Individual provider Active NPI

Anthony C Pozun, D.O.

  • Interventional Cardiology Physician
  • Glendale, AZ
National Provider Identifier
1275580755
Registry record updated Aug 30, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Interventional Cardiology PhysicianTaxonomy code 207RI0011X
License
3684 Issued in AZ
Practice address
6316 W. Union Hills Dr
Ste 210
Glendale, AZ 85308
Phone
(480) 765-2800
Fax
(480) 765-2799
NPI assigned
May 28, 2006
Last updated
Aug 30, 2019By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 30, 2019

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Specialist 174400000X 3684 AZ
Cardiovascular Disease Physician 207RC0000X 3684 AZ
Interventional Cardiology Physician 207RI0011X 3684 AZ Primary

Addresses

Primary practice location

6316 W. Union Hills Dr
Ste 210
Glendale, AZ 85308

Mailing address

P.O. Box 98819
Las Vegas, NV 89193-8819
Phone (602) 867-8644

Other practice location 1

6320 W Union Hills Dr Ste A270
Glendale, AZ 85308-7175
Phone (480) 765-2800

Other identifiers 1

IdentifierTypeStateIssuer
092660MedicaidAZ

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
I20060810000123 AZ Practitioner - Cardiovascular Disease (Cardiology)Practitioner - Other (Physician)Practitioner - Interventional Cardiology 3779586870 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Cardiovascular Disease (Cardiology)Also: Interventional Cardiology
Education
Midwestern University, Chicago College of Osteopathic Med, 1999
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Lakeside Heart and Vascular Center PLLCGroup PAC ID 4587832779, 20 clinicians

Practice addresses (Care Compare)

2082 Mesquite Ave
Suite 100a
Lake Havasu City, AZ 86403-6710
Phone (928) 453-2727

2849 Maricopa Ave
Lake Havasu City, AZ 86406-8637
Phone (928) 453-2727

Hospital & facility affiliations

Procedures performed for Medicare patients

ProcedureNumber of procedures
Varicose vein removal388
Leg revascularization (restoring blood flow)35

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled
HHS exclusion list flag
CMS’s directory marks this NPI as on an HHS exclusion list; no matching OIG record was found. The OIG exclusions file (LEIE) holds no record for this NPI, and the directory does not say which list the flag comes from. How exclusions are shown Confirm with the OIG exclusions search.
Credentials
Doctor of Osteopathy, Doctor of Medicine

Practice roles

OrganizationSpecialtyStatusNew patients
The Heart Specialists Group, LLC Cardiovascular Disease CurrentSince Dec 1, 2024 Accepting new patients
Cardiac Imaging Inc CurrentSince Jan 28, 2025 Accepting new patients
Lakeside Heart and Vascular Center PLLC Cardiovascular Disease CurrentSince Jun 15, 2023 Accepting new patients
Leading Healthcare Clinic of Goodyear LLC Internal Medicine CurrentSince Mar 17, 2023 Accepting new patients
Sun Health MRI Center Past Accepting new patients
Pravin T. Patel, M.D., P.C. Internal Medicine Past Accepting new patients
Executive Cardiac Arrhythmia Solutions, Inc Past Accepting new patients
Banner Sun City Medical Group Past Accepting new patients

Locations

6316 W Union Hills Dr
Ste 210
Glendale, AZ 85308
Phone 4807652800141

13555 W McDowell Rd
Ste 205
Goodyear, AZ 85395
Phone (623) 535-0740

1753 Airway Ave
Ste A
Kingman, AZ 86409
Phone (520) 757-4359

2082 Mesquite Ave
Ste 100A
Lk Havasu Cty, AZ 86403
Phone (928) 453-2828

Interoperability endpoints

  • Direct secure messaging: anthony.pozun.1@3291.direct.athenahealth.com
  • Direct secure messaging: anthonypozun@cvc.allscriptsdirect.net
  • FHIR API: https://api.platform.athenahealth.com/3291/brand/1/csg/1/fhir/r4

Organizations & group practices 8

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 2

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": "1148774400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1567123200000",
    "number": "1275580755",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "P.O. BOX 98819",
            "city": "LAS VEGAS",
            "state": "NV",
            "postal_code": "891938819",
            "telephone_number": "602-867-8644",
            "fax_number": "602-795-5698"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6316 W. UNION HILLS DR",
            "address_2": "STE 210",
            "city": "GLENDALE",
            "state": "AZ",
            "postal_code": "85308",
            "telephone_number": "480-765-2800",
            "fax_number": "480-765-2799"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "6320 W Union Hills Dr Ste A270",
            "address_purpose": "LOCATION",
            "city": "Glendale",
            "state": "AZ",
            "postal_code": "853087175",
            "country_code": "US",
            "telephone_number": "480-765-2800",
            "fax_number": "480-765-2799",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "POZUN",
        "first_name": "ANTHONY",
        "middle_name": "C",
        "name_prefix": "Mr.",
        "credential": "D.O.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-05-28",
        "last_updated": "2019-08-30",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "174400000X",
            "taxonomy_group": "",
            "desc": "Specialist",
            "state": "AZ",
            "license": "3684",
            "primary": false
        },
        {
            "code": "207RC0000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Cardiovascular Disease",
            "state": "AZ",
            "license": "3684",
            "primary": false
        },
        {
            "code": "207RI0011X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Interventional Cardiology",
            "state": "AZ",
            "license": "3684",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "092660",
            "state": "AZ"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Glendale, AZ

Sources for this page

Verify at the official NPI Registry.