Organization Active NPI

Arizona Heart and Arrhythmia Clinic

  • Cardiovascular Disease Physician
  • Mesa, AZ
National Provider Identifier
1053547331
Registry record updated Nov 1, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Cardiovascular Disease PhysicianTaxonomy code 207RC0000X
License
27507 Issued in AZ
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, MDNPI 1891795993
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.

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20090724000203 AZ Part B Supplier - Clinic/Group Practice 5991858896 Receives reassigned benefits from 1 practitioner
Practice locations: Mesa, AZ

National Provider Directory

National Provider Directory

Locations

1450 S Dobson Rd
Ste A110
Mesa, AZ 85202
Phone (480) 264-6655

Specialties & licenses 1

NPPES NPI Registry
Specialty (taxonomy)CodeLicenseStatePrimary
Cardiovascular Disease PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 207RC0000X 27507 AZ Primary

Addresses

NPPES NPI Registry

Primary 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
IdentifierTypeStateIssuer
432803MedicaidAZ
511768MedicaidAZ

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

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.

Verify at the official NPI Registry.