SURGICALIST OF AZ PLLC
NPI 1881196335
Surgery - Trauma Surgery in Goodyear, AZ

Active since March 01, 2018
13555 W MCDOWELL RD STE 204, GOODYEAR, AZ 85395(623) 512-4326 Get Directions Write a Review

NPPES record last updated: September 29, 2023. Verified against the NPPES registry weekly; last sync: November 01, 2026.

Record update history: Mar 30, 2023, Apr 10, 2020, Oct 3, 2019 and 1 more (4 updates tracked since 2018).

About Surgicalist Of Az Pllc NPPES

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

SURGICALIST OF AZ PLLC (NPI 1881196335) is a healthcare organization registered as a trauma surgery in Goodyear, Arizona and active in the NPI registry since March 2018. The organization lists Mit Desai, Ceo, as its authorized official.

NPPES Registry Identity

NPI1881196335
Entity TypeOrganization
Primary Taxonomy2086S0127X
Legal Business NameSURGICALIST OF AZ PLLC
Location Address13555 W MCDOWELL RD STE 204Goodyear, AZ 85395-2626
Mailing AddressPo Box 21647Tampa, FL 33622-1647 · (813) 530-5043 · Fax (813) 530-5043
Organization SubpartYesParent: The Surgicalist Group Pllc
Authorized OfficialMit DesaiCeo · (813) 530-5043
Enumeration DateMarch 1, 2018
Last NPPES UpdateSeptember 29, 20234 updates tracked since enumeration
NPPES CertifiedSeptember 29, 2023
✔ NPI 1881196335 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 3

★ Primary SpecialtySurgery · Trauma SurgeryAllopathic & Osteopathic Physicians
Taxonomy Code2086S0127X
Definition
Trauma surgery is a recognized subspecialty of general surgery. Trauma surgeons are physicians who have completed a five-year general surgery residency and usually continue with a one to two year fellowship in trauma and/or surgical critical care, typically leading to additional board certification in surgical critical care. There is no trauma surgery board certification at this point. To obtain board certification in surgical critical care, a fellowship in surgical critical care or anesthesiology critical care must be completed during or after general surgery residency.
Also ListedSurgeryTaxonomy 208600000X
Also ListedSurgery · Vascular SurgeryTaxonomy 2086S0129X
13555 W MCDOWELL RD STE 204, Goodyear, AZ 85395

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)

Surgicalist Of Az Pllc 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 Surgicalist Of Az PLLC, which bills Medicare for the services they deliver. Of these, 1 practice within 10 miles. They are listed nearest first.

Clinicians by Medicare Specialty 3

General Surgery7
Nurse Practitioner2
Vascular Surgery1

Clinicians, nearest first (10)

Nurse Practitioner
NPI 1144916297
13677 W MCDOWELL RD
Goodyear, AZ 85395
(623) 853-3832
✔ PECOS0.1 mi
Nurse Practitioner
NPI 1912383522
6036 N 19TH AVE STE 505
Phoenix, AZ 85015
(602) 249-0839
✔ PECOS✔ Accepts Medicare15 mi
Vascular Surgery
NPI 1801916630
6120 W BELL RD SUITE 100
Glendale, AZ 85308
(623) 512-4326
✔ PECOS✔ Accepts Medicare15 mi
General Surgery
NPI 1518127273
2601 E ROOSEVELT ST
Phoenix, AZ 85008
(602) 344-5637
✔ PECOS✔ Accepts Medicare19 mi
General Surgery
NPI 1659336857
20333 N 19TH AVE STE 230
Phoenix, AZ 85027
(480) 707-9504
✔ PECOS✔ Accepts Medicare20 mi
General Surgery
NPI 1790198802
1501 N CAMPBELL AVE
Tucson, AZ 85724
(520) 626-7747
✔ PECOS✔ Accepts Medicare117 mi
General Surgery
NPI 1760589220
5301 E GRANT RD
Tucson, AZ 85712
(520) 324-5461
✔ PECOS✔ Accepts Medicare120 mi
General Surgery
NPI 1316956212
1707 W CHARLESTON BLVD #160
Las Vegas, NV 89102
(702) 671-5150
✔ PECOS✔ Accepts Medicare245 mi
General Surgery
NPI 1003014044
6161 S YALE AVE
Tulsa, OK 74136
(918) 494-1805
✔ PECOS✔ Accepts Medicare951 mi
General Surgery
NPI 1548415086
2780 CLEVELAND AVE # 702
Fort Myers, FL 33901
(239) 343-3474
✔ PECOS✔ Accepts Medicare1,879 mi

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 Surgicalist Of Az PLLC's NPI number?

The NPI number for Surgicalist Of Az PLLC is 1881196335. It was assigned to this organization in the NPPES registry on March 1, 2018.

Where is Surgicalist Of Az PLLC located?

Surgicalist Of Az PLLC is located at 13555 W Mcdowell Rd Ste 204, Goodyear, AZ 85395. The listed phone number is (623) 512-4326.

What is Surgicalist Of Az PLLC's specialty?

The primary specialty registered for this NPI is Surgery, specializing in Trauma Surgery, with taxonomy code 2086S0127X.

Is Surgicalist Of Az PLLC enrolled in Medicare?

Yes. Surgicalist Of Az PLLC is registered in the Medicare PECOS enrollment system.

How many clinicians bill Medicare through Surgicalist Of Az PLLC?

According to the CMS Revalidation Reassignment List (October 2026 release), 10 clinicians in 3 Medicare specialties reassign their Medicare billing to Surgicalist Of Az PLLC. 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 General Surgery (7), Nurse Practitioner (2) and Vascular Surgery (1). Of these, 1 practice within 10 miles. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

When was this NPI record last updated?

The NPPES record for Surgicalist Of Az PLLC was last updated on September 29, 2023. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 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.