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
Last updated
Nov 1, 2024By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Nov 1, 2024

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

Authorized official

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.

Specialties & licenses 1

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

Addresses

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

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

Practitioners & affiliated clinicians

Practitioners 2

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": "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": [],
    "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.