Active NPI
Robert J Hamburg, MD
- Interventional Cardiology Physician
- Chandler, AZ
National Provider Identifier
1053387563
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Interventional Cardiology Physician
- License
- 21505
- Practice address
- 333 North Dobson Road
Suite 11
Chandler, AZ 85224-4412 - Phone
- (480) 899-2020
- Fax
- (480) 899-9081
- NPI assigned
- Feb 24, 2006
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Specialist | 174400000X | 21505 | AZ | |
| Interventional Cardiology Physician | 207RI0011X | 21505 | AZ | Primary |
Addresses
Primary practice location
333 North Dobson Road
Suite 11
Chandler, AZ 85224-4412
Mailing address
333 North Dobson Road
Suite 11
Chandler, AZ 85224-4412
Phone (480) 899-2020
Other identifiers 13
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 141622 | Other | AZ | STATE AHCCCS NUMBER |
| 141622001 | Other | AZ | AHCCCS MERCYCARE NUMBER |
| 531914 | Other | AZ | AHCCCS MEDICARE CROSSOVER |
| AZ0863170 | Other | AZ | BC/BS OF ARIZONA |
| 060067938 | Other | AZ | RAILROAD MEDICARE NUMBER |
| 20451 | Other | AZ | UNITED HEALTHCARE |
| 337562 | Other | AZ | ONE HEALTH PLAN |
| 95964 | Other | AZ | PACIFICARE |
| 2Z0239 | Other | AZ | HEALTHNET OF ARIZONA |
| 3297847021 | Other | AZ | CIGNA HEALTHCARE |
| 860957700 | Other | AZ | HUMANA |
| 2207187 | Other | AZ | AZ PHYSICIANS IPA |
| 100143 | Other | AZ | HEALTHCARE COMPARE AFFORD |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in AZ
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20050427000306 | AZ | Practitioner - Cardiovascular Disease (Cardiology) | 0749269397 |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Chandler Regional Medical Center | Past | Accepting new patients | |
| Dignity Community Care | Past | Accepting new patients | |
| SNKS Enterprises LLC | Past | Accepting new patients |
Organizations & group practices 3
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.
-
dba CRMC Trauma Services
- Emergency Care Clinic/Center
- Chandler, AZ
- NPI 1871910968
-
dba Chandler Regional Medical Center
- General Acute Care Hospital
- Chandler, AZ
- NPI 1700910189
-
dba Sol Valley Surgery Center
- Ambulatory Surgical Clinic/Center
- Chandler, AZ
- NPI 1497367262
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1140739200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1390435200000",
"number": "1053387563",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "333 NORTH DOBSON ROAD",
"address_2": "SUITE 11",
"city": "CHANDLER",
"state": "AZ",
"postal_code": "852244412",
"telephone_number": "480-899-2020",
"fax_number": "480-899-9081"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "333 NORTH DOBSON ROAD",
"address_2": "SUITE 11",
"city": "CHANDLER",
"state": "AZ",
"postal_code": "852244412",
"telephone_number": "480-899-2020",
"fax_number": "480-899-9081"
}
],
"practiceLocations": [],
"basic": {
"last_name": "HAMBURG",
"first_name": "ROBERT",
"middle_name": "J",
"name_prefix": "Dr.",
"credential": "MD",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-02-24",
"last_updated": "2014-01-23",
"status": "A"
},
"taxonomies": [
{
"code": "174400000X",
"taxonomy_group": "",
"desc": "Specialist",
"state": "AZ",
"license": "21505",
"primary": false
},
{
"code": "207RI0011X",
"taxonomy_group": "",
"desc": "Internal Medicine, Interventional Cardiology",
"state": "AZ",
"license": "21505",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "STATE AHCCCS NUMBER",
"identifier": "141622",
"state": "AZ"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "AHCCCS MERCYCARE NUMBER",
"identifier": "141622001",
"state": "AZ"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "AHCCCS MEDICARE CROSSOVER",
"identifier": "531914",
"state": "AZ"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BC/BS OF ARIZONA",
"identifier": "AZ0863170",
"state": "AZ"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "RAILROAD MEDICARE NUMBER",
"identifier": "060067938",
"state": "AZ"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "UNITED HEALTHCARE",
"identifier": "20451",
"state": "AZ"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "ONE HEALTH PLAN",
"identifier": "337562",
"state": "AZ"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "PACIFICARE",
"identifier": "95964",
"state": "AZ"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "HEALTHNET OF ARIZONA",
"identifier": "2Z0239",
"state": "AZ"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "CIGNA HEALTHCARE",
"identifier": "3297847021",
"state": "AZ"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "HUMANA",
"identifier": "860957700",
"state": "AZ"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "AZ PHYSICIANS IPA",
"identifier": "2207187",
"state": "AZ"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "HEALTHCARE COMPARE AFFORD",
"identifier": "100143",
"state": "AZ"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Chandler, AZ
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 23, 2014; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.