Active NPI
Arizona Heart and Arrhythmia Clinic
- Cardiovascular Disease Physician
- Mesa, AZ
National Provider Identifier
1053547331
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Cardiovascular Disease Physician
- License
- 27507
- Legal business name
- ARIZONA HEART AND ARRHYTHMIA CLINIC
- Practice address
- 1450 S Dobson Rd Ste A110
Mesa, AZ 85202-4739 - Phone
- (480) 264-6655
- NPI assigned
- Jun 1, 2009
- Organization subpart
- No
Authorized official
NPPES NPI Registry- Name
- Ashok Garg, MD
- Title
- Owner
- Phone
- (480) 289-8759
Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.
Practitioners 2
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
-
- Cardiovascular Disease Physician
- Phoenix, AZ
- NPI 1215933882
Cardiovascular Disease
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in AZ
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| O20090724000203 | AZ | Part B Supplier - Clinic/Group Practice | 5991858896 |
Receives reassigned benefits from 1 practitioner Practice locations: Mesa, AZ |
National Provider Directory
National Provider DirectoryLocations
1450 S Dobson Rd
Ste A110
Mesa, AZ 85202
Phone (480) 264-6655
Specialties & licenses 1
NPPES NPI Registry| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Cardiovascular Disease Physician | 207RC0000X | 27507 | AZ | Primary |
Addresses
NPPES NPI RegistryPrimary practice location
1450 S Dobson Rd Ste A110
Mesa, AZ 85202-4739
Mailing address
5006 E Cannon Dr
Paradise Valley, AZ 85253-1062
Phone (480) 289-8759
Other practice location 1
11811 North Tatum Boulevard
Suite 3031
Phoenix, AZ 85028-1621
Phone (480) 289-8759
Other identifiers 2
NPPES NPI Registry| Identifier | Type | State | Issuer |
|---|---|---|---|
| 432803 | Medicaid | AZ | |
| 511768 | Medicaid | AZ |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format, last updated by the provider on Nov 1, 2024.
{
"created_epoch": "1243814400000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1730419200000",
"number": "1053547331",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "5006 E CANNON DR",
"city": "PARADISE VALLEY",
"state": "AZ",
"postal_code": "852531062",
"telephone_number": "480-289-8759",
"fax_number": "480-275-2700"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1450 S DOBSON RD STE A110",
"city": "MESA",
"state": "AZ",
"postal_code": "852024739",
"telephone_number": "480-264-6655"
}
],
"practiceLocations": [
{
"address_1": "11811 North Tatum Boulevard",
"address_2": "Suite 3031",
"address_purpose": "LOCATION",
"city": "Phoenix",
"state": "AZ",
"postal_code": "850281621",
"country_code": "US",
"telephone_number": "480-289-8759",
"fax_number": "602-482-0210",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"organization_name": "ARIZONA HEART AND ARRHYTHMIA CLINIC",
"organizational_subpart": "NO",
"enumeration_date": "2009-06-01",
"last_updated": "2024-11-01",
"certification_date": "2024-10-29",
"status": "A",
"authorized_official_last_name": "GARG",
"authorized_official_first_name": "ASHOK",
"authorized_official_title_or_position": "OWNER",
"authorized_official_telephone_number": "480-289-8759",
"authorized_official_credential": "MD"
},
"taxonomies": [
{
"code": "207RC0000X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Internal Medicine, Cardiovascular Disease",
"state": "AZ",
"license": "27507",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "432803",
"state": "AZ"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "511768",
"state": "AZ"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Mesa, AZ
- Arizona Gastro Care PLLC
- Arizona Glaucoma Specialists - Mesa PLLC
- Arizona Healing Hearts PLLC
- Arizona Health & Rehab LLC
- Arizona Health Care Contract Management Services Inc.
- Arizona Heart Doctor
- Arizona Holistic Healing Agency LLC
- Arizona Home Care Specialists, Inc.
- Arizona Home Care Spectrum Solutions II LLC
- Arizona Hospital Specialists, PLLC
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 1, 2024; 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.