Individual provider Active NPI

Robert J Hamburg, MD

  • Interventional Cardiology Physician
  • Chandler, AZ
National Provider Identifier
1053387563
Registry record updated Jan 23, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
Interventional Cardiology PhysicianTaxonomy code 207RI0011X
License
21505 Issued in AZ
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

Updated by the provider on Jan 23, 2014

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
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

IdentifierTypeStateIssuer
141622OtherAZSTATE AHCCCS NUMBER
141622001OtherAZAHCCCS MERCYCARE NUMBER
531914OtherAZAHCCCS MEDICARE CROSSOVER
AZ0863170OtherAZBC/BS OF ARIZONA
060067938OtherAZRAILROAD MEDICARE NUMBER
20451OtherAZUNITED HEALTHCARE
337562OtherAZONE HEALTH PLAN
95964OtherAZPACIFICARE
2Z0239OtherAZHEALTHNET OF ARIZONA
3297847021OtherAZCIGNA HEALTHCARE
860957700OtherAZHUMANA
2207187OtherAZAZ PHYSICIANS IPA
100143OtherAZHEALTHCARE 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
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20050427000306 AZ Practitioner - Cardiovascular Disease (Cardiology)Practitioner - Nuclear Medicine 0749269397

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

Practice roles

OrganizationSpecialtyStatusNew 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.

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

Verify at the official NPI Registry.