The Group Gastro, LLC
NPI 1609740455 · Gastroenterology Physician · Mesa, AZ
Enrolled with Medicare as Part B Supplier - Clinic/Group Practice · source: CMS PECOS Public Provider Enrollment (2026.04.01)
The Group Gastro, LLC is a Gastroenterology Physician organization in Mesa, AZ (NPI 1609740455).
Provider details
- NPI number
- 1609740455
- Entity type
- Organization
- Primary specialty
- Gastroenterology PhysicianAllopathic & Osteopathic Physicians
- Organization subpart
- No
- Authorized official
- Jae Kim, Ceo(480) 856-8252
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
Under 1 yr in registry
- Profile completeness38% of score
100% of core fields populated
- Practice footprint23% of score
6 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 (5)
- 1125 S Alma School Rd Ste 100Chandler, AZ 85286-2810Phone: (480) 550-6089
- 3920 S Rome StGilbert, AZ 85297-7366Phone: (480) 597-4778Fax: (480) 597-4782
- 1301 S Crismon RdMesa, AZ 85209-3767Phone: (480) 358-6100
- 37200 N Gantzel Rd Ste 100Queen Creek, AZ 85140-7368Phone: (480) 307-6741Fax: (480) 546-5327
- 1500 S Mill AveTempe, AZ 85281-6699Phone: (480) 784-5500
Registry dates
- Enumerated
- 2025-10-03
- Last updated
- 2026-04-23
- Certified
- 2026-04-23
Frequently asked questions
- What is The Group Gastro, LLC's NPI number?
- The Group Gastro, LLC's National Provider Identifier (NPI) is 1609740455, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What type of organization is The Group Gastro, LLC?
- The Group Gastro, LLC is classified in the NPPES registry as Gastroenterology Physician (Allopathic & Osteopathic Physicians).
- Where is The Group Gastro, LLC located?
- The Group Gastro, LLC's practice location on file with NPPES is 10238 E Hampton Ave Ste 205, Mesa, AZ 85209-3318.
- What is The Group Gastro, LLC's phone number?
- The practice phone number listed in the NPPES registry for The Group Gastro, LLC is (480) 856-8252.
- Does The Group Gastro, LLC accept Medicare?
- The Group Gastro, 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 The Group Gastro, LLC?
- The authorized official listed on The Group Gastro, LLC's NPPES record is Jae Kim, Ceo. The authorized official registers and maintains the organization's NPI and is not necessarily its owner.
- Is The Group Gastro, LLC's NPI active?
- Yes — The Group Gastro, LLC's NPI (1609740455) is active in the NPPES registry as of the last update on 2026-04-23.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.