NPIMap

Organization Active NPI

Arizona Cardiovascular LLC

Doing business as AZ Cardiology

  • Cardiovascular Disease Physician
  • Peoria, AZ
National Provider Identifier
1013612506
Registry record updated Jul 21, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Cardiovascular Disease PhysicianTaxonomy code 207RC0000X
Legal business name
ARIZONA CARDIOVASCULAR LLC
Doing business as
AZ Cardiology
Practice address
13943 N 91St Ave Ste A101
Peoria, AZ 85381-3688
Phone
(602) 654-1950
Fax
(602) 848-4880
NPI assigned
Apr 3, 2023
Last updated
Jul 21, 2023By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 21, 2023

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name
Kishlay Anand, MDNPI 1104984491
Title
Owner
Phone
(602) 654-1950

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Cardiovascular Disease Physician 207RC0000X Primary
Clinical Cardiac Electrophysiology Physician 207RC0001X

Addresses

Primary practice location

13943 N 91St Ave Ste A101
Peoria, AZ 85381-3688

Mailing address

PO Box 6299
Peoria, AZ 85385-6299
Phone (602) 654-1950

Other practice location 1

3165 Stillwater Dr
Prescott, AZ 86305-7173
Phone (602) 654-1950

Other practice location 2

1254 W University Ave Ste 110
Flagstaff, AZ 86001-7216
Phone (602) 654-1950

Other practice location 3

3235 N Windsong Dr
Prescott Valley, AZ 86314-1222
Phone (602) 654-1950

Other names 1

  • AZ Cardiology Doing business as

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in AZ

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20230609000311 AZ Part B Supplier - Clinic/Group Practice 7810352879 Receives reassigned benefits from 8 practitioners
Practice locations: Prescott, AZ; Prescott Valley, AZ; Phoenix, AZ; Peoria, AZ; Flagstaff, AZ; Cottonwood, AZ

National Provider Directory

National Provider Directory

Locations

401 S Calvary Way
Cottonwood, AZ 86326
Phone (926) 649-2600

1750 S Woodlands Village Blvd
Flagstaff, AZ 86001

1750 S Woodlands Village Blvd
Ste 150
Flagstaff, AZ 86001
Phone (928) 255-6067

13943 N 91st Ave
Ste A105
Peoria, AZ 85381
Phone (602) 641-9343

3235 N Windsong Dr
Prescott Vly, AZ 86314
Phone (928) 634-3025

Practitioners & affiliated clinicians

Practitioners 11

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1680480000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1689897600000",
    "number": "1013612506",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 6299",
            "city": "PEORIA",
            "state": "AZ",
            "postal_code": "853856299",
            "telephone_number": "602-654-1950",
            "fax_number": "602-848-4880"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "13943 N 91ST AVE STE A101",
            "city": "PEORIA",
            "state": "AZ",
            "postal_code": "853813688",
            "telephone_number": "602-654-1950",
            "fax_number": "602-848-4880"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "3165 Stillwater Dr",
            "address_purpose": "LOCATION",
            "city": "Prescott",
            "state": "AZ",
            "postal_code": "863057173",
            "country_code": "US",
            "telephone_number": "602-654-1950",
            "fax_number": "602-848-4880",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "1254 W University Ave Ste 110",
            "address_purpose": "LOCATION",
            "city": "Flagstaff",
            "state": "AZ",
            "postal_code": "860017216",
            "country_code": "US",
            "telephone_number": "602-654-1950",
            "fax_number": "602-848-4880",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "3235 N Windsong Dr",
            "address_purpose": "LOCATION",
            "city": "Prescott Valley",
            "state": "AZ",
            "postal_code": "863141222",
            "country_code": "US",
            "telephone_number": "602-654-1950",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "ARIZONA CARDIOVASCULAR LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2023-04-03",
        "last_updated": "2023-07-21",
        "certification_date": "2023-07-21",
        "status": "A",
        "authorized_official_last_name": "ANAND",
        "authorized_official_first_name": "KISHLAY",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "602-654-1950",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207RC0000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Cardiovascular Disease",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "207RC0001X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Clinical Cardiac Electrophysiology",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "AZ Cardiology",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Peoria, AZ

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 21, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.