Active NPI
Cezanne Bermeo, M.D.
- Internal Medicine Physician
- Chandler, AZ
National Provider Identifier
1558543744
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Internal Medicine Physician
- License
- 81700
- Practice address
- 3115 S Price Rd
Chandler, AZ 85248-3544 - Phone
- (480) 926-0170
- Fax
- (480) 452-0715
- NPI assigned
- Nov 29, 2007
- 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 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Internal Medicine Physician | 207R00000X | 81700 | AZ | Primary |
| Hospitalist Physician | 208M00000X | 81700 | AZ |
Addresses
Primary practice location
3115 S Price Rd
Chandler, AZ 85248-3544
Mailing address
3115 S Price Rd
Chandler, AZ 85248-3544
Phone (480) 926-0170
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
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20090409000091 | AZ | Practitioner - Internal Medicine | 5597812529 | Reassigns benefits to 1 organization |
Care Compare profile
Medicare Care Compare- Specialty
- Internal Medicine
- Education
- Other, 2004
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
- Pioneer Hospitalists, PLLC
Practice addresses (Care Compare)
475 S Dobson Rd
Chandler, AZ 85224-5605
Phone (888) 488-7640
Hospital & facility affiliations
- Nueva Hospice & Palliative Care, LLC
- Empress Care Hospice, Inc
- Best Support Hospice Inc
- Arizona Spine and Joint Hospital
- Mercy Gilbert Medical Center
- Chandler Regional Medical Center
- The Center At Val Vista, Llc
- Wellsprings of Gilbert
- Sante of Chandler
Merit-based Incentive Payment System (MIPS)
- Final score
- 14.91 of 100
- Quality
- 0
- Promoting interoperability
- 0
- Improvement activities
- 0
- Cost
- 49.7
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 81700 | AZ | MD | Internal Medicine Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Pioneer Hospitalists, PLLC | Internal Medicine | Current | Accepting new patients |
| Arizona Spine and Joint Hospital LLC | Current | Accepting new patients | |
| Harbor Mesa Healthcare LLC | Past | Accepting new patients |
Locations
3100 W Ray Rd
Ste 201
Chandler, AZ 85226
Phone (269) 312-1446
3115 S Price Rd
Chandler, AZ 85248
Phone (480) 855-4011
Interoperability endpoints
- cezannebermeo@asjh.medalliesdirect.net
Ownership & related parties
All facility ownership & control disclosures 1
Facilities whose Medicare enrollment lists this provider’s PECOS associate ID as an owner or managing party.
| Facility | Type | Role | Since |
|---|---|---|---|
| Wellsprings of Gilbert | Skilled nursing facility | Operational/Managerial Control Managing Control - Governing Body Adp of the SNF |
Jun 1, 2024 Jun 1, 2024 Jun 1, 2024 |
Owned or controlled facilities with NPI records 1
Facilities whose Medicare enrollment lists this provider as an owner, officer, director or managing party.
-
- Skilled Nursing Facility
- Gilbert, AZ
- NPI 1639923394
Adp of the SNF, Managing Control - Governing Body, Operational/Managerial Control
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 and National Provider Directory roles.
-
- Internal Medicine Physician
- Chandler, AZ
- NPI 1033177316
AZ, Internal Medicine
-
- General Acute Care Hospital
- Mesa, AZ
- NPI 1396745832
-
- Skilled Nursing Facility
- Gilbert, AZ
- NPI 1639923394
Hospital & facility affiliations 8
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- Community Based Hospice Care Agency
- Scottsdale, AZ
- NPI 1407567829
Hospice
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1196294400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1458518400000",
"number": "1558543744",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "3115 S PRICE RD",
"city": "CHANDLER",
"state": "AZ",
"postal_code": "852483544",
"telephone_number": "480-926-0170",
"fax_number": "480-452-0715"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3115 S PRICE RD",
"city": "CHANDLER",
"state": "AZ",
"postal_code": "852483544",
"telephone_number": "480-926-0170",
"fax_number": "480-452-0715"
}
],
"practiceLocations": [],
"basic": {
"last_name": "BERMEO",
"first_name": "CEZANNE",
"credential": "M.D.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2007-11-29",
"last_updated": "2016-03-21",
"status": "A"
},
"taxonomies": [
{
"code": "207R00000X",
"taxonomy_group": "",
"desc": "Internal Medicine",
"state": "AZ",
"license": "81700",
"primary": true
},
{
"code": "208M00000X",
"taxonomy_group": "",
"desc": "Hospitalist",
"state": "AZ",
"license": "81700",
"primary": false
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Chandler, AZ
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 21, 2016; 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; 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.