Cobre Valley Heart Institute PLLC

Primary specialty

Interventional Cardiology PhysicianTaxonomy code 207RI0011X

License

47308 Issued in AZ

Legal business name

COBRE VALLEY HEART INSTITUTE PLLC

Practice address

2005 Highway 60
Globe, AZ 85501-9601

Phone

(928) 402-8000

Fax

(928) 402-4279

NPI assigned

Apr 8, 2013

Last updated

Apr 8, 2013By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Mir B Ali, MDNPI 1295759694

Title

MD

Phone

(928) 402-8000

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in AZ

Enrollment records 1

Other NPIs on the same Medicare enrollment 1

NPIs listed together on one Medicare enrollment, typically parts of the same organization.

• Goldfield Medical Clinics, LLC

  dba Goldfield Cardiovascular Institue

  • Cardiovascular Disease Physician
  • Mesa, AZ
  • NPI 1861412686

  O20130514000337

  Same enrollment

Tax ID family

Cobre Valley Heart Institute2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

Organizations that report the same tax identification number in the National Provider Directory.

• Goldfield Medical Clinics, LLC

  dba Goldfield Cardiovascular Institue

  • Cardiovascular Disease Physician
  • Mesa, AZ
  • NPI 1861412686
  NPD tax ID

Locations

Practitioners 1

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.

• Mir Basharat Ali, M.D.

  • Cardiovascular Disease Physician
  • Montebello, CA
  • NPI 1295759694

  AZ, Interventional Cardiology

  Medicare reassignment NPD Authorized official

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1365379200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1365379200000",
    "number": "1134562267",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2005 HIGHWAY 60",
            "city": "GLOBE",
            "state": "AZ",
            "postal_code": "855019601",
            "telephone_number": "928-402-8000",
            "fax_number": "928-402-4279"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2005 HIGHWAY 60",
            "city": "GLOBE",
            "state": "AZ",
            "postal_code": "855019601",
            "telephone_number": "928-402-8000",
            "fax_number": "928-402-4279"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "COBRE VALLEY HEART INSTITUTE PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2013-04-08",
        "last_updated": "2013-04-08",
        "status": "A",
        "authorized_official_last_name": "ALI",
        "authorized_official_first_name": "MIR",
        "authorized_official_middle_name": "B",
        "authorized_official_title_or_position": "MD",
        "authorized_official_telephone_number": "928-402-8000",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207RI0011X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Interventional Cardiology",
            "state": "AZ",
            "license": "47308",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• CJ Campbell LLC
• Janet M Cline, DC
• Cobre Valley Community Hospital
• Cobre Valley Community Hospital
• Cobre Valley Emergency Services, LLC
• Cobre Valley Internal Medicine, PLLC.
• Cobre Valley Regional Medical Center (Cvrmc Lab)
• Cobre Valley Regional Medical Center (Cobre Valley Red Rock Clinic)
• Cobre Valley Regional Medical Center (Cobre Valley Surgical Services)
• Cobre Valley Regional Medical Center (Cobre Valley Community Hospital)

• Interventional Cardiology Physician in Globe, AZ
• Providers in Globe, AZ by specialty
• Interventional Cardiology Physician in Arizona

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 8, 2013; 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.