Active NPI
Mansour H. Assar, M.D.
- Interventional Cardiology Physician
- Prescott, AZ
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Interventional Cardiology Physician
- License
- 23221
- Practice address
- 3124 Willow Creek Rd Ste 200
Prescott, AZ 86301-6610 - Phone
- (928) 474-5286
- Fax
- (928) 474-0171
- NPI assigned
- Jun 30, 2005
- Last updated
- Sep 1, 2022
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 3
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Internal Medicine Physician | 207R00000X | 23221 | AZ | |
| Cardiovascular Disease Physician | 207RC0000X | 23221 | AZ | |
| Interventional Cardiology Physician | 207RI0011X | 23221 | AZ | Primary |
Addresses
Primary practice location
3124 Willow Creek Rd Ste 200
Prescott, AZ 86301-6610
Mailing address
3124 Willow Creek Rd Ste 200
Prescott, AZ 86301-6610
Phone (928) 474-5286
Other practice location 1
811 Ainsworth Dr Ste 106
Prescott, AZ 86301-1687
Phone (928) 771-5256
Other practice location 2
3262 N Windsong Dr
Prescott Valley, AZ 86314-2255
Phone (928) 771-4788
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 317629 | Medicaid | AZ |
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
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Interventional Cardiology
- Education
- Other, 1986
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Telehealth
- Offers telehealth services
- Group practices
Practice addresses (Care Compare)
1600 Willow Creek Rd
Prescott, AZ 86301-1108
Phone (480) 945-4343
Hospital & facility affiliations
Procedures performed for Medicare patients
| Procedure | Number of procedures |
|---|---|
| Coronary angioplasty and stenting | 157 |
| Pacemaker insertion or repair | 68 |
| Leg revascularization (restoring blood flow) | 22 |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Cardiojost, PLLC | Cardiovascular Disease | Current | Accepting new patients |
| Ali a Askari, PC | Cardiovascular Disease | Current | Accepting new patients |
| Ali a Askari, PC | Cardiovascular Disease | Current | Accepting new patients |
| Chan Heart Rhythm Institute PLLC | Past | Accepting new patients | |
| Page Hospital | Past | Accepting new patients | |
| Southwest Cardiovascular Interventional Center, LLC | Past | Accepting new patients | |
| Southwest Endovascular Center, LLC | Past | Accepting new patients |
Locations
410 N Malacate St
Ajo, AZ 85321
Phone (520) 387-5651
750 S Ironwood Dr
Apache Junction, AZ 85120
Phone (480) 982-1265
203 S Candy Ln
Ste 6A
Cottonwood, AZ 86326
Phone (928) 493-9937
3514 N Power Rd
Ste 105
Mesa, AZ 85215
Phone (480) 422-8533
6709 E Southern Ave
Mesa, AZ 85206
Phone (480) 773-2220
7529 E Broadway Rd
Bldg 2
Mesa, AZ 85208
7529 E Broadway Rd
Ste 101
Mesa, AZ 85208
7529 E Broadway Rd
Ste 104
Mesa, AZ 85208
117 E Main St
Ste F100
Payson, AZ 85541
1331 N 7th St
Ste 400
Phoenix, AZ 85006
Phone (602) 277-6181
1600 Willow Creek Rd
Prescott, AZ 86301
Phone (928) 608-5500
3124 Willow Creek Rd
Ste 200
Prescott, AZ 86301
Phone (928) 308-4285
3191 Stillwater Dr
Ste B
Prescott, AZ 86305
Phone (928) 212-1479
3033 N Windsong Dr
Ste 101
Prescott Valley, AZ 86314
Phone (928) 379-6064
Interoperability endpoints
- https://fhir.nextgen.com/nge/prod/fhir-api-r4/fhir/r4/
- mansour.assar.p1@direct.swcva.nextgenshare.com
- mansour.assar.p2@direct.swcva.nextgenshare.com
Organizations & group practices 7
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.
-
dba Southwest Cardiovascular Associates
- Cardiovascular Disease Physician
- Mesa, AZ
- NPI 1023122843
-
- Cardiovascular Disease Physician
- Phoenix, AZ
- NPI 1386765527
-
- Cardiovascular Disease Physician
- Quartzsite, AZ
- NPI 1336260827
-
dba East Valley Heart
- Clinical Cardiac Electrophysiology Physician
- Mesa, AZ
- NPI 1174949754
-
- Critical Access Hospital
- Page, AZ
- NPI 1578515789
-
- Ambulatory Surgical Clinic/Center
- Mesa, AZ
- NPI 1588203723
-
- Ambulatory Surgical Clinic/Center
- Mesa, AZ
- NPI 1760021802
Hospital & facility affiliations 1
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
dba Yavapai Regional Medical Center
- General Acute Care Hospital
- Prescott, AZ
- NPI 1902897820
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1120089600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1661990400000",
"number": "1467459966",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "3124 WILLOW CREEK RD STE 200",
"city": "PRESCOTT",
"state": "AZ",
"postal_code": "863016610",
"telephone_number": "928-474-5286",
"fax_number": "928-474-0171"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3124 WILLOW CREEK RD STE 200",
"city": "PRESCOTT",
"state": "AZ",
"postal_code": "863016610",
"telephone_number": "928-474-5286",
"fax_number": "928-474-0171"
}
],
"practiceLocations": [
{
"address_1": "811 Ainsworth Dr Ste 106",
"address_purpose": "LOCATION",
"city": "Prescott",
"state": "AZ",
"postal_code": "863011687",
"country_code": "US",
"telephone_number": "928-771-5256",
"fax_number": "928-771-5254",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "3262 N Windsong Dr",
"address_purpose": "LOCATION",
"city": "Prescott Valley",
"state": "AZ",
"postal_code": "863142255",
"country_code": "US",
"telephone_number": "928-771-4788",
"fax_number": "928-771-5712",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "ASSAR",
"first_name": "MANSOUR",
"middle_name": "H.",
"credential": "M.D.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2005-06-30",
"last_updated": "2022-09-01",
"certification_date": "2022-08-25",
"status": "A"
},
"taxonomies": [
{
"code": "207R00000X",
"taxonomy_group": "",
"desc": "Internal Medicine",
"state": "AZ",
"license": "23221",
"primary": false
},
{
"code": "207RC0000X",
"taxonomy_group": "",
"desc": "Internal Medicine, Cardiovascular Disease",
"state": "AZ",
"license": "23221",
"primary": false
},
{
"code": "207RI0011X",
"taxonomy_group": "",
"desc": "Internal Medicine, Interventional Cardiology",
"state": "AZ",
"license": "23221",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "317629",
"state": "AZ"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Prescott, AZ
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 1, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- 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.