Advanced Minimally Invasive Surgical
NPI 1295056919 · Surgery Physician · Phoenix, AZ
Enrolled with Medicare as Dme Supplier - Physician - Podiatry · source: CMS PECOS Public Provider Enrollment (2026.04.01)
Advanced Minimally Invasive Surgical is a Surgery Physician organization in Phoenix, AZ (NPI 1295056919).
Provider details
- NPI number
- 1295056919
- Entity type
- Organization
- Primary specialty
- Surgery PhysicianAllopathic & Osteopathic Physicians
- Organization subpart
- No
- Authorized official
- Kiup Kim, Manager(480) 299-7654
Specialties & taxonomies
Allopathic & Osteopathic Physicians
- Family Medicine Physician207Q00000X
Allopathic & Osteopathic Physicians
- Adult Medicine Physician207QA0505X
Allopathic & Osteopathic Physicians
Allopathic & Osteopathic Physicians
- Community/Behavioral Health Agency251S00000X
Agencies
Profile Score
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
16 yrs in NPPES registry
- Profile completeness38% of score
100% of core fields populated
- Practice footprint23% of score
7 documented practice locations
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
Additional practice locations (6)
- 1455 W Chandler Blvd Ste B11Chandler, AZ 85224-6128Phone: (480) 788-5621Fax: (480) 779-1277
- 333 N Dobson RdChandler, AZ 85224-4412Phone: (480) 788-5621Fax: (480) 779-1277
- 5060 N 19th Ave Ste 106Phoenix, AZ 85015-3211Phone: (480) 788-5621Fax: (480) 779-1277
- 202 E Earll Dr Ste 360Phoenix, AZ 85012-2677Phone: (480) 788-5621Fax: (480) 779-1277
- 5060 N 19th Ave Ste 207Phoenix, AZ 85015-3212Phone: (480) 788-5621Fax: (480) 779-1277
- 2737 W Baseline Rd Ste 27Tempe, AZ 85283-1051Phone: (480) 788-5621Fax: (480) 779-1277
Registry dates
- Enumerated
- 2010-06-16
- Last updated
- 2022-10-18
- Certified
- 2022-10-18
Frequently asked questions
- What is Advanced Minimally Invasive Surgical's NPI number?
- Advanced Minimally Invasive Surgical's National Provider Identifier (NPI) is 1295056919, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What type of organization is Advanced Minimally Invasive Surgical?
- Advanced Minimally Invasive Surgical is classified in the NPPES registry as Surgery Physician (Allopathic & Osteopathic Physicians).
- Where is Advanced Minimally Invasive Surgical located?
- Advanced Minimally Invasive Surgical's practice location on file with NPPES is 202 E Earll Dr Ste 360, Phoenix, AZ 85012-2677.
- What is Advanced Minimally Invasive Surgical's phone number?
- The practice phone number listed in the NPPES registry for Advanced Minimally Invasive Surgical is (480) 788-5621.
- Does Advanced Minimally Invasive Surgical accept Medicare?
- Advanced Minimally Invasive Surgical 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 Advanced Minimally Invasive Surgical?
- The authorized official listed on Advanced Minimally Invasive Surgical's NPPES record is Kiup Kim, Manager. The authorized official registers and maintains the organization's NPI and is not necessarily its owner.
- Is Advanced Minimally Invasive Surgical's NPI active?
- Yes — Advanced Minimally Invasive Surgical's NPI (1295056919) is active in the NPPES registry as of the last update on 2022-10-18.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.