Individual provider Active NPI

Kelly Elizabeth Guld, MD

  • Interventional Cardiology Physician
  • Mesa, AZ
National Provider Identifier
1568696003
Registry record updated Jul 21, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Interventional Cardiology PhysicianTaxonomy code 207RI0011X
License
53480 Issued in AZ
Practice address
6750 E Baywood Ave Ste 301
Mesa, AZ 85206-1749
Phone
(480) 834-6100
Fax
(480) 461-4243
NPI assigned
May 13, 2009
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 21, 2022

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

Specialties & licenses 4

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine Physician 207R00000X MT195114 PA
Cardiovascular Disease Physician 207RC0000X 53480 AZ
Student in an Organized Health Care Education/Training Program 390200000X MT195114 PA
Interventional Cardiology Physician 207RI0011X 53480 AZ Primary

Addresses

Primary practice location

6750 E Baywood Ave Ste 301
Mesa, AZ 85206-1749

Mailing address

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

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
I20170711001436 AZ Practitioner - Interventional CardiologyPractitioner - Cardiovascular Disease (Cardiology) 9931365517 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Interventional CardiologyAlso: Cardiovascular Disease (Cardiology)
Education
Boston University School of Medicine, 2009
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices

Practice addresses (Care Compare)

6750 E Baywood Ave
Suite 301
Mesa, AZ 85206-1749
Phone (480) 835-6100

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
85.24 of 100Reported as group
Quality
74.76
Promoting interoperability
100
Improvement activities
40
Cost
76.03

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
MT195114PAMDStudent in an Organized Health Care Education/Training Program

Practice roles

OrganizationSpecialtyStatusNew patients
Tri-City Cardiology Consultants, PC CurrentSince Jul 1, 2017 Accepting new patients
Banner Cancer Center Specialists LLC CurrentSince Apr 7, 2019 Accepting new patients
Banner Cancer Center Specialists LLC CurrentSince Apr 7, 2019 Accepting new patients
Tri-City Cardiology Consultants, PC Cardiovascular Disease CurrentSince Jul 1, 2017 Accepting new patients

Locations

3530 S Val Vista Dr
Ste 103
Gilbert, AZ 85297

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

1760 E Pecos Rd
Ste 420
Gilbert, AZ 85295

2946 E Banner Gateway Dr
Gilbert, AZ 85234
Phone (480) 256-5450

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

1580 N Fiesta Blvd
Ste 100
Gilbert, AZ 85233

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

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

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

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

143 S 63rd St
Ste 100
Mesa, AZ 85206
Phone (480) 416-6140

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

143 S 63rd St
Mesa, AZ 85206
Phone (480) 993-1000

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

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

8765 E Bell Rd
Ste 110
Scottsdale, AZ 85260

Interoperability endpoints

  • FHIR API: https://fhir.nextgen.com/nge/prod/fhir-api-r4/fhir/r4/
  • Direct secure messaging: kelly.guld.p1@direct.tcc.nextgenshare.com

Organizations & group practices 4

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.

Hospital & facility affiliations 5

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": "1242172800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1658361600000",
    "number": "1568696003",
    "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 STE 301",
            "city": "MESA",
            "state": "AZ",
            "postal_code": "852061749",
            "telephone_number": "480-834-6100",
            "fax_number": "480-461-4243"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GULD",
        "first_name": "KELLY",
        "middle_name": "ELIZABETH",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2009-05-13",
        "last_updated": "2022-07-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "PA",
            "license": "MT195114",
            "primary": false
        },
        {
            "code": "207RC0000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Cardiovascular Disease",
            "state": "AZ",
            "license": "53480",
            "primary": false
        },
        {
            "code": "390200000X",
            "taxonomy_group": "",
            "desc": "Student in an Organized Health Care Education/Training Program",
            "state": "PA",
            "license": "MT195114",
            "primary": false
        },
        {
            "code": "207RI0011X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Interventional Cardiology",
            "state": "AZ",
            "license": "53480",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Mesa, AZ

Sources for this page

Verify at the official NPI Registry.