Organization Active NPI

Phoenix Area Cardiology and Electrophysiology LLC

  • Clinical Cardiac Electrophysiology Physician
  • Phoenix, AZ
National Provider Identifier
1386159606
Registry record updated Dec 8, 2017
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Cardiac Electrophysiology PhysicianTaxonomy code 207RC0001X
License
46507 Issued in AZ
Legal business name
PHOENIX AREA CARDIOLOGY AND ELECTROPHYSIOLOGY LLC
Practice address
1331 N 7TH St Ste 400
Phoenix, AZ 85006-2779
Phone
(215) 756-2721
NPI assigned
Dec 8, 2017
Last updated
Dec 8, 2017By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Dec 8, 2017

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

Authorized official

Name
Siamak Rassadi, M.D.NPI 1457500613
Title
President/Founder
Phone
(215) 756-2721

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 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Cardiac Electrophysiology PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 207RC0001X 46507 AZ Primary

Addresses

Primary practice location

1331 N 7TH St Ste 400
Phoenix, AZ 85006-2779

Mailing address

4930 E Altadena Ave
Scottsdale, AZ 85254-4627
Phone (215) 756-2721

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20180116001601 AZ Part B Supplier - Clinic/Group Practice 3173882370 Receives reassigned benefits from 4 practitioners
Practice locations: Globe, AZ; Phoenix, AZ

National Provider Directory

National Provider Directory
Tax ID family
Phoenix Area Cardiology and Electrophysiology LLC3 organizations share this tax ID, including this one

Other organizations with this tax ID 2

Organizations that report the same tax identification number in the National Provider Directory.

Locations

16601 N 40th St
Ste 220
Phoenix, AZ 85032
Phone (602) 979-0725

6502 N 35th Ave
Phoenix, AZ 85017
Phone (215) 756-2721

Practitioners & affiliated clinicians

Practitioners 4

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": "1512691200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1512691200000",
    "number": "1386159606",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4930 E ALTADENA AVE",
            "city": "SCOTTSDALE",
            "state": "AZ",
            "postal_code": "852544627",
            "telephone_number": "215-756-2721"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1331 N 7TH ST STE 400",
            "city": "PHOENIX",
            "state": "AZ",
            "postal_code": "850062779",
            "telephone_number": "215-756-2721"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PHOENIX AREA CARDIOLOGY AND ELECTROPHYSIOLOGY LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2017-12-08",
        "last_updated": "2017-12-08",
        "status": "A",
        "authorized_official_last_name": "RASSADI",
        "authorized_official_first_name": "SIAMAK",
        "authorized_official_title_or_position": "PRESIDENT/FOUNDER",
        "authorized_official_telephone_number": "215-756-2721",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "207RC0001X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Internal Medicine, Clinical Cardiac Electrophysiology",
            "state": "AZ",
            "license": "46507",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Phoenix, AZ

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 8, 2017; 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.