Surgicalist of Az PLLC
NPI 1881196335 · Trauma Surgery Physician · Goodyear, AZ
Enrolled with Medicare as Part B Supplier - Clinic/Group Practice · source: CMS PECOS Public Provider Enrollment (2026.04.01)
Surgicalist of Az PLLC is a Trauma Surgery Physician organization in Goodyear, AZ (NPI 1881196335).
Provider details
- NPI number
- 1881196335
- Entity type
- Organization
- Primary specialty
- Trauma Surgery PhysicianAllopathic & Osteopathic Physicians
- Parent organization
- The Surgicalist Group PLLC
- Organization subpart
- Yes
- Authorized official
- Mit Desai, Ceo(813) 530-5043
Specialties & taxonomies
Allopathic & Osteopathic Physicians
- Surgery Physician208600000X
Allopathic & Osteopathic Physicians
- Vascular Surgery Physician2086S0129X
Allopathic & Osteopathic Physicians
Profile Score
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
8 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
- 2018-03-01
- Last updated
- 2023-09-29
- Certified
- 2023-09-29
Frequently asked questions
- What is Surgicalist of Az PLLC's NPI number?
- Surgicalist of Az PLLC's National Provider Identifier (NPI) is 1881196335, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What type of organization is Surgicalist of Az PLLC?
- Surgicalist of Az PLLC is classified in the NPPES registry as Trauma Surgery Physician (Allopathic & Osteopathic Physicians).
- Where is Surgicalist of Az PLLC located?
- Surgicalist of Az PLLC's practice location on file with NPPES is 13555 W Mcdowell Rd Ste 204, Goodyear, AZ 85395-2626.
- What is Surgicalist of Az PLLC's phone number?
- The practice phone number listed in the NPPES registry for Surgicalist of Az PLLC is (623) 512-4326.
- Does Surgicalist of Az PLLC accept Medicare?
- Surgicalist of Az PLLC 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 Surgicalist of Az PLLC?
- The authorized official listed on Surgicalist of Az PLLC's NPPES record is Mit Desai, Ceo. The authorized official registers and maintains the organization's NPI and is not necessarily its owner.
- Is Surgicalist of Az PLLC's NPI active?
- Yes — Surgicalist of Az PLLC's NPI (1881196335) is active in the NPPES registry as of the last update on 2023-09-29.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.