Chandler Cardiology Associates LLC

Primary specialty

SpecialistTaxonomy code 174400000X

License

27556 Issued in AZ

Legal business name

CHANDLER CARDIOLOGY ASSOCIATES LLC

Practice address

1850 W Frye Rd
Suite 101
Chandler, AZ 85224-6232

Phone

(480) 782-0101

Fax

(480) 782-1251

NPI assigned

Mar 7, 2006

Last updated

Aug 30, 2024By 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

Dr. Ahtisham Shakoor, M.D.NPI 1356426316

Title

President

Phone

(480) 782-0101

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Enrolled in AZ

Enrollment records 1

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

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.

• Ahtisham Shakoor, MD

  • Cardiovascular Disease Physician
  • Chandler, AZ
  • NPI 1356426316
  Medicare reassignment NPD Authorized official
• Musa Abdul Shakoor

  • Interventional Cardiology Physician
  • Chandler, AZ
  • NPI 1194284042
  NPD
• Joann H Vitiello, F.N.P

  • Family Nurse Practitioner
  • Maricopa, AZ
  • NPI 1861734139
  NPD
• Sumbul Shakoor, M.D.

  • Pediatrics Physician
  • Chandler, AZ
  • NPI 1851362602
  NPD (past)

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

{
    "created_epoch": "1141689600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1724976000000",
    "number": "1407823636",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 6850",
            "city": "CHANDLER",
            "state": "AZ",
            "postal_code": "852466850",
            "telephone_number": "480-782-0101",
            "fax_number": "480-782-1251"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1850 W FRYE RD",
            "address_2": "SUITE 101",
            "city": "CHANDLER",
            "state": "AZ",
            "postal_code": "852246232",
            "telephone_number": "480-782-0101",
            "fax_number": "480-782-1251"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CHANDLER CARDIOLOGY ASSOCIATES LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-03-07",
        "last_updated": "2024-08-30",
        "certification_date": "2024-08-30",
        "status": "A",
        "authorized_official_last_name": "SHAKOOR",
        "authorized_official_first_name": "AHTISHAM",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "480-782-0101",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "174400000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Specialist",
            "state": "AZ",
            "license": "27556",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "468646",
            "state": "AZ"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Chandler Adult Care Home
• Chandler Anesthesia Consultants LLC
• Chandler Anesthesia Services PLLC
• Chandler ASC LLC
• Chandler Behavioral Health LLC
• Chandler Chiropractic Clinic
• Chandler Dental Arts LLC
• Chandler Dental Care
• Chandler Dental Clinic Inc (Chandler Family Dental Care)
• Chandler Dental Health, PLLC

• Specialist in Chandler, AZ
• Providers in Chandler, AZ by specialty
• Specialist in Arizona

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 30, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.