Arizona Heart Doctor

Primary specialty

Cardiovascular Disease PhysicianTaxonomy code 207RC0000X

Legal business name

ARIZONA HEART DOCTOR

Practice address

2045 S Vineyard Ste 119
Mesa, AZ 85210-6889

Phone

(480) 300-4646

Fax

(480) 300-4647

NPI assigned

Feb 11, 2013

Organization subpart

No

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

Authorized official

Name

Crystal Alejo

Title

Credentialing Specialist

Phone

(480) 739-2014

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Enrolled in AZ

Enrollment records 1

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

Locations

Practitioners 8

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Yasir Ahmed Batres, MD

  • Cardiovascular Disease Physician
  • Mesa, AZ
  • NPI 1073784724

  AZ, Cardiovascular Disease

  Medicare reassignment NPD
• Ghassan Fraij, M.D.

  • Interventional Cardiology Physician
  • Tempe, AZ
  • NPI 1225253800

  AZ, Cardiovascular Disease

  Medicare reassignment NPD
• Hammad Amer, M.D.

  • Vascular Surgery Physician
  • Mesa, AZ
  • NPI 1154587459
  NPD (past)
• Cecilia R Chapman

  • Registered Dietitian
  • Gilbert, AZ
  • NPI 1356831036
  NPD (past)
• Juan Felix, P.A

  • Medical Physician Assistant
  • Mesa, AZ
  • NPI 1871932715
  NPD (past)
• Stacey Hancock, D.O.

  • Vascular Surgery Physician
  • Mesa, AZ
  • NPI 1164835781
  NPD (past)
• Joann H Vitiello, F.N.P

  • Family Nurse Practitioner
  • Maricopa, AZ
  • NPI 1861734139
  NPD (past)
• Nawal Ahmed Khan, MD

  • Internal Medicine Physician
  • San Francisco, CA
  • NPI 1962727818
  NPD (past)

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

{
    "created_epoch": "1360540800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1617926400000",
    "number": "1144569153",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 32275",
            "city": "MESA",
            "state": "AZ",
            "postal_code": "852752275",
            "telephone_number": "480-300-4646",
            "fax_number": "480-300-4647"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2045 S VINEYARD STE 119",
            "city": "MESA",
            "state": "AZ",
            "postal_code": "852106889",
            "telephone_number": "480-300-4646",
            "fax_number": "480-300-4647"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "2055 E Southern Ave Ste F",
            "address_purpose": "LOCATION",
            "city": "Tempe",
            "state": "AZ",
            "postal_code": "852827507",
            "country_code": "US",
            "telephone_number": "480-786-9685",
            "fax_number": "480-304-3460",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "ARIZONA HEART DOCTOR",
        "organizational_subpart": "NO",
        "enumeration_date": "2013-02-11",
        "last_updated": "2021-04-09",
        "certification_date": "2021-04-09",
        "status": "A",
        "authorized_official_last_name": "ALEJO",
        "authorized_official_first_name": "CRYSTAL",
        "authorized_official_title_or_position": "CREDENTIALING SPECIALIST",
        "authorized_official_telephone_number": "480-739-2014"
    },
    "taxonomies": [
        {
            "code": "207RC0000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Internal Medicine, Cardiovascular Disease",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "609549",
            "state": "AZ"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Arizona Glaucoma Specialists - Mesa PLLC
• Arizona Healing Hearts PLLC
• Arizona Health & Rehab LLC
• Arizona Health Care Contract Management Services Inc.
• Arizona Heart and Arrhythmia Clinic
• Arizona Holistic Healing Agency LLC
• Arizona Home Care Specialists, Inc.
• Arizona Home Care Spectrum Solutions II LLC
• Arizona Hospital Specialists, PLLC
• Arizona Hospitalists, M.D., P.C.

• All providers in Mesa, AZ
• Cardiovascular Disease Physician in Arizona

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 9, 2021; 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.

Verify at the official NPI Registry.