Individual provider Active NPI

Mark Stern, MD

  • Interventional Cardiology Physician
  • Mesa, AZ
National Provider Identifier
1437127495
Registry record updated Jun 8, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Interventional Cardiology PhysicianTaxonomy code 207RI0011X
License
11364 Issued in AZ
Practice address
6750 E Baywood Ave
301
Mesa, AZ 85206-1749
Phone
(480) 835-6100
Fax
(480) 461-4261
NPI assigned
Mar 8, 2006
Last updated
Jun 8, 2016By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 8, 2016

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 11364 AZ
Interventional Cardiology Physician 207RI0011X 11364 AZ Primary

Addresses

Primary practice location

6750 E Baywood Ave
301
Mesa, AZ 85206-1749

Mailing address

6402 E Superstition Springs Blvd Ste 224
Mesa, AZ 85206-4394
Phone (480) 835-6100

Other identifiers 2

IdentifierTypeStateIssuer
229478MedicaidAZ
060028121OtherAZRAIL ROAD MEDICARE

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
I20060602000051 AZ Practitioner - Interventional CardiologyPractitioner - Cardiovascular Disease (Cardiology) 4789695974 Reassigns benefits to 1 organization

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
11364AZMDCardiovascular Disease Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Tri-City Cardiology Consultants, PC Cardiovascular Disease CurrentSince May 27, 2003 Accepting new patients
Tri-City Cardiology Consultants, PC CurrentSince May 27, 2003 Accepting new patients
Western Vascular Institute PLLC Past Accepting new patients

Locations

1580 N Fiesta Blvd
Ste 100
Gilbert, AZ 85233

1900 N Higley Rd
Gilbert, AZ 85234
Phone (480) 543-2000

2680 S Val Vista Dr
Ste 185
Gilbert, AZ 85295
Phone (480) 427-4305

3530 S Val Vista Dr
Gilbert, AZ 85297
Phone (480) 840-9155

3530 S Val Vista Dr
Ste 103
Gilbert, AZ 85297

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

1520 S Dobson Rd
Ste 209
Mesa, AZ 85202
Phone (602) 835-6100

6402 E Superstition Springs Blvd
Ste 114
Mesa, AZ 85206
Phone (928) 985-1810

6402 E Superstition Springs Blvd
Ste 224
Mesa, AZ 85206
Phone (480) 470-3442

6644 E Baywood Ave
Mesa, AZ 85206
Phone (480) 321-2000

6750 E Baywood Ave
Mesa, AZ 85206
Phone (480) 854-5000

6750 E Baywood Ave
#301
Mesa, AZ 85206

6750 E Baywood Ave
Ste 301
Mesa, AZ 85206
Phone (480) 834-6100

6750 E Baywood Ave
Ste 506
Mesa, AZ 85206
Phone (408) 668-5000

20185 E Ocotillo Rd
Ste 102
Queen Creek, AZ 85142
Phone (480) 704-3474

36543 N Gantzel Rd
Ste 101
San Tan Valley, AZ 85140

37100 N Gantzel Rd
Ste 202
San Tan Valley, AZ 85140
Phone (480) 394-4469

8765 E Bell Rd
Ste 110
Scottsdale, AZ 85260

Interoperability endpoints

  • FHIR API: https://fhir.nextgen.com/nge/prod/fhir-api-r4/fhir/r4/

Organizations & group practices 3

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.

NPI Registry JSON

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

{
    "created_epoch": "1141776000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1465344000000",
    "number": "1437127495",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6402 E SUPERSTITION SPRINGS BLVD STE 224",
            "city": "MESA",
            "state": "AZ",
            "postal_code": "852064394",
            "telephone_number": "480-835-6100",
            "fax_number": "480-461-4261"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6750 E BAYWOOD AVE",
            "address_2": "301",
            "city": "MESA",
            "state": "AZ",
            "postal_code": "852061749",
            "telephone_number": "480-835-6100",
            "fax_number": "480-461-4261"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "STERN",
        "first_name": "MARK",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-03-08",
        "last_updated": "2016-06-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207RC0000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Cardiovascular Disease",
            "state": "AZ",
            "license": "11364",
            "primary": false
        },
        {
            "code": "207RI0011X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Interventional Cardiology",
            "state": "AZ",
            "license": "11364",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "229478",
            "state": "AZ"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "RAIL ROAD MEDICARE",
            "identifier": "060028121",
            "state": "AZ"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Mesa, AZ

Sources for this page

Verify at the official NPI Registry.