Providence General Medicine, PC
NPI 1164693974 · Internal Medicine Physician · Phoenix, AZ
Enrolled with Medicare as Part B Supplier - Clinic/Group Practice · source: CMS PECOS Public Provider Enrollment (2026.04.01)
Providence General Medicine, PC is a Internal Medicine Physician organization in Phoenix, AZ (NPI 1164693974).
Provider details
- NPI number
- 1164693974
- Entity type
- Organization
- Primary specialty
- Internal Medicine PhysicianAllopathic & Osteopathic Physicians
- Organization subpart
- No
- Authorized official
- Gerardo Sicalo Oborsky, Medical Director(602) 254-7077
- License
- 31836 (AZ)
Specialties & taxonomies
Allopathic & Osteopathic Physicians
Profile Score
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
18 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
Mailing address
Registry dates
- Enumerated
- 2008-03-19
- Last updated
- 2011-09-27
Frequently asked questions
- What is Providence General Medicine, PC's NPI number?
- Providence General Medicine, PC's National Provider Identifier (NPI) is 1164693974, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What type of organization is Providence General Medicine, PC?
- Providence General Medicine, PC is classified in the NPPES registry as Internal Medicine Physician (Allopathic & Osteopathic Physicians).
- Where is Providence General Medicine, PC located?
- Providence General Medicine, PC's practice location on file with NPPES is 9220 N. Central Avenue, Phoenix, AZ 85020-2416.
- What is Providence General Medicine, PC's phone number?
- The practice phone number listed in the NPPES registry for Providence General Medicine, PC is (602) 254-7077.
- Does Providence General Medicine, PC accept Medicare?
- Providence General Medicine, PC is approved to bill Medicare according to CMS PECOS enrollment data (2026.04.01). Confirm current participation with the provider before scheduling.
- Who is the authorized official for Providence General Medicine, PC?
- The authorized official listed on Providence General Medicine, PC's NPPES record is Gerardo Sicalo Oborsky, Medical Director. The authorized official registers and maintains the organization's NPI and is not necessarily its owner.
- Is Providence General Medicine, PC's NPI active?
- Yes — Providence General Medicine, PC's NPI (1164693974) is active in the NPPES registry as of the last update on 2011-09-27.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.