Active NPI
Circle the City
- Federally Qualified Health Center (FQHC)
- Phoenix, AZ
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Federally Qualified Health Center (FQHC)
- Legal business name
- CIRCLE THE CITY
- Practice address
- 3522 N 3Rd Ave
Phoenix, AZ 85013-3903 - Phone
- (602) 776-9000
- Fax
- (602) 776-9001
- NPI assigned
- May 27, 2015
- Last updated
- Oct 10, 2024
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- William Ellert, MD
- Title
- Chief Medical Officer
- Phone
- (602) 776-0776
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Federally Qualified Health Center (FQHC) | 261QF0400X | Primary |
Addresses
Primary practice location
3522 N 3Rd Ave
Phoenix, AZ 85013-3903
Mailing address
300 W Clarendon Ave Ste 200
Phoenix, AZ 85013-3422
Phone (602) 776-0776
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in AZ
Enrollment records 2
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| O20150609001984 | AZ | Part B Supplier - Clinic/Group Practice | 3971824442 |
Receives reassigned benefits from 68 practitioners 8 other NPIs on this enrollment This NPI is an additional NPI on the enrollment Practice locations: Phoenix, AZ |
| O20150813012502 | AZ | Part A Provider - Federally Qualified Health Center (FQHC) | 3971824442 |
2 other NPIs on this enrollment Practice locations: Phoenix, AZ |
NPI to CCN mapping 1
The Medicare certification numbers (CCNs) connected to NPI 1487033247. Details of each certification follow.
Federally qualified health center certification: CCN 031926
- Legal name
- CIRCLE THE CITY
- Doing business as
- PARSONS FAMILY HEALTH CENTER AT CIRCLE THE CITY
- Certification status
- Active
- Provider type (POS)
- Federally qualified health center
- Participating since
- Aug 4, 2015
- Last certification
- Aug 4, 2015
- Ownership / control type
- Non-profit – church related
- Organization structure
- Corporation
- Incorporated
- Mar 11, 2008 in AZ
- Enrollment address
- 3522 N 3Rd Ave
Phoenix, AZ 85013-3903
Other NPIs with the same Medicare PAC ID 6
NPIs whose Medicare enrollments share a PECOS associate control ID (the same enrolled entity).
-
dba Circle the City Pharmacy
- Community/Retail Pharmacy
- Phoenix, AZ
- NPI 1144093972
3971824442
-
dba Circle the City Medical Respite Center, Downtown Campus
- Federally Qualified Health Center (FQHC)
- Phoenix, AZ
- NPI 1346755295
3971824442
-
dba Circle the City Family Health Center - UMOM Campus
- Federally Qualified Health Center (FQHC)
- Phoenix, AZ
- NPI 1447765474
3971824442
-
dba Circle the City Family Health Center, Downtown Campus
- Federally Qualified Health Center (FQHC)
- Phoenix, AZ
- NPI 1548775570
3971824442
Other NPIs on the same Medicare enrollment 9
NPIs listed together on one Medicare enrollment, typically parts of the same organization.
-
dba Circle the City Medical Respite Center, Downtown Campus
- Federally Qualified Health Center (FQHC)
- Phoenix, AZ
- NPI 1346755295
O20150609001984
-
dba Circle the City Family Health Center - UMOM Campus
- Federally Qualified Health Center (FQHC)
- Phoenix, AZ
- NPI 1447765474
O20150609001984
-
dba Circle the City Family Health Center, After Hours Clinic - LDRC
- Federally Qualified Health Center (FQHC)
- Phoenix, AZ
- NPI 1497260426
O20150609001984
-
dba Circle the City After Hours Clinic - CASS
- Federally Qualified Health Center (FQHC)
- Phoenix, AZ
- NPI 1548775497
O20150609001984
-
dba Circle the City Family Health Center, Downtown Campus
- Federally Qualified Health Center (FQHC)
- Phoenix, AZ
- NPI 1548775570
O20150609001984
-
- Federally Qualified Health Center (FQHC)
- Phoenix, AZ
- NPI 1679954184
O20150609001984, O20150813012502
-
dba Circle the City Mobile Clinic II
- Federally Qualified Health Center (FQHC)
- Phoenix, AZ
- NPI 1952948804
O20150813012502
National Provider Directory
National Provider DirectoryLocations
1125 W Jackson St
#448
Phoenix, AZ 85007
Phone (602) 776-7676
230 S 12th Ave
Ste 830
Phoenix, AZ 85007
Ownership & related parties
All disclosed owners & managing parties 17
As disclosed on the Medicare enrollment (CMS All Owners files). Individuals include officers, directors and managing employees, who may not hold ownership.
| Name | Role | Since | Share |
|---|---|---|---|
| James T Nathan | Corporate Director | Mar 23, 2015 | |
| Kelli Kathleen Smith | Corporate Officer | Jan 1, 2022 | |
| Roy Pringle | Corporate Director | Oct 24, 2016 | |
| Adele Marie O Sullivan | Corporate Director | Jul 30, 2018 | |
| Michael Zenobi | Corporate Officer | Dec 1, 2020 | 33% |
| W-2 Managing Employee | Dec 1, 2020 | 33% | |
| Operational/Managerial Control | Dec 1, 2020 | 33% | |
| Circle the City | 5% Or Greater Direct Ownership Interest | Jun 12, 2015 | 100% |
| Ryan Andrew Odgers | Corporate Officer | Jan 1, 2022 | |
| Thomas Betlach | Corporate Director | Jan 1, 2022 | |
| Kim Despres | Corporate Officer | Dec 1, 2020 | 33% |
| W-2 Managing Employee | Dec 1, 2020 | 33% | |
| Operational/Managerial Control | Dec 1, 2020 | 33% | |
| Clayton Foster | Corporate Director | Jan 1, 2022 | |
| Marc L Leib | Corporate Director | Oct 24, 2016 | |
| Kathy Stein | Corporate Director | May 22, 2017 | |
| Petrona Zickgraf | W-2 Managing Employee | Dec 1, 2020 | 23% |
| Lori Ann McClelland | Corporate Director | Sep 27, 2010 | |
| Danielle Millard | Corporate Officer | Jan 1, 2022 | |
| Jaxinta Shaffer | Corporate Officer | Jan 1, 2022 | |
| Marion K. Kelly | Corporate Director | Oct 24, 2016 |
Owners & managing parties with NPI records 7
Owners and managing parties disclosed on this facility’s Medicare enrollment that are themselves Medicare-enrolled.
-
dba Circle the City Pharmacy
- Community/Retail Pharmacy
- Phoenix, AZ
- NPI 1144093972
5% Or Greater Direct Ownership Interest
-
- Family Medicine Physician
- Phoenix, AZ
- NPI 1346588316
5% Or Greater Direct Ownership Interest
-
dba Circle the City Medical Respite Center, Downtown Campus
- Federally Qualified Health Center (FQHC)
- Phoenix, AZ
- NPI 1346755295
5% Or Greater Direct Ownership Interest
-
dba Circle the City Family Health Center - UMOM Campus
- Federally Qualified Health Center (FQHC)
- Phoenix, AZ
- NPI 1447765474
5% Or Greater Direct Ownership Interest
-
dba Circle the City Family Health Center, Downtown Campus
- Federally Qualified Health Center (FQHC)
- Phoenix, AZ
- NPI 1548775570
5% Or Greater Direct Ownership Interest
-
- Federally Qualified Health Center (FQHC)
- Phoenix, AZ
- NPI 1932588795
5% Or Greater Direct Ownership Interest
-
- Orthopaedic Hand Surgery Physician
- Phoenix, AZ
- NPI 1891014049
Corporate Officer
All facility ownership & control disclosures 2
Facilities whose Medicare enrollment lists this provider’s PECOS associate ID as an owner or managing party.
| Facility | Type | Role | Since |
|---|---|---|---|
| Circle the City Family Health Center, Downtown Campus | Federally qualified health center | 5% Or Greater Direct Ownership Interest (100%) | Jan 1, 2018 |
| Circle the City Medical Respite Center, Downtown Campus | Federally qualified health center | 5% Or Greater Direct Ownership Interest (100%) Operational/Managerial Control (100%) |
Jan 2, 2018 Jan 2, 2018 |
Owned or controlled facilities with NPI records 4
Facilities whose Medicare enrollment lists this provider as an owner, officer, director or managing party.
-
dba Circle the City Medical Respite Center, Downtown Campus
- Federally Qualified Health Center (FQHC)
- Phoenix, AZ
- NPI 1346755295
5% Or Greater Direct Ownership Interest, Operational/Managerial Control
-
dba Circle the City Family Health Center, Downtown Campus
- Federally Qualified Health Center (FQHC)
- Phoenix, AZ
- NPI 1548775570
5% Or Greater Direct Ownership Interest
-
- Federally Qualified Health Center (FQHC)
- Phoenix, AZ
- NPI 1679954184
5% Or Greater Direct Ownership Interest
-
dba Circle the City Mobile Clinic II
- Federally Qualified Health Center (FQHC)
- Phoenix, AZ
- NPI 1952948804
5% Or Greater Direct Ownership Interest
Facilities with the same owner 2
Facilities that share an organizational owner with 5% or greater ownership or operational control.
-
dba Circle the City Medical Respite Center, Downtown Campus
- Federally Qualified Health Center (FQHC)
- Phoenix, AZ
- NPI 1346755295
Circle the City
-
dba Circle the City Family Health Center, Downtown Campus
- Federally Qualified Health Center (FQHC)
- Phoenix, AZ
- NPI 1548775570
Circle the City
Practitioners & affiliated clinicians
Practitioners 28
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.
-
- Internal Medicine Physician
- Phoenix, AZ
- NPI 1588987192
-
- Counselor
- Phoenix, AZ
- NPI 1245613447
-
- Family Medicine Physician
- Phoenix, AZ
- NPI 1629308051
-
- Medical Physician Assistant
- Maricopa, AZ
- NPI 1942759279
-
- Physician Assistant
- Phoenix, AZ
- NPI 1538670427
-
- Family Medicine Physician
- Phoenix, AZ
- NPI 1063508463
-
- Physical Therapist
- Litchfield Park, AZ
- NPI 1851664742
-
- Internal Medicine Physician
- Mesa, AZ
- NPI 1336717321
-
- Internal Medicine Physician
- Phoenix, AZ
- NPI 1952506867
-
- Internal Medicine Physician
- Phoenix, AZ
- NPI 1841554920
-
- Family Medicine Physician
- Phoenix, AZ
- NPI 1457462202
-
- Physician Assistant
- Phoenix, AZ
- NPI 1679367288
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1432684800000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1728518400000",
"number": "1487033247",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "300 W CLARENDON AVE STE 200",
"city": "PHOENIX",
"state": "AZ",
"postal_code": "850133422",
"telephone_number": "602-776-0776",
"fax_number": "602-705-0567"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3522 N 3RD AVE",
"city": "PHOENIX",
"state": "AZ",
"postal_code": "850133903",
"telephone_number": "602-776-9000",
"fax_number": "602-776-9001"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "CIRCLE THE CITY",
"organizational_subpart": "NO",
"enumeration_date": "2015-05-27",
"last_updated": "2024-10-10",
"certification_date": "2024-10-10",
"status": "A",
"authorized_official_last_name": "ELLERT",
"authorized_official_first_name": "WILLIAM",
"authorized_official_title_or_position": "CHIEF MEDICAL OFFICER",
"authorized_official_telephone_number": "602-776-0776",
"authorized_official_credential": "MD"
},
"taxonomies": [
{
"code": "261QF0400X",
"taxonomy_group": "",
"desc": "Clinic/Center, Federally Qualified Health Center (FQHC)",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Phoenix, AZ
- Circle the City
- Circle the City (Circle the City Medical Respite Center, Downtown Campus)
- Circle the City
- Circle the City (Circle the City Family Health Center - UMOM Campus)
- Circle the City
- Circle the City (Circle the City Family Health Center, After Hours Clinic - LDRC)
- Circle the City (Circle the City After Hours Clinic - CASS)
- Circle the City (Circle the City Family Health Center, Downtown Campus)
- Circle the City (Parsons Family Health Center)
- Circle the City
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 10, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; facility enrollments, owners and changes of ownership; Provider of Services certification data.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.