Organization Active NPI

Pioneer Cardiovascular Consultants, P.C.

  • Specialist
  • Tempe, AZ
National Provider Identifier
1184618704
Registry record updated Mar 11, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
SpecialistTaxonomy code 174400000X
License
27343 Issued in AZ
Legal business name
PIONEER CARDIOVASCULAR CONSULTANTS, P.C.
Practice address
2149 E Baseline Rd
Suite #103
Tempe, AZ 85283-1539
Phone
(480) 345-0034
Fax
(480) 345-4033
NPI assigned
Sep 9, 2005
Last updated
Mar 11, 2020By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 11, 2020

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

Authorized official

Name
Mehul P Shah, M.D.NPI 1669421921
Title
President
Phone
(480) 345-0034

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
Specialist 174400000X 26872 AZ
Specialist 174400000X 27343 AZ Primary

Addresses

Primary practice location

2149 E Baseline Rd
Suite #103
Tempe, AZ 85283-1539

Mailing address

2149 E Baseline Rd
Suite #103
Tempe, AZ 85283-1539
Phone (480) 345-0034

Other identifiers 4

IdentifierTypeStateIssuer
1669421921OtherAZNPI
462490MedicaidAZ
447484MedicaidAZ
1255389953OtherAZNPI

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20040129000258 AZ Part B Supplier - Clinic/Group Practice 1456254200 Receives reassigned benefits from 5 practitioners
Practice locations: Phoenix, AZ; Tempe, AZ; Sun Lakes, AZ; Chandler, AZ

National Provider Directory

National Provider Directory

Locations

1900 W Frye Rd
Ste 3
Chandler, AZ 85224
Phone (480) 336-1901

4545 E Chandler Blvd
Ste 306
Phoenix, AZ 85048
Phone (480) 961-5956

10440 E Riggs Rd
Ste 180
Sun Lakes, AZ 85248
Phone (480) 802-2424

10440 E Riggs Rd
Ste 220
Sun Lakes, AZ 85248

2034 E Southern Ave
Ste 4
Tempe, AZ 85282

2149 E Baseline Rd
Ste 103
Tempe, AZ 85283

Interoperability endpoints

  • FHIR API: https://fhir4.healow.com/fhir/r4/HHACDA

Practitioners & affiliated clinicians

Practitioners 5

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": "1126224000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1583884800000",
    "number": "1184618704",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2149 E BASELINE RD",
            "address_2": "SUITE #103",
            "city": "TEMPE",
            "state": "AZ",
            "postal_code": "852831539",
            "telephone_number": "480-345-0034",
            "fax_number": "480-345-4033"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2149 E BASELINE RD",
            "address_2": "SUITE #103",
            "city": "TEMPE",
            "state": "AZ",
            "postal_code": "852831539",
            "telephone_number": "480-345-0034",
            "fax_number": "480-345-4033"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PIONEER CARDIOVASCULAR CONSULTANTS, P.C.",
        "organizational_subpart": "NO",
        "enumeration_date": "2005-09-09",
        "last_updated": "2020-03-11",
        "certification_date": "2020-03-11",
        "status": "A",
        "authorized_official_last_name": "SHAH",
        "authorized_official_first_name": "MEHUL",
        "authorized_official_middle_name": "P",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "480-345-0034",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "174400000X",
            "taxonomy_group": "",
            "desc": "Specialist",
            "state": "AZ",
            "license": "26872",
            "primary": false
        },
        {
            "code": "174400000X",
            "taxonomy_group": "",
            "desc": "Specialist",
            "state": "AZ",
            "license": "27343",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "NPI",
            "identifier": "1669421921",
            "state": "AZ"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "462490",
            "state": "AZ"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "447484",
            "state": "AZ"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "NPI",
            "identifier": "1255389953",
            "state": "AZ"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Tempe, AZ

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 11, 2020; 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.