Individual provider Active NPI

Amad Zineldine, MD

  • Cardiovascular Disease Physician
  • Prescott Valley, AZ
National Provider Identifier
1417910167
Registry record updated Aug 6, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Cardiovascular Disease PhysicianTaxonomy code 207RC0000X
License
56901 Issued in AZ
Practice address
7700 E Florentine Rd Ste 206
Prescott Valley, AZ 86314
Phone
(928) 442-8117
Fax
(928) 772-8947
NPI assigned
Apr 11, 2006
Last updated
Aug 6, 2018By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 6, 2018

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 5041 SD
Cardiovascular Disease Physician 207RC0000X 56901 AZ Primary

Addresses

Primary practice location

7700 E Florentine Rd Ste 206
Prescott Valley, AZ 86314

Mailing address

PO Box 10880
Prescott, AZ 86304-0880
Phone (928) 759-5987

Other practice location 1

520 Kansas City St Ste 300
Rapid City, SD 57701-5005
Phone (605) 431-8685

Other identifiers 1

IdentifierTypeStateIssuer
404672MedicaidAZ

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in TX, AZ, IA3 enrollments
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 3

Enrollment IDStateProvider typePAC IDDetails
I20120423000691 TX Practitioner - Internal MedicinePractitioner - Cardiovascular Disease (Cardiology) 4587673272 Reassigns benefits to 1 organization
I20180803002592 AZ Practitioner - Cardiovascular Disease (Cardiology) 4587673272 Reassigns benefits to 3 organizations
I20250226001771 IA Practitioner - Cardiovascular Disease (Cardiology) 4587673272 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Cardiovascular Disease (Cardiology)
Education
Other, 1989
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
North Iowa Mercy ClinicsGroup PAC ID 7810809076, 304 clinicians

Practice addresses (Care Compare)

1000 4TH St SW
Mason City, IA 50401-2800

532 1St St NW
Hancock County Health Systems
Britt, IA 50423-1227
Phone (641) 843-5000

635 E US Hwy 9
Mercyone Forest City Family Medicine
Forest City, IA 50436-1028
Phone (641) 585-2904

East Hwy 18
Pine Ridge, SD 57770-1201
Phone (605) 867-3032

Hospital & facility affiliations

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Pine Ridge Indian Health Service Hospital Current Accepting new patients
Exceptional Physicians Group Arizona PLLC CurrentSince Jun 1, 2022 Accepting new patients
Yrmc Hospice CurrentSince Dec 26, 2018 Accepting new patients
Pine Ridge Indian Health Service Hospital CurrentSince Mar 4, 2012 Accepting new patients
Exceptional Health Care Maricopa LLC CurrentSince Jun 1, 2022 Accepting new patients
Southwest Cardiovascular Interventional Center, LLC CurrentSince Oct 1, 2021 Accepting new patients
North Iowa Mercy Clinics Current Accepting new patients
North Iowa Mercy Clinics Cardiovascular Disease CurrentSince Jan 20, 2025 Accepting new patients
North Iowa Mercy Clinics Family Medicine Current Accepting new patients
Yavapai Pathology Associates PLC Current Accepting new patients
Yavapai Community Hospital Association CurrentSince Dec 26, 2018 Accepting new patients
Pine Ridge Indian Health Service Hospital CurrentSince Mar 4, 2012 Accepting new patients
North Iowa Mercy Clinics CurrentSince Jan 20, 2025 Accepting new patients
Yavapai Regional Medical Center Physician Care LLC Family Medicine Past Accepting new patients
Regional Health Physicians Inc Past Accepting new patients
Chan Heart Rhythm Institute PLLC PastSince Sep 29, 2014 Accepting new patients
Floyd County Memorial Hospital Commission Family Medicine Past Accepting new patients
Mercy Health Services-Iowa Corp Past Accepting new patients
Regional Health Physicians Inc Past Accepting new patients
Southwest Endovascular Center, LLC PastSince Jan 12, 2020 Accepting new patients

Locations

19060 N John Wayne Pkwy
Maricopa, AZ 85139
Phone (480) 631-0675

7529 E Broadway Rd
Mesa, AZ 85208

7529 E Broadway Rd
Ste 101
Mesa, AZ 85208

7529 E Broadway Rd
Ste 104
Mesa, AZ 85208

1003 Willow Creek Rd
Prescott, AZ 86301
Phone (928) 445-2700

3120 Clearwater Dr
Prescott, AZ 86305
Phone (928) 445-4818

7700 E Florentine Rd
Prescott Vly, AZ 86314
Phone (928) 442-8657

250 S Crescent Dr
Mason City, IA 50401
Phone (541) 422-6588

250 S Crescent Dr
Ste 200
Mason City, IA 50401
Phone (641) 494-5300

250 S Crescent Dr
Ste M2600
Mason City, IA 50401
Phone (641) 494-5300

Interoperability endpoints

  • Direct secure messaging: amad.zineldine.p1@direct.swcva.nextgenshare.com
  • Direct secure messaging: azineldine3926025@direct.trinity-health.org
  • FHIR API: https://fhir.nextgen.com/nge/prod/fhir-api-r4/fhir/r4/

Organizations & group practices 20

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.

View all 20

Hospital & facility affiliations 8

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": "1144713600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1533513600000",
    "number": "1417910167",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 10880",
            "city": "PRESCOTT",
            "state": "AZ",
            "postal_code": "863040880",
            "telephone_number": "928-759-5987",
            "fax_number": "928-458-2039"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7700 E FLORENTINE RD STE 206",
            "city": "PRESCOTT VALLEY",
            "state": "AZ",
            "postal_code": "86314",
            "telephone_number": "928-442-8117",
            "fax_number": "928-772-8947"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "520 Kansas City St Ste 300",
            "address_purpose": "LOCATION",
            "city": "Rapid City",
            "state": "SD",
            "postal_code": "577015005",
            "country_code": "US",
            "telephone_number": "605-431-8685",
            "fax_number": "605-231-4312",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "ZINELDINE",
        "first_name": "AMAD",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-04-11",
        "last_updated": "2018-08-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207RC0000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Cardiovascular Disease",
            "state": "SD",
            "license": "5041",
            "primary": false
        },
        {
            "code": "207RC0000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Cardiovascular Disease",
            "state": "AZ",
            "license": "56901",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "404672",
            "state": "AZ"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Prescott Valley, AZ

Sources for this page

Verify at the official NPI Registry.