Gold Canyon Internal Medicine
NPI 1417112541 · Internal Medicine Physician · Gold Canyon, AZ
Enrolled with Medicare as Part B Supplier - Clinic/Group Practice · source: CMS PECOS Public Provider Enrollment (2026.04.01)
Gold Canyon Internal Medicine is a Internal Medicine Physician organization in Gold Canyon, AZ (NPI 1417112541).
Provider details
- NPI number
- 1417112541
- Entity type
- Organization
- Primary specialty
- Internal Medicine PhysicianAllopathic & Osteopathic Physicians
- Organization subpart
- No
- Authorized official
- George Fahnbulleh, Ceo(480) 525-6161
- License
- 25933 (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
17 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
- 2008-07-29
- Last updated
- 2026-01-19
- Certified
- 2026-01-19
Frequently asked questions
- What is Gold Canyon Internal Medicine's NPI number?
- Gold Canyon Internal Medicine's National Provider Identifier (NPI) is 1417112541, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What type of organization is Gold Canyon Internal Medicine?
- Gold Canyon Internal Medicine is classified in the NPPES registry as Internal Medicine Physician (Allopathic & Osteopathic Physicians).
- Where is Gold Canyon Internal Medicine located?
- Gold Canyon Internal Medicine's practice location on file with NPPES is 6724 S Kings Ranch Rd Ste 102, Gold Canyon, AZ 85118-2963.
- What is Gold Canyon Internal Medicine's phone number?
- The practice phone number listed in the NPPES registry for Gold Canyon Internal Medicine is (480) 626-4999.
- Does Gold Canyon Internal Medicine accept Medicare?
- Gold Canyon Internal Medicine 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 Gold Canyon Internal Medicine?
- The authorized official listed on Gold Canyon Internal Medicine's NPPES record is George Fahnbulleh, Ceo. The authorized official registers and maintains the organization's NPI and is not necessarily its owner.
- Is Gold Canyon Internal Medicine's NPI active?
- Yes — Gold Canyon Internal Medicine's NPI (1417112541) is active in the NPPES registry as of the last update on 2026-01-19.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.