Phoenix Cardiac Surgery PC
A Medicare group practice based in Flagstaff, AZ: 2 NPIs enrolled under one PECOS associate control ID (PAC ID 8426943036), with 12 clinicians.
Medicare enrollment
Medicare enrollment files- PAC ID
- 8426943036
- Provider type
- Part B Supplier - Clinic/Group Practice
- Enrolled in
- AZ
- Enrollments
- 1
- Group size
- 11 clinicians
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Practice locations
- 2
Enrollment records 1
| Enrollment ID | State | Provider type | NPI |
|---|---|---|---|
| O20040220000726 | AZ | Part B Supplier - Clinic/Group Practice | 1184653958 |
NPIs in this group 2
NPPES NPI RegistryThese NPI records belong to the same enrolled organization. Each has its own page.
-
Phoenix Cardiac Surgery PC
- Thoracic Surgery (Cardiothoracic Vascular Surgery) Physician
- Phoenix, AZ
- NPI 1184653958
-
Phoenix Cardiac Surgery
- Thoracic Surgery (Cardiothoracic Vascular Surgery) Physician
- Prescott, AZ
- NPI 1619169950
Practice locations
- Phoenix, AZ1
- Flagstaff, AZ1
Clinicians 12
Clinicians who reassign their Medicare benefits to this group (12) or whom Care Compare lists as members (11).
-
Eduardo Contreras Alcantar Jr., MD
- Thoracic Surgery (Cardiothoracic Vascular Surgery) Physician
- Phoenix, AZ
- NPI 1982090221
-
Orazio L. Amabile Jr., M.D.
- Thoracic Surgery (Cardiothoracic Vascular Surgery) Physician
- Phoenix, AZ
- NPI 1992993927
-
Modesto Jose Colon, MD
- Thoracic Surgery (Cardiothoracic Vascular Surgery) Physician
- Phoenix, AZ
- NPI 1083873574
-
Hao Kenith Fang, MD
- Thoracic Surgery (Cardiothoracic Vascular Surgery) Physician
- Phoenix, AZ
- NPI 1871522524
-
Sameer Gupta, MD
- Thoracic Surgery (Cardiothoracic Vascular Surgery) Physician
- Phoenix, AZ
- NPI 1699117101
-
Prakash Jayanthi, MD
- Thoracic Surgery (Cardiothoracic Vascular Surgery) Physician
- Phoenix, AZ
- NPI 1912380221
-
Jessica Marie Jordan
- Acute Care Nurse Practitioner
- Phoenix, AZ
- NPI 1932717949
-
Jenna Navarro, PA
- Physician Assistant
- Phoenix, AZ
- NPI 1134796717
-
Nicole Renee Sydow, M.D.
- Thoracic Surgery (Cardiothoracic Vascular Surgery) Physician
- Flagstaff, AZ
- NPI 1255598900
-
Mark Richard Tasset, MD
- Thoracic Surgery (Cardiothoracic Vascular Surgery) Physician
- Phoenix, AZ
- NPI 1902848898
-
Jin-a Yi, AG-ACNP-BC
- Acute Care Nurse Practitioner
- Phoenix, AZ
- NPI 1275245037
-
Li Zhang, M.D.
- Thoracic Surgery (Cardiothoracic Vascular Surgery) Physician
- Newark, DE
- NPI 1104252998
Sources for this page
- Medicare Fee-For-Service Public Provider Enrollment: the enrollments, PAC ID, practice locations and benefit reassignments.
- Care Compare Doctors and Clinicians: group membership, group size and the name CMS shows patients.
- NPPES NPI Registry: the names and addresses of the NPIs above.