Individual provider Active NPI

Christopher G Mackey, DO

  • Cardiovascular Disease Physician
  • Peoria, AZ
National Provider Identifier
1275521346
Registry record updated May 14, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Cardiovascular Disease PhysicianTaxonomy code 207RC0000X
License
4228 Issued in AZ
Practice address
13460 N 94TH Dr Ste J1
Peoria, AZ 85381-4246
Phone
(623) 876-8816
Fax
(623) 298-0168
NPI assigned
Oct 12, 2005
Last updated
May 14, 2019By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 14, 2019

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Cardiovascular Disease Physician 207RC0000X 4228 AZ Primary

Addresses

Primary practice location

13460 N 94TH Dr Ste J1
Peoria, AZ 85381-4246

Mailing address

13460 N 94TH Dr Ste J1
Peoria, AZ 85381-4246
Phone (623) 876-8816

Other identifiers 2

IdentifierTypeStateIssuer
WCFKQOtherAZSUN HEALTH PHYSICIANS
939530MedicaidAZ

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in AZ
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20050427001028 AZ Practitioner - Cardiovascular Disease (Cardiology) 9234178468 Reassigns benefits to 1 organization
Practice locations: Sun City, AZ; Sun City West, AZ

Care Compare profile

Medicare Care Compare
Specialty
Cardiovascular Disease (Cardiology)
Education
Other, 1999
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Joseph a Caplan MD PCGroup PAC ID 5890687842, 30 clinicians

Practice addresses (Care Compare)

14420 W Meeker Blvd
Suite 305
Sun City West, AZ 85375-5289
Phone (623) 876-8816

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
99.15 of 100Reported as group
Promoting interoperability
99
Improvement activities
40

Procedures performed for Medicare patients

ProcedureNumber of procedures
Pacemaker insertion or repair20

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Osteopathy

State licenses

LicenseStateTypeSpecialty
4228AZMDPlastic Surgery within the Head & Neck (Otolaryngology) Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Joseph a Caplan MD PC Cardiovascular Disease CurrentSince Aug 1, 2005 Accepting new patients
Sun Health MRI Center Past Accepting new patients
Frances Mahon Deaconess Hospital Past Accepting new patients
Banner Sun City Medical Group Past Accepting new patients

Locations

13065 W McDowell Rd
Ste C105
Avondale, AZ 85392
Phone (623) 249-3838

5310 W Thunderbird Rd
Ste 201
Glendale, AZ 85306
Phone (623) 335-4110

5651 W Talavi Blvd
Ste 160
Glendale, AZ 85306

6320 W Union Hills Dr
Ste 180
Glendale, AZ 85308
Phone (719) 886-6704

13128 N 94th Dr
Ste 100
Peoria, AZ 85381
Phone (623) 259-5900

13460 N 94th Dr
Ste J1
Peoria, AZ 85381

9520 W Palm Ln
Ste 150
Phoenix, AZ 85037
Phone (602) 584-5444

10401 W Thunderbird Blvd
Sun City, AZ 85351
Phone (623) 815-7690

14420 W Meeker Blvd
Ste 305
Sun City West, AZ 85375
Phone (480) 772-9049

Organizations & group practices 4

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

Hospital & facility affiliations 4

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1129075200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1557792000000",
    "number": "1275521346",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "13460 N 94TH DR STE J1",
            "city": "PEORIA",
            "state": "AZ",
            "postal_code": "853814246",
            "telephone_number": "623-876-8816",
            "fax_number": "623-298-0168"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "13460 N 94TH DR STE J1",
            "city": "PEORIA",
            "state": "AZ",
            "postal_code": "853814246",
            "telephone_number": "623-876-8816",
            "fax_number": "623-298-0168"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MACKEY",
        "first_name": "CHRISTOPHER",
        "middle_name": "G",
        "credential": "DO",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2005-10-12",
        "last_updated": "2019-05-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207RC0000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Cardiovascular Disease",
            "state": "AZ",
            "license": "4228",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "SUN HEALTH PHYSICIANS",
            "identifier": "WCFKQ",
            "state": "AZ"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "939530",
            "state": "AZ"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Peoria, AZ

Sources for this page

Verify at the official NPI Registry.