BOOJUM OBSTETRICS AND GYNECOLOGY
NPI 1912225806
Specialist in Gilbert, AZ

Active since May 17, 2010CLIA 03D0956496 · Microscopy
3367 S MERCY RD STE 207, GILBERT, AZ 85297(480) 855-5900(480) 855-9171 Get Directions Write a Review

NPPES record last updated: July 14, 2020. Verified against the NPPES registry weekly; last sync: October 18, 2026.

Record update history: Jul 14, 2020, Dec 3, 2018 (2 updates tracked since 2018).

About Boojum Obstetrics And Gynecology NPPES

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

BOOJUM OBSTETRICS AND GYNECOLOGY (NPI 1912225806) is a healthcare organization registered as a specialist in Gilbert, Arizona and active in the NPI registry since May 2010. The organization holds a CLIA Microscopy certificate valid through January 27, 2027 and lists Phillip G Garza, President, as its authorized official.

NPPES Registry Identity

NPI1912225806
Entity TypeOrganization
Primary Taxonomy174400000X
Legal Business NameBOOJUM OBSTETRICS AND GYNECOLOGY
Location Address3367 S MERCY RD STE 207Gilbert, AZ 85297-7604
Mailing Address3367 S Mercy Rd Ste 207Gilbert, AZ 85297-7604 · (480) 855-5900 · Fax (480) 855-9171
Fax(480) 855-9171
Organization SubpartNo
Authorized OfficialPhillip G GarzaPresident · (480) 855-5900
Enumeration DateMay 17, 2010
Last NPPES UpdateJuly 14, 20202 updates tracked since enumeration
NPPES CertifiedJuly 14, 2020
✔ NPI 1912225806 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtySpecialistOther Service Providers
Taxonomy Code174400000X
License✔ Licensed in AZ · AZ12769
Definition
An individual educated and trained in an applied knowledge discipline used in the performance of work at a level requiring knowledge and skills beyond or apart from that provided by a general education or liberal arts degree.
3367 S MERCY RD STE 207, Gilbert, AZ 85297

Group Practice 1

Group TaxonomyThis provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.193400000X SINGLE SPECIALTY GROUP

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)

Boojum Obstetrics And Gynecology is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Clinicians Billing Medicare Through This Organization

5

Medicare enrollment records show 5 clinicians reassign Medicare billing to Boojum Obstetrics And Gynecology, which bills Medicare for the services they deliver. Of these, 2 practice at this address and 3 within 10 miles. They are listed nearest first.

Clinicians, nearest first (5)

Obstetrics/Gynecology
NPI 1932335890
3367 S MERCY RD STE 207
Gilbert, AZ 85297
(480) 855-5900
✔ PECOS✔ Accepts MedicareSame address
Nurse Practitioner
NPI 1760844989
3367 S MERCY RD STE 207
Gilbert, AZ 85297
(480) 855-5900
✔ PECOS✔ Accepts MedicareSame address
Certified Nurse Midwife (CNM)
NPI 1508508763
2152 S VINEYARD STE 138
Mesa, AZ 85210
(480) 539-6646
✔ PECOS✔ Accepts Medicare8.2 mi
Nurse Practitioner
NPI 1154874790
10238 E HAMPTON AVE #507
Mesa, AZ 85209
(480) 821-3616
✔ PECOS11 mi
Nurse Practitioner
NPI 1801809702
11011 S 48TH ST STE 101
Phoenix, AZ 85044
(602) 730-9670
✔ PECOS14 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

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 for Provider-Performed Microscopy Procedures (PPMP) 03D0956496

Boojum Obstetrics And Gynocology PC · Gilbert, AZ
Active · expires Jan 27, 2027
CLIA Number03D0956496
Laboratory TypePhysician Office
Certificate Effective DateJanuary 28, 2025
Certificate Expiration DateJanuary 27, 2027
Laboratory DirectorPhillip Garza
Laboratory Phone(480) 855-5900
Laboratory LocationBoojum Obstetrics And Gynocology PC3367 S Mercy Rd Ste 207, Gilbert, AZ 85297
CLIA data matches this NPI record on: Address Phone
This certificate is issued to a laboratory in which a physician, midlevel practitioner or dentist performs no tests other than the microscopy procedures. This certificate permits the laboratory to also perform waived tests.

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 Boojum Obstetrics And Gynecology's NPI number?

The NPI number for Boojum Obstetrics And Gynecology is 1912225806. It was assigned to this organization in the NPPES registry on May 17, 2010.

Where is Boojum Obstetrics And Gynecology located?

Boojum Obstetrics And Gynecology is located at 3367 S Mercy Rd Ste 207, Gilbert, AZ 85297. The listed phone number is (480) 855-5900.

What is Boojum Obstetrics And Gynecology's specialty?

The primary specialty registered for this NPI is Specialist with taxonomy code 174400000X.

Is Boojum Obstetrics And Gynecology enrolled in Medicare?

Yes. Boojum Obstetrics And Gynecology is registered in the Medicare PECOS enrollment system.

How many clinicians bill Medicare through Boojum Obstetrics And Gynecology?

According to the CMS Revalidation Reassignment List (October 2026 release), 5 clinicians in 3 Medicare specialties reassign their Medicare billing to Boojum Obstetrics And Gynecology. 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 (3), Certified Nurse Midwife (CNM) (1) and Obstetrics/Gynecology (1). Of these, 2 practice at this address and 3 within 10 miles. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Does Boojum Obstetrics And Gynecology hold a CLIA laboratory certificate?

Yes. A Certificate for Provider-Performed Microscopy Procedures (PPMP) (number 03D0956496) is associated with this NPI, valid through January 27, 2027. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.

What insurance does Boojum Obstetrics And Gynecology accept?

Health plans from Cigna HealthCare of Arizona, Inc list Boojum Obstetrics And Gynecology 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 Boojum Obstetrics And Gynecology was last updated on July 14, 2020. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 6 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.