Individual provider Active NPI

Mansour H. Assar, M.D.

  • Interventional Cardiology Physician
  • Prescott, AZ
National Provider Identifier
1467459966
Registry record updated Sep 1, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Interventional Cardiology PhysicianTaxonomy code 207RI0011X
License
23221 Issued in AZ
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, 2022By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 1, 2022

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
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

IdentifierTypeStateIssuer
317629MedicaidAZ

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
I20050526001101 AZ Practitioner - Interventional CardiologyPractitioner - Cardiovascular Disease (Cardiology)Practitioner - Internal Medicine 3476595646 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Interventional CardiologyAlso: Cardiovascular Disease (Cardiology), Internal Medicine
Education
Other, 1986
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Cardiojost PLLCGroup PAC ID 2062429913, 18 clinicians

Practice addresses (Care Compare)

1600 Willow Creek Rd
Prescott, AZ 86301-1108
Phone (480) 945-4343

Hospital & facility affiliations

Procedures performed for Medicare patients

ProcedureNumber of procedures
Coronary angioplasty and stenting157
Pacemaker insertion or repair68
Leg revascularization (restoring blood flow)22

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Cardiojost, PLLC Cardiovascular Disease CurrentSince Mar 15, 2023 Accepting new patients
Ali a Askari, PC Cardiovascular Disease CurrentSince Aug 13, 2022 Accepting new patients
Ali a Askari, PC Cardiovascular Disease CurrentSince Aug 13, 2022 Accepting new patients
Chan Heart Rhythm Institute PLLC PastSince Sep 29, 2014 Accepting new patients
Page Hospital Past Accepting new patients
Southwest Cardiovascular Interventional Center, LLC PastSince Jan 1, 2020 Accepting new patients
Southwest Endovascular Center, LLC PastSince Jan 12, 2020 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

  • FHIR API: https://fhir.nextgen.com/nge/prod/fhir-api-r4/fhir/r4/
  • Direct secure messaging: mansour.assar.p1@direct.swcva.nextgenshare.com
  • Direct secure messaging: 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.

Hospital & facility affiliations 1

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": "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

Verify at the official NPI Registry.