SANJAY VERMA MD
NPI 1770536138
Internal Medicine - Gastroenterology in Avondale, AZ

Q: What is Sanjay Verma's NPI number?

The NPI number for Sanjay Verma is 1770536138. It was assigned to this individual provider in the NPPES registry on May 18, 2006.

Q: What is Sanjay Verma's specialty?

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

Q: When was this NPI record last updated?

The NPPES record for Sanjay Verma was last updated on August 1, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 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.

Active since May 18, 2006PECOS EnrolledAccepts Medicare Assignment

10815 W MCDOWELL RD STE 304, AVONDALE, AZ 85392(480) 840-1754(480) 840-1764 Get Directions Write a Review

NPPES record last updated: August 1, 2024. Verified against the NPPES registry weekly; last sync: November 01, 2026.

Record update history: Aug 1, 2024, Apr 18, 2019 (2 updates tracked since 2019).

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About Sanjay Verma Md NPPES

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

SANJAY VERMA MD (NPI 1770536138) is an individual gastroenterology provider in Avondale, Arizona, licensed in Arizona (31649) and active in the NPI registry since May 2006. He is enrolled in Medicare PECOS, maintains a secondary practice location in Phoenix, and is a graduate of Other (1994).

NPPES Registry Identity

NPI1770536138

Entity TypeIndividualMale

Primary Taxonomy207RG0100X

Provider Legal NameSANJAY VERMACredential: MD

Location Address10815 W MCDOWELL RD STE 304Avondale, AZ 85392-5016

Mailing Address3815 E Bell Rd Ste 4500Phoenix, AZ 85032-2171 · (602) 633-3848 · Fax (602) 633-3841

Phone(480) 840-1754

Fax(480) 840-1764

Sole ProprietorYes

Medical School CMSOtherGraduated 1994

Enumeration DateMay 18, 2006

Last NPPES UpdateAugust 1, 20242 updates tracked since enumeration

NPPES CertifiedAugust 1, 2024

✔ NPI 1770536138 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyInternal Medicine · GastroenterologyAllopathic & Osteopathic Physicians

Taxonomy Code207RG0100X

License✔ Licensed in AZ · 31649

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.

10815 W MCDOWELL RD STE 304, Avondale, AZ 85392

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Secondary Practice Location 1

Location 12040 W Bethany Home Rd Ste 123Phoenix, AZ 85015-2445 · Phone (480) 840-1754 · Fax (480) 840-1764

Other Identifiers 2

OtherZ224189AZ · Medicare

Medicaid844987AZ

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Ambetter from Arizona Complete Health, Ambetter Health, Blue Cross Blue Shield of Arizona and more.Insurance ›

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare and accepts Medicare assignment

Sanjay Verma Md is registered in PECOS and agrees to accept the Medicare-approved amount as full payment. Medicare patients are not billed beyond the standard deductible and coinsurance.

PECOS PAC ID5395737217

PECOS Enrollment IDI20040419001008

Eligible to Order & Refer✔ Part B Labs & Imaging✔ Durable Medical Equipment✔ Home Health Agency✔ Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

Medicare Billing Reassignment

Medicare enrollment records show Sanjay Verma reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.

Privia Medical Group Arizona, LLC

21 mi

Family Medicine

3815 E BELL RD STE 4500
Phoenix, AZ 85032

Reassigned Medicare billing, Arizona enrollment
99 clinicians in this Medicare group

NPI 1760441141 (602) 633-3838

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Areas of Expertise CMS Part B claims 12

Services this provider delivered to Medicare fee-for-service patients, from the CMS Medicare utilization data. Higher counts generally reflect more experience with a service; care delivered outside Medicare is not included.

Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more 99214

This is a routine check-up for patients who have previously visited our clinic. It involves a comprehensive review of your health and any ongoing treatments. The consultation lasts between 30-39 minutes, allowing enough time to discuss any concerns.

161 services125 patients

New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more 99204

This is a first-time office or outpatient visit lasting between 45-59 minutes. The healthcare provider evaluates your health, discusses your medical history, and may suggest further tests or treatments. It's an opportunity to ask questions and understand your health better.

122 services122 patients

Biopsy of esophagus, stomach, and/or upper small bowel using a flexible endoscope 43239

This procedure involves using a thin, flexible tube with a light and camera, known as an endoscope, to examine the esophagus, stomach, and upper part of the small intestine. Small tissue samples are taken for further examination to help diagnose various conditions.

104 services101 patients

New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more 99203

This service involves an initial office or outpatient visit for a new patient. The healthcare professional will spend 30-44 minutes understanding your health history, current issues, and discussing possible treatment plans. It's a comprehensive evaluation to start your healthcare journey.

91 services91 patients

Established patient office or other outpatient visit with low level od decision making, if using time, 20 minutes or more 99213

This is a routine visit for patients who have already been seen by the healthcare provider. During this approximately 20-29 minute appointment, your health status will be evaluated and any necessary treatments or tests will be discussed. It's a chance to address any health concerns you may have.

82 services80 patients

Removal of polyps or growths of large bowel using an endoscope with mechanical snare 45385

This procedure involves using a thin, flexible tube called an endoscope to examine the large bowel. If any abnormal growths or polyps are found, a tool called a mechanical snare is used to remove them. This is a common method to prevent potential health issues.

69 services69 patients

Diagnostic exam of large bowel using a flexible endoscope 45378

This procedure, known as a colonoscopy, involves using a flexible tube with a light and camera to examine the large intestine. It helps detect any abnormalities such as polyps or inflammation. It's a standard procedure to ensure gut health.

49 services49 patients

Colorectal cancer screening; colonoscopy on individual at high risk G0105

Colorectal cancer screening, specifically a colonoscopy, is a preventive measure for those at high risk. A thin, flexible tube with a camera inspects the colon to spot any abnormal growths. This test helps detect potential issues early, enhancing the effectiveness of treatment.

40 services40 patients

Balloon dilation of esophagus, stomach, and/or upper small bowel using a flexible endoscope, less than 3.0 cm 43249

This procedure involves using a flexible tube with a camera, called an endoscope, to gently expand narrowed areas in your esophagus, stomach, or upper small bowel. A small balloon is inflated, making it easier for food and liquid to pass through. It's safe and effective.

28 services28 patients

Biopsy of large bowel using a flexible endoscope 45380

A biopsy of the large bowel using a flexible endoscope is a procedure where a thin, flexible tube with a camera is inserted through the rectum to examine the bowel. If abnormal tissue is found, a small sample is taken for further examination. This helps in diagnosing conditions like inflammation, polyps, or cancer.

28 services28 patients

Colorectal cancer screening; colonoscopy on individual not meeting criteria for high risk G0121

Colorectal cancer screening, such as a colonoscopy, is a preventive measure to detect early signs of cancer in the large intestine. For individuals not at high risk, it's typically recommended at age 50. A small, flexible tube with a camera is used to examine your colon. It's a safe, effective way to catch issues early.

20 services20 patients

Biopsy of esophagus, stomach, and/or upper small bowel using a flexible endoscope 43239

13 services13 patients

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 85392 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.

New Patient

$127.71 typical visit price

range $55.44 – $168.60

Typical copayment $31.92 (range $13.86 – $42.15)

Most-billed visit code 99204

Established Patient

$98.00 typical visit price

range $17.72 – $137.41

Typical copayment $24.50 (range $4.43 – $34.35)

Most-billed visit code 99214

Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

Other Providers at the Same Location NPPES 2

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

JUDITH EKBLAD FNP-BC

Nurse Practitioner (Family)

10815 W MCDOWELL RD STE 304
AVONDALE, AZ 85392

Maricopa County (623) 251-7559

LISETTE AMEZCUA FNP

Nurse Practitioner (Family)

10815 W MCDOWELL RD STE 304
AVONDALE, AZ 85392

Maricopa County (623) 433-0155

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 Sanjay Verma's NPI number?

The NPI number for Sanjay Verma is 1770536138. It was assigned to this individual provider in the NPPES registry on May 18, 2006.

Where is Sanjay Verma located?

Sanjay Verma practices at 10815 W Mcdowell Rd Ste 304, Avondale, AZ 85392. The listed phone number is (480) 840-1754.

What is Sanjay Verma's specialty?

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

Is Sanjay Verma enrolled in Medicare?

Yes. Sanjay Verma is registered in the Medicare PECOS system and accepts Medicare assignment, which means accepting the Medicare-approved amount as payment in full for covered services.

Which organization bills Medicare for Sanjay Verma's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Sanjay Verma reassigns Medicare benefits to Privia Medical Group Arizona, LLC (Phoenix, AZ). The 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 Sanjay Verma's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Sanjay Verma accept?

Health plans from Ambetter Health, Ambetter from Arizona Complete Health, Blue Cross Blue Shield of Arizona and UnitedHealthcare list Sanjay Verma 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 Sanjay Verma was last updated on August 1, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 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.