NPPES registry weekly; last sync: October 18, 2026.

About Arizona Urology Llc NPPES

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

ARIZONA UROLOGY LLC (NPI 1770025439) is a healthcare organization registered as an urology in Goodyear, Arizona and active in the NPI registry since November 2016. The organization holds 2 active CLIA laboratory certificates, maintains a secondary practice location in Southaven, and lists Pankaj M Jain, Managing Partner, as its authorized official.

NPPES Registry Identity

NPI1770025439
Entity TypeOrganization
Primary Taxonomy208800000X
Legal Business NameARIZONA UROLOGY LLC
Location Address13555 W MCDOWELL RD STE 302Goodyear, AZ 85395-2629
Mailing Address13555 W Mcdowell Rd Ste 302Goodyear, AZ 85395-2629 · (623) 512-4390 · Fax (623) 512-4391
Phone(623) 512-4390
Fax(623) 512-4391
Organization SubpartNo
Authorized OfficialPankaj M JainManaging Partner · (623) 512-4390
Enumeration DateNovember 12, 2016
Last NPPES UpdateJune 8, 2026
NPPES CertifiedJune 8, 2026
✔ NPI 1770025439 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyUrologyAllopathic & Osteopathic Physicians
Taxonomy Code208800000X
Definition
A urologist manages benign and malignant medical and surgical disorders of the genitourinary system and the adrenal gland. This specialist has comprehensive knowledge of and skills in endoscopic, percutaneous and open surgery of congenital and acquired conditions of the urinary and reproductive systems and their contiguous structures.
Also ListedClinical Medical LaboratoryTaxonomy 291U00000X
13555 W MCDOWELL RD STE 302, Goodyear, AZ 85395
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Secondary Practice Location 1

Location 11926 A First Commercial Dr Ste 110Southaven, MS 38671 · Phone (623) 512-4390 · Fax (623) 512-4391

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Alliant Health Plans, Inc., Ambetter from Absolute Total Care, Ambetter from Arizona Complete Health and more.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 Urology Llc is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Clinicians Billing Medicare Through This Organization

10

Medicare enrollment records show 10 clinicians reassign Medicare billing to Arizona Urology LLC, which bills Medicare for the services they deliver. Of these, 9 practice at this address. They are listed nearest first.

Clinicians by Medicare Specialty 3

Nurse Practitioner6
Urology3
Radiation Oncology1

Clinicians, nearest first (10)

Huri Guadarrama, FNP-C
Nurse Practitioner
NPI 1871266874
13555 W MCDOWELL RD STE 302
Goodyear, AZ 85395
(623) 512-4390
✔ PECOS✔ Accepts MedicareSame address
Siomara Hercules, FNP
Nurse Practitioner
NPI 1891553665
13555 W MCDOWELL RD STE 302
Goodyear, AZ 85395
(623) 512-4390
✔ PECOS✔ Accepts MedicareSame address
Pankaj Jain, MD
Urology
NPI 1730152422
13555 W MCDOWELL RD SUITE 203
Goodyear, AZ 85395
(623) 512-4390
✔ PECOS✔ Accepts MedicareSame address
Natisha Zevnick, FNP-C
Nurse Practitioner
NPI 1033927892
13555 W MCDOWELL RD STE 302
Goodyear, AZ 85395
(623) 512-4390
✔ PECOS✔ Accepts MedicareSame address
Mary Joy Balbarino, FNP
Nurse Practitioner
NPI 1396148508
13555 W MCDOWELL RD STE 302
Goodyear, AZ 85395
(623) 512-4390
✔ PECOS✔ Accepts MedicareSame address
Amanda Frary, APRN
Nurse Practitioner
NPI 1043979099
13555 W MCDOWELL RD STE 302
Goodyear, AZ 85395
(623) 404-3046
✔ PECOS✔ Accepts MedicareSame address
Stephen Larsen, M.D.
Urology
NPI 1215165584
13555 W MCDOWELL RD 302
Goodyear, AZ 85395
(623) 512-4390
✔ PECOS✔ Accepts MedicareSame address
Alexus Stephens
Nurse Practitioner
NPI 1861000564
13555 W MCDOWELL RD STE 302
Goodyear, AZ 85395
(623) 512-4390
✔ PECOS✔ Accepts MedicareSame address
Prabhakar Pandey, M.D.
Urology
NPI 1861491870
13555 W MCDOWELL RD SUITE 302
Goodyear, AZ 85395
(623) 512-4390
✔ PECOS✔ Accepts MedicareSame address
Neil D'souza
Radiation Oncology
NPI 1215469044
225 CHIMNEY CORNER LN STE 1011
Jupiter, FL 33458
(561) 275-1820
✔ PECOS✔ Accepts Medicare1,974 mi

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 2

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 03D1102253

Arizona Urology · Goodyear, AZ
Active · expires Jun 15, 2028
CLIA Number03D1102253
Laboratory TypePhysician Office
Certificate Effective DateJune 16, 2026
Certificate Expiration DateJune 15, 2028
Laboratory DirectorBreanna L. Campion
Laboratory Phone(623) 512-4390
Laboratory LocationArizona Urology13555 W Mcdowell Rd, Suite 302, Goodyear, AZ 85395
CLIA data matches this NPI record on: Address 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.

Certificate of Compliance 25D2336844

Arizona Urology · Southaven, MS
Active · expires Jan 11, 2028
CLIA Number25D2336844
Laboratory TypePhysician Office
Certificate Effective DateJanuary 12, 2026
Certificate Expiration DateJanuary 11, 2028
Laboratory DirectorCharles R. Handorf
Laboratory Phone(623) 299-7420
Laboratory LocationArizona Urology1926 A First Commerical Dr Suite 110, Southaven, MS 38671
CLIA data matches this NPI record on: Name
This certificate is issued to a laboratory after an inspection that finds the laboratory to be in compliance with all applicable CLIA requirements.

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 Arizona Urology LLC's NPI number?

The NPI number for Arizona Urology LLC is 1770025439. It was assigned to this organization in the NPPES registry on November 12, 2016.

Where is Arizona Urology LLC located?

Arizona Urology LLC is located at 13555 W Mcdowell Rd Ste 302, Goodyear, AZ 85395. The listed phone number is (623) 512-4390.

What is Arizona Urology LLC's specialty?

The primary specialty registered for this NPI is Urology with taxonomy code 208800000X.

Is Arizona Urology LLC enrolled in Medicare?

Yes. Arizona Urology LLC is registered in the Medicare PECOS enrollment system.

How many clinicians bill Medicare through Arizona Urology LLC?

According to the CMS Revalidation Reassignment List (October 2026 release), 10 clinicians in 3 Medicare specialties reassign their Medicare billing to Arizona Urology 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 (6), Urology (3) and Radiation Oncology (1). Of these, 9 practice at this address. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Does Arizona Urology LLC hold CLIA laboratory certificates?

Yes. 2 active CLIA laboratory certificates are associated with this NPI under the federal Clinical Laboratory Improvement Amendments program. The certificates are listed in the CLIA Laboratory Certificates section above.

What insurance does Arizona Urology LLC accept?

Health plans from Alliant Health Plans, Inc., Ambetter Health, Ambetter Health of Delaware, Ambetter from Absolute Total Care and Ambetter from Arizona Complete Health and 29 other insurers list Arizona Urology 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 Arizona Urology LLC was last updated on June 8, 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.