Prime Medical Group, LLC
NPI 1336679414 · Family Medicine Physician · Gilbert, AZ
Enrolled with Medicare as Part B Supplier - Clinic/Group Practice · source: CMS PECOS Public Provider Enrollment (2026.04.01)
Prime Medical Group, LLC is a Family Medicine Physician organization in Gilbert, AZ (NPI 1336679414).
Provider details
- NPI number
- 1336679414
- Entity type
- Organization
- Primary specialty
- Family Medicine PhysicianAllopathic & Osteopathic Physicians
- Organization subpart
- No
- Authorized official
- Andria Keeble, Office Manager(480) 539-8680
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
9 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
- 2017-06-12
- Last updated
- 2022-07-21
Frequently asked questions
- What is Prime Medical Group, LLC's NPI number?
- Prime Medical Group, LLC's National Provider Identifier (NPI) is 1336679414, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What type of organization is Prime Medical Group, LLC?
- Prime Medical Group, LLC is classified in the NPPES registry as Family Medicine Physician (Allopathic & Osteopathic Physicians).
- Where is Prime Medical Group, LLC located?
- Prime Medical Group, LLC's practice location on file with NPPES is 652 E Warner Rd Ste 107, Gilbert, AZ 85296-3073.
- What is Prime Medical Group, LLC's phone number?
- The practice phone number listed in the NPPES registry for Prime Medical Group, LLC is (480) 539-8680.
- Does Prime Medical Group, LLC accept Medicare?
- Prime Medical Group, LLC 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 Prime Medical Group, LLC?
- The authorized official listed on Prime Medical Group, LLC's NPPES record is Andria Keeble, Office Manager. The authorized official registers and maintains the organization's NPI and is not necessarily its owner.
- Is Prime Medical Group, LLC's NPI active?
- Yes — Prime Medical Group, LLC's NPI (1336679414) is active in the NPPES registry as of the last update on 2022-07-21.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.