Active NPI
Ponderosa Heart House Call
- Cardiovascular Disease Physician
- Gilbert, AZ
National Provider Identifier
1073131561
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Cardiovascular Disease Physician
- Legal business name
- PONDEROSA HEART HOUSE CALL
- Practice address
- 2162 E Williams Field Rd Ste 111
Gilbert, AZ 85295-0736 - Phone
- (480) 795-1515
- Fax
- (480) 597-1723
- NPI assigned
- Jul 10, 2020
- Last updated
- Sep 16, 2026
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Starla Lucille Miller, RN
- Title
- Chief Operations Officer
- Phone
- (480) 365-8454
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) | Code | License | State | Primary |
|---|---|---|---|---|
| Cardiovascular Disease Physician | 207RC0000X | NU | Primary |
Addresses
Primary practice location
2162 E Williams Field Rd Ste 111
Gilbert, AZ 85295-0736
Mailing address
2162 E Williams Field Rd Ste 111
Gilbert, AZ 85295-0736
Phone (480) 795-1515
Other identifiers 2
| Identifier | Type | State | Issuer |
|---|---|---|---|
| OTC13482 | Other | AZ | AZ STATE LICENSE |
| 080154 | Medicaid | AZ |
Electronic endpoints 1
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| Direct Messaging Address | hie@myheartmyhome.org | Health Information Exchange (HIE) |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in AZ
Enrollment records 1
Laboratory certificates & supplier records
Derived by NPIMapThese CMS records do not include an NPI. They are shown because their name and street address match this provider’s.
CLIA laboratory certificates
| CLIA number | Laboratory | Certificate | Expires |
|---|---|---|---|
| 03D2193189 | Ponderosa Heart House Call LLC | Certificate of waiver | Sep 16, 2026 |
National Provider Directory
National Provider DirectoryLocations
2162 E Williams Field Rd
Ste 111
Gilbert, AZ 85295
Phone (480) 462-3882
3707 E Southern Ave
Ste 1023
Mesa, AZ 85206
Phone (480) 795-1515
Practitioners & affiliated clinicians
Practitioners 15
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.
-
- Family Nurse Practitioner
- Gilbert, AZ
- NPI 1790567816
-
- Acute Care Nurse Practitioner
- Sun City, AZ
- NPI 1780178491
-
- Family Nurse Practitioner
- Prescott, AZ
- NPI 1144950775
-
- Family Nurse Practitioner
- Gilbert, AZ
- NPI 1831819945
-
- Physician Assistant
- Gilbert, AZ
- NPI 1164853578
-
- Family Nurse Practitioner
- Gilbert, AZ
- NPI 1164288528
-
- Family Nurse Practitioner
- Tempe, AZ
- NPI 1700333119
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1594339200000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1789516800000",
"number": "1073131561",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2162 E WILLIAMS FIELD RD STE 111",
"city": "GILBERT",
"state": "AZ",
"postal_code": "852950736",
"telephone_number": "480-795-1515",
"fax_number": "480-597-1723"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2162 E WILLIAMS FIELD RD STE 111",
"city": "GILBERT",
"state": "AZ",
"postal_code": "852950736",
"telephone_number": "480-795-1515",
"fax_number": "480-597-1723"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "PONDEROSA HEART HOUSE CALL",
"organizational_subpart": "NO",
"enumeration_date": "2020-07-10",
"last_updated": "2026-09-16",
"certification_date": "2026-09-16",
"status": "A",
"authorized_official_last_name": "MILLER",
"authorized_official_first_name": "STARLA",
"authorized_official_middle_name": "LUCILLE",
"authorized_official_title_or_position": "CHIEF OPERATIONS OFFICER",
"authorized_official_telephone_number": "480-365-8454",
"authorized_official_credential": "RN"
},
"taxonomies": [
{
"code": "207RC0000X",
"taxonomy_group": "",
"desc": "Internal Medicine, Cardiovascular Disease",
"state": "NU",
"license": null,
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "AZ STATE LICENSE",
"identifier": "OTC13482",
"state": "AZ"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "080154",
"state": "AZ"
}
],
"endpoints": [
{
"endpointType": "DIRECT",
"endpointTypeDescription": "Direct Messaging Address",
"endpoint": "hie@myheartmyhome.org",
"affiliation": "N",
"endpointDescription": "Clinical Operations Direct",
"use": "HIE",
"useDescription": "Health Information Exchange (HIE)",
"contentType": "CSV",
"contentTypeDescription": "CSV",
"address_1": "3707 E Southern Ave Ste 1023",
"city": "Mesa",
"state": "AZ",
"country_code": "US",
"postal_code": "852066202",
"country_name": "United States",
"address_type": "DOM"
}
],
"other_names": []
}Other providers in Gilbert, AZ
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 16, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.