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ARIZONA UROLOGY LLC
NPI 1770025439
Urology in Goodyear, AZ

Active since November 12, 2016CLIA Certified · 3 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: August 02, 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 3 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 Ambetter from Arizona Complete Health.Insurance ›

CLIA Laboratory Certificates CMS CLIA 3

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 May 1, 2027
CLIA Number03D1102253
Laboratory TypePhysician Office
Certificate Effective DateMay 2, 2025
Certificate Expiration DateMay 1, 2027
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 Waiver 03D2309018

Arizona Urology · Glendale, AZ
Active · expires Aug 7, 2026
CLIA Number03D2309018
Laboratory TypePhysician Office
Certificate Effective DateAugust 8, 2024
Certificate Expiration DateAugust 7, 2026
Laboratory DirectorPankaj M. Jain
Laboratory Phone(623) 512-4390
Laboratory LocationArizona Urology20325 N 51st Ave Ste 170, Glendale, AZ 85308
CLIA data matches this NPI record on: Name Phone
This certificate is issued to a laboratory to perform only waived tests.

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.

Other Providers at the Same Location NPPES 8

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

MISS NATISHA LYNN ZEVNICK FNP-C
Nurse Practitioner (Family)
13555 W MCDOWELL RD STE 302
GOODYEAR, AZ 85395
Maricopa County (623) 512-4390
AMANDA JO FRARY APRN
Nurse Practitioner (Acute Care)
13555 W MCDOWELL RD STE 302
GOODYEAR, AZ 85395
Maricopa County (623) 404-3046
SHIRLEE HELTON NURSE PRACTITIONER
Nurse Practitioner
13555 W MCDOWELL RD STE 302
GOODYEAR, AZ 85395
Maricopa County (623) 512-4390
MARY JOY DOMINGUEZ BALBARINO FNP
Nurse Practitioner (Family)
13555 W MCDOWELL RD STE 302
GOODYEAR, AZ 85395
Maricopa County (623) 512-4390
ALEXUS STEPHENS
Nurse Practitioner (Family)
13555 W MCDOWELL RD STE 302
GOODYEAR, AZ 85395
Maricopa County (623) 512-4390
MR. HURI PIERRE GUADARRAMA FNP-C
Nurse Practitioner (Family)
13555 W MCDOWELL RD STE 302
GOODYEAR, AZ 85395
Maricopa County (623) 512-4390
SIOMARA HERCULES FNP
Nurse Practitioner (Family)
13555 W MCDOWELL RD STE 302
GOODYEAR, AZ 85395
Maricopa County (623) 512-4390
MONTSERRAT SOFIA CAMARENA-LEIJA
Physician Assistant (Medical)
13555 W MCDOWELL RD STE 302
GOODYEAR, AZ 85395
Maricopa County (623) 512-4390

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.

Does Arizona Urology LLC hold CLIA laboratory certificates?

Yes. 3 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 Ambetter from Arizona Complete Health 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 57 days 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.