OrganizationActive
Advanced Care Gastroenterology, P.C
NPI 1104946466 · Gastroenterology Physician · Phoenix, AZ
Provider details
- NPI number
- 1104946466
- Entity type
- Organization
- Primary specialty
- Gastroenterology PhysicianAllopathic & Osteopathic Physicians
- Organization subpart
- No
- Authorized official
- Mohammad Khan, President(602) 307-9112
- License
- 30038 (AZ)
Specialties & taxonomies
Allopathic & Osteopathic Physicians
Profile Score
Detailed profile(89/100 index)
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
19 yrs in NPPES registry
- Profile completeness38% of score
100% of core fields populated
- Practice footprint23% of score
1 documented practice location
Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our methodology.
Practice location
525 N 18th St
Suite # 601
Phoenix, AZ 85006-4102
Phone: (602) 307-9112
Fax: (602) 307-9155
Street-level locationGet directions
Mailing address
525 N 18th St
Phoenix, AZ 85006-4102
Registry dates
- Enumerated
- 2007-03-30
- Last updated
- 2020-08-22
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.