Individual provider Active NPI

Peter C Maki, MD

  • Interventional Cardiology Physician
  • Phoenix, AZ
National Provider Identifier
1306886775
Registry record updated Mar 7, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Interventional Cardiology PhysicianTaxonomy code 207RI0011X
License
12632 Issued in AZ
Practice address
2777 E Camelback Rd Ste 200
Phoenix, AZ 85016-4352
Phone
(602) 952-0002
Fax
(602) 224-9119
NPI assigned
Jun 7, 2006
Last updated
Mar 7, 2023By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 7, 2023

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Cardiovascular Disease Physician 207RC0000X 12632 AZ
Interventional Cardiology Physician 207RI0011X 12632 AZ Primary

Addresses

Primary practice location

2777 E Camelback Rd Ste 200
Phoenix, AZ 85016-4352

Mailing address

2777 E Camelback Rd Ste 200
Phoenix, AZ 85016-4352
Phone (602) 952-0002

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
I20040301001128 AZ Practitioner - Interventional CardiologyPractitioner - Cardiovascular Disease (Cardiology) 6608780523 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Interventional CardiologyAlso: Cardiovascular Disease (Cardiology)
Education
University of Arizona College of Medicine, 1976
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
VHS Outpatient Clinics IncGroup PAC ID 4486566726, 206 clinicians

Practice addresses (Care Compare)

1111 E McDowell Rd
Phoenix, AZ 85006-2612
Phone (602) 839-2792

1910 E Thomas Rd
Suite 200
Phoenix, AZ 85016-7767
Phone (602) 266-2200

1930 E Thomas Rd
Phoenix, AZ 85016-7711
Phone (602) 532-1000

5130 W Baseline Rd
Suite 102
Laveen, AZ 85339-2984
Phone (602) 237-0039

Hospital & facility affiliations

Procedures performed for Medicare patients

ProcedureNumber of procedures
Coronary angioplasty and stenting16
Pacemaker insertion or repair1-10

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
12632AZMDCardiovascular Disease Physician

Practice roles

OrganizationSpecialtyStatusNew patients
District Medical Group, Inc CurrentSince Jul 1, 2010 Accepting new patients
District Medical Group, Inc CurrentSince Jul 1, 2010 Accepting new patients
District Medical Group, Inc Current Accepting new patients
VHS Outpatient Clinics, Inc. CurrentSince Jan 26, 2019 Accepting new patients
VHS Outpatient Clinics, Inc. Internal Medicine CurrentSince Jan 26, 2019 Accepting new patients

Locations

1890 E Florence Blvd
Ste 1
Casa Grande, AZ 85122
Phone (520) 381-8850

5130 W Baseline Rd
Ste 102
Laveen, AZ 85339
Phone (602) 237-0039

1400 S Dobson Rd
Mesa, AZ 85202
Phone (480) 412-3000

708 S Coeur D Alene Ln
Ste 100
Payson, AZ 85541
Phone (928) 472-7440

26900 N Lake Pleasant Pkwy
Ste 210
Peoria, AZ 85383
Phone (623) 561-3000

1111 E McDowell Rd
Phoenix, AZ 85006
Phone (602) 239-2000

1910 E Thomas Rd
Ste 101
Phoenix, AZ 85016
Phone (480) 470-0003

1930 E Thomas Rd
Phoenix, AZ 85016
Phone (602) 532-1000

2122 E Highland Ave
Ste 100
Phoenix, AZ 85016
Phone (480) 372-2111

2601 E Roosevelt St
Phoenix, AZ 85008
Phone (602) 220-0298

2777 E Camelback Rd
Ste 200
Phoenix, AZ 85016
Phone (602) 952-0002

3141 N 3rd Ave
Phoenix, AZ 85013
Phone (602) 914-1520

3811 E Bell Rd
Ste 300
Phoenix, AZ 85032
Phone (480) 454-7350

444 W Osborn Rd
Ste 200
Phoenix, AZ 85013
Phone (602) 230-1400

4444 N 32nd St
Ste 175
Phoenix, AZ 85018
Phone (602) 952-0002

6036 N 19th Ave
Ste 506
Phoenix, AZ 85015
Phone (602) 246-5525

Interoperability endpoints

  • Direct secure messaging: peter.maki.1@600.direct.athenahealth.com

Organizations & group practices 6

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 3

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": "1149638400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1678147200000",
    "number": "1306886775",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2777 E CAMELBACK RD STE 200",
            "city": "PHOENIX",
            "state": "AZ",
            "postal_code": "850164352",
            "telephone_number": "602-952-0002",
            "fax_number": "602-224-9119"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2777 E CAMELBACK RD STE 200",
            "city": "PHOENIX",
            "state": "AZ",
            "postal_code": "850164352",
            "telephone_number": "602-952-0002",
            "fax_number": "602-224-9119"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MAKI",
        "first_name": "PETER",
        "middle_name": "C",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-06-07",
        "last_updated": "2023-03-07",
        "certification_date": "2021-05-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207RC0000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Cardiovascular Disease",
            "state": "AZ",
            "license": "12632",
            "primary": false
        },
        {
            "code": "207RI0011X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Interventional Cardiology",
            "state": "AZ",
            "license": "12632",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Phoenix, AZ

Sources for this page

Verify at the official NPI Registry.