GILA INTERNAL MEDICINE & GERIATRIC P C
NPI 1609921378
Exclusive Provider Organization in Tempe, AZ
NPI Status: Active since January 24, 2007
Contact Information
2727 W BASELINE RD.
SUITE 8
TEMPE, AZ
ZIP 85283
Phone: (602) 323-0904
Fax: (602) 243-7616
- Organization
- Exclusive Provider Organization
- Accepts Insurance
- CLIA Number: 03D2318372
- CLIA Cert. Type: Physician Office
- CLIA Exp. Date: 02-09-2027
About GILA INTERNAL MEDICINE & GERIATRIC P C
This page provides the complete NPI Profile along with additional information for Gila Internal Medicine & Geriatric P C, a provider established in Tempe, Arizona operating as a Exclusive Provider Organization. The healthcare provider is registered in the NPI registry with number 1609921378 assigned on January 2007. The practitioner's primary taxonomy code is 302F00000X with license number 11483 (AZ). The provider is registered as an organization and their NPI record was last updated one year ago. The authorized official of this NPI record is Dr. Aureliano E Cifuentes Md (Md/owner)
- NPI
- 1609921378
- Provider Name
- GILA INTERNAL MEDICINE & GERIATRIC P C
- Entity Type
- Organization
- Location Address
- 2727 W BASELINE RD. SUITE 8 TEMPE, AZ 85283
- Location Phone
- (602) 323-0904
- Location Fax
- (602) 243-7616
- Mailing Address
- 2727 W. BASELINE RD. SUITE 8 TEMPE, AZ 85283
- Mailing Phone
- (602) 323-0904
- Mailing Fax
- (602) 243-7616
- Is Sole Proprietor?
- No
- Is Organization Subpart?
- No
- Enumeration Date
- 01-24-2007
- Last Update Date
- 08-12-2024
- Code Navigator
Location Map
Secondary Locations
- 448 E Southern Ave
Phoenix, AZ 85040
(602) 276-8577 - 4616 N 51st Ave Ste 102
Phoenix, AZ 85031
(602) 362-5711 - 1742 W Bethany Home Rd
Phoenix, AZ 85015
(602) 675-3246
Specialty - Primary Taxonomy
The NPI enumerator requires providers to submit at least one taxonomy code. A taxonomy code is a unique 10-character code that describes the healthcare provider type, classification, and the area of specialization. There could be only one primary taxonomy code per NPI record. For individual NPIs the license data is associated to the taxonomy code.
- Classification
Exclusive Provider Organization
- Taxonomy Code
- 302F00000X
- Type
- Managed Care Organizations
- License No.
- 11483
- License State
- AZ
- Taxonomy Description
- (1) An EPO is a form of PPO, in which patients must visit a caregiver that is specified on its panel of providers (is a participating provider). If a visit to an outside(not participating) provider is made the EPO offers very limited or no coverage for the medical service; (2) While similar to a PPO in that an EPO allows patients to go outside the network for care, if they do so in an EPO, they are required to pay the entire cost of care. An EPO differs from an HMO in that EPO physicians do not receive capitation but instead are reimbursed only for actual services provided; (3) An organization identical to a preferred provider organization except that persons enrolled in the plan are eligible to receive benefits only when they use the services of the contracting providers. No benefits are available when non-contracting providers are used, except in certain emergency situations.
Insurance Plans Accepted
According to publicly available information the provider might be accepting the following health plans from these health insurance companies:
- Choice Bronze HSA - HMO
- Choice Bronze HSA + Vision + Adult Dental - HMO
- Clear Silver - HMO
- Complete Gold - HMO
- Complete Gold + Vision + Adult Dental - HMO
- Complete Silver - HMO
- Complete Silver + Vision + Adult Dental - HMO
- Elite Gold - HMO
- Elite Gold + Vision + Adult Dental - HMO
- Everyday Bronze - HMO
- Medica Individual Choice Bronze $0 Copay PCP Visits - HMO
- Medica Individual Choice Bronze Share - HMO
- Medica Individual Choice Expanded Bronze Standard - HMO
- Medica Individual Choice Gold $0 Copay PCP Visits - HMO
- Medica Individual Choice Gold Share - HMO
- Medica Individual Choice Gold Standard - HMO
- Medica Individual Choice Silver $0 Copay PCP Visits - HMO
- Medica Individual Choice Silver Share - HMO
- Medica Individual Choice Silver Standard - HMO
Specific plan information not avaialable, please contact the provider to verify if your insurance plan is accepted.
Specific plan information not avaialable, please contact the provider to verify if your insurance plan is accepted.
Specific plan information not avaialable, please contact the provider to verify if your insurance plan is accepted.
Specific plan information not avaialable, please contact the provider to verify if your insurance plan is accepted.
Specific plan information not avaialable, please contact the provider to verify if your insurance plan is accepted.
Specific plan information not avaialable, please contact the provider to verify if your insurance plan is accepted.
*Please verify directly with this provider to make sure your insurance plan is currently accepted.
Additional Identifiers
The NPI Enumerator encourages providers to submit additional identifiers with their NPI application although the submission of this information is optional. The additional identifier(s) section includes other numbers or codes currently or formerly used as an identifier for the provider by other public healthcare entities. The identifiers may include UPIN, NSC, OSCAR, DEA, Medicaid State or PIN identification numbers.
| Identifier | Type / Code | Identifier State | Identifier Issuer |
|---|---|---|---|
| 1Z8080 | OTHER (01) | AZ | HEALTHNET |
| AZ0714680 | OTHER (01) | AZ | BCBS ARIZONA |
| 418039 | MEDICAID (05) | AZ | |
| 0400655 | OTHER (01) | AZ | UHC |
| 98014189 | OTHER (01) | AZ | GREAT WEST |
| 2154623 | OTHER (01) | AZ | AETNA |
| 6569834003 | OTHER (01) | AZ | CIGNA |
| 750125 | OTHER (01) | AZ | HUMANA |
| PACIFICARE | OTHER (01) | AZ | 99545 |
CLIA Information
The Clinical Laboratory Improvement Amendments (CLIA) of 1988 applies to facilities or sites that test human specimens for health assessment or to diagnose, prevent, or treat disease. The CLIA Program sets standards for clinical laboratory testing and issues certificates. The NPI / CLIA crosswalk information for this NPI number is:
- CLIA Number
- 03D2318372
- Facility Type
- Physician Office
- Certificate Effective Date
- February 10, 2025
- Certificate Expiration Date
- February 09, 2027
- Laboratory Director
- ENRIQUE M. CIFUENTES
- Certificate Type
- Certificate of Waiver
- Certificate Type Description
- This CLIA certificate is issued to Gila Internal Medicine & Geriatric P C to perform only waived tests. CLIA defines waived tests as simple tests with a low risk for an incorrect result. Waived tests include certain tests listed in CLIA regulations, tests cleared by the FDA for home use and tests approved by the FDA for waived status and that meet CLIA waiver criteria.
Reviews for GILA INTERNAL MEDICINE & GERIATRIC P C
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NPI Validation Check Digit Calculation
The following table explains the step by step NPI number validation process using the ISO standard Luhn algorithm.
| Start with the original NPI number, the last digit is the check digit and is not used in the calculation. | |||||||||
| 1 | 6 | 0 | 9 | 9 | 2 | 1 | 3 | 7 | 8 |
| Step 1: Double the value of the alternate digits, beginning with the rightmost digit. | |||||||||
| 2 | 6 | 0 | 9 | 18 | 2 | 2 | 3 | 14 | |
| Step 2: Add all the doubled and unaffected individual digits from step 1 plus the constant number 24. | |||||||||
| 2 + 6 + 0 + 9 + 1 + 8 + 2 + 2 + 3 + 1 + 4 + 24 = 62 | |||||||||
| Step 3: Subtract the total obtained in step 2 from the next higher number ending in zero, the result is the check digit. | |||||||||
| 70 - 62 = 8 | 8 | ||||||||
The NPI number 1609921378 is valid because the calculated check digit 8 using the Luhn validation algorithm matches the last digit of the original NPI number.
Frequently Asked Questions
The NPI number assigned to this healthcare provider is 1609921378, enumerated in the NPI registry as an "organization" on January 24, 2007
The provider is located at 2727 W Baseline Rd. Suite 8 Tempe, Az 85283 and the phone number is (602) 323-0904
This medical organization specializes in Exclusive Provider Organization with taxonomy code 302F00000X
The provider might be accepting Accepts: Ambetter from Arizona Complete Health,. Please consult your insurance carrier or call the provider to make sure your health plan is currently accepted.
The provider's CLIA number is 03D2318372 for a "physician office" facility with a CLIA Certificate of Waiver. This CLIA certificate is issued to perform only waived tests. CLIA defines waived tests as simple tests with a low risk for an incorrect result. Waived tests include certain tests listed in CLIA regulations, tests cleared by the FDA for home use and tests approved by the FDA for waived status and that meet CLIA waiver criteria..
This NPI record was last updated on January 24, 2007. To officially update your NPI information contact the National Plan and Provider Enumeration System (NPPES) at 1-800-465-3203 (NPI Toll-Free) or by email at [email protected].
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