Chestnut Health of Arizona PLLC

Primary specialty

Internal Medicine PhysicianTaxonomy code 207R00000X

Legal business name

CHESTNUT HEALTH OF ARIZONA PLLC

Practice address

11812 N 19TH Ave
Phoenix, AZ 85029-3536

Phone

(602) 900-8828

Fax

(703) 649-6188

NPI assigned

Oct 13, 2025

Last updated

Oct 13, 2025By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Omair Siraj

Title

Ceo

Phone

(703) 964-8199

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in AZ

Enrollment records 1

Practitioners 6

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.

• Robyn Diane Edwards

  • Student in an Organized Health Care Education/Training Program
  • Lake Havasu City, AZ
  • NPI 1164212031
  Medicare reassignment Care Compare group NPD
• Ann Marie Garibaldi, PA-C

  • Physician Assistant
  • Kingman, AZ
  • NPI 1235314089
  Medicare reassignment Care Compare group NPD
• Luidji Jean Kersaint Louissaint Sr., MD

  • Physician Assistant
  • Pompano Beach, FL
  • NPI 1952989709

  AZ, Multi-Specialty

  Medicare reassignment Care Compare group NPD
• Krysten A Luthardt, NP-C

  • Family Nurse Practitioner
  • Mesa, AZ
  • NPI 1508573890
  Medicare reassignment Care Compare group
• Lisa Teresa Greene, NP

  • Family Nurse Practitioner
  • Sun City, AZ
  • NPI 1215436233
  Medicare reassignment NPD
• Kuljit Singh Kapur, DO

  • Hospice and Palliative Medicine (Internal Medicine) Physician
  • Aurora, IL
  • NPI 1831399518

  AZ

  Medicare reassignment NPD

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

{
    "created_epoch": "1760313600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1760313600000",
    "number": "1366318974",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1530 N RANDALL RD STE 210",
            "city": "ELGIN",
            "state": "IL",
            "postal_code": "601237879",
            "telephone_number": "703-964-8199",
            "fax_number": "703-649-6188"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "11812 N 19TH AVE",
            "city": "PHOENIX",
            "state": "AZ",
            "postal_code": "850293536",
            "telephone_number": "602-900-8828",
            "fax_number": "703-649-6188"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CHESTNUT HEALTH OF ARIZONA PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2025-10-13",
        "last_updated": "2025-10-13",
        "certification_date": "2025-10-13",
        "status": "A",
        "authorized_official_last_name": "SIRAJ",
        "authorized_official_first_name": "OMAIR",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "703-964-8199"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Internal Medicine",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Samantha Loryn Chess, NP
• Michael Sean Chesser, M.D.
• Chest & Cardiovascular Surgery LTD.
• Jaime A Chester
• Roselynn Chester
• Chettle Counseling and Consulting, LLC
• Courtney Chettle
• Alexander Cheung, MD
• Kevin Joseph Cheung, LCSW
• Rowena Ting-Ting Cheung

• Internal Medicine Physician in Phoenix, AZ
• Providers in Phoenix, AZ by specialty
• Internal Medicine Physician in Arizona

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 13, 2025; 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.