ARIZONA GENERAL SURGERY SPECIALIST PC
NPI 1962624056
Surgery in Peoria, AZ

Active since May 02, 2007
14155 N 83RD AVE STE A-105, PEORIA, AZ 85381(209) 956-7725(623) 486-7703 Get Directions Write a Review

NPPES record last updated: May 12, 2026. Verified against the NPPES registry weekly; last sync: October 18, 2026.

Record update history: May 12, 2026, Jul 21, 2022, Oct 1, 2019 (3 updates tracked since 2019).

About Arizona General Surgery Specialist Pc NPPES

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

ARIZONA GENERAL SURGERY SPECIALIST PC (NPI 1962624056) is a healthcare organization registered as a surgery in Peoria, Arizona and active in the NPI registry since May 2007. The organization maintains 4 additional practice locations and lists Brian Edward Prebil, Owner, as its authorized official.

NPPES Registry Identity

NPI1962624056
Entity TypeOrganization
Primary Taxonomy208600000X
Legal Business NameARIZONA GENERAL SURGERY SPECIALIST PC
Location Address14155 N 83RD AVE STE A-105Peoria, AZ 85381-5639
Mailing Address14155 N 83rd Ave Ste 105Peoria, AZ 85381-5640 · (623) 486-7700 · Fax (623) 486-7703
Fax(623) 486-7703
Organization SubpartNo
Authorized OfficialBrian Edward PrebilOwner · (623) 486-7700
Enumeration DateMay 2, 2007
Last NPPES UpdateMay 12, 20263 updates tracked since enumeration
NPPES CertifiedMay 12, 2026
✔ NPI 1962624056 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtySurgeryAllopathic & Osteopathic Physicians
Taxonomy Code208600000X
Definition
A general surgeon has expertise related to the diagnosis - preoperative, operative and postoperative management - and management of complications of surgical conditions in the following areas: alimentary tract; abdomen; breast, skin and soft tissue; endocrine system; head and neck surgery; pediatric surgery; surgical critical care; surgical oncology; trauma and burns; and vascular surgery. General surgeons increasingly provide care through the use of minimally invasive and endoscopic techniques. Many general surgeons also possess expertise in transplantation surgery, plastic surgery and cardiothoracic surgery.
Also ListedSpecialistTaxonomy 174400000X
14155 N 83RD AVE STE A-105, Peoria, AZ 85381

Secondary Practice Locations 4

Location 118701 N 67th AveGlendale, AZ 85308-7100 · Phone (209) 956-7725 ext. 7732
Location 29201 W Thomas RdPhoenix, AZ 85037-3332 · Phone (209) 956-7725 ext. 7732
Location 37300 N 99th AveGlendale, AZ 85307-3003 · Phone (209) 956-7725 ext. 7732
Location 45555 W Thunderbird RdGlendale, AZ 85306-4622 · Phone (209) 956-7725 ext. 7732 · Fax (602) 865-5930

Group Practice 2

Group TaxonomyThis provider is a business group of one or more individual practitioners, who practice with different areas of specialization.193200000X MULTI-SPECIALTY GROUP
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

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 General Surgery Specialist Pc is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Clinicians Billing Medicare Through This Organization

2

Medicare enrollment records show 2 clinicians reassign Medicare billing to Arizona General Surgery Specialist PC, which bills Medicare for the services they deliver. Of these, 1 practice at this address. They are listed nearest first.

Clinicians, nearest first (2)

General Surgery
NPI 1639132087
14155 N 83RD AVE STE 105
Peoria, AZ 85381
(623) 486-7700
✔ PECOS✔ Accepts MedicareSame address
General Surgery
NPI 1215291604
5994 S HOSPITAL DR
Globe, AZ 85501
(928) 425-7108
✔ PECOS✔ Accepts Medicare83 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 Arizona General Surgery Specialist PC's NPI number?

The NPI number for Arizona General Surgery Specialist PC is 1962624056. It was assigned to this organization in the NPPES registry on May 2, 2007.

Where is Arizona General Surgery Specialist PC located?

Arizona General Surgery Specialist PC is located at 14155 N 83rd Ave Ste A-105, Peoria, AZ 85381. The listed phone number is (209) 956-7725.

What is Arizona General Surgery Specialist PC's specialty?

The primary specialty registered for this NPI is Surgery with taxonomy code 208600000X.

Is Arizona General Surgery Specialist PC enrolled in Medicare?

Yes. Arizona General Surgery Specialist PC is registered in the Medicare PECOS enrollment system.

How many clinicians bill Medicare through Arizona General Surgery Specialist PC?

According to the CMS Revalidation Reassignment List (October 2026 release), 2 clinicians, all in General Surgery, reassign their Medicare billing to Arizona General Surgery Specialist PC. 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. Of these, 1 practice at this address. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

When was this NPI record last updated?

The NPPES record for Arizona General Surgery Specialist PC was last updated on May 12, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 5 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.