Organization Active NPI

Valley Heart Rhythm Specialists

  • Clinical Cardiac Electrophysiology Physician
  • Chandler, AZ
National Provider Identifier
1063922094
Registry record updated Nov 30, 2017
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Cardiac Electrophysiology PhysicianTaxonomy code 207RC0001X
License
33719 Issued in AZ
Legal business name
VALLEY HEART RHYTHM SPECIALISTS
Practice address
595 N Dobson Rd Ste A5
Chandler, AZ 85224-3404
Phone
(480) 534-7308
Fax
(480) 534-7309
NPI assigned
Oct 4, 2017
Last updated
Nov 30, 2017By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Nov 30, 2017

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

Authorized official

Name
Huy M Phan, MDNPI 1447368840
Title
Physician/Owner
Phone
(480) 828-6344

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 2

Specialty (taxonomy)CodeLicenseStatePrimary
Cardiovascular Disease Physician 207RC0000X 33719 AZ
Clinical Cardiac Electrophysiology Physician 207RC0001X 33719 AZ Primary

Addresses

Primary practice location

595 N Dobson Rd Ste A5
Chandler, AZ 85224-3404

Mailing address

595 N Dobson Rd Ste A5
Chandler, AZ 85224-3404
Phone (480) 534-7308

Other identifiers 2

IdentifierTypeStateIssuer
33719OtherAZMEDICAL LICENSE
127534MedicaidAZ

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20171122001820 AZ Part B Supplier - Clinic/Group Practice 9739446006 Receives reassigned benefits from 2 practitioners
Practice locations: Chandler, AZ

National Provider Directory

National Provider Directory

Locations

77 S Dobson Rd
Ste 2
Chandler, AZ 85224
Phone (480) 444-7491

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": "1507075200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1512000000000",
    "number": "1063922094",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "595 N DOBSON RD STE A5",
            "city": "CHANDLER",
            "state": "AZ",
            "postal_code": "852243404",
            "telephone_number": "480-534-7308",
            "fax_number": "480-534-7309"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "595 N DOBSON RD STE A5",
            "city": "CHANDLER",
            "state": "AZ",
            "postal_code": "852243404",
            "telephone_number": "480-534-7308",
            "fax_number": "480-534-7309"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "VALLEY HEART RHYTHM SPECIALISTS",
        "organizational_subpart": "NO",
        "enumeration_date": "2017-10-04",
        "last_updated": "2017-11-30",
        "status": "A",
        "authorized_official_last_name": "PHAN",
        "authorized_official_first_name": "HUY",
        "authorized_official_middle_name": "M",
        "authorized_official_title_or_position": "PHYSICIAN/OWNER",
        "authorized_official_telephone_number": "480-828-6344",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207RC0000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Cardiovascular Disease",
            "state": "AZ",
            "license": "33719",
            "primary": false
        },
        {
            "code": "207RC0001X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Clinical Cardiac Electrophysiology",
            "state": "AZ",
            "license": "33719",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICAL LICENSE",
            "identifier": "33719",
            "state": "AZ"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "127534",
            "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 Nov 30, 2017; 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.