Individual provider Active NPI

Ghazwan Elias, M.D.

  • Cardiovascular Disease Physician
  • Phoenix, AZ
National Provider Identifier
1588050033
Registry record updated Jul 25, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Cardiovascular Disease PhysicianTaxonomy code 207RC0000X
License
66208 Issued in AZ
Practice address
1910 E Thomas Rd Ste 101
Phoenix, AZ 85016-7766
Phone
(480) 470-0003
Fax
(480) 470-0004
NPI assigned
Apr 11, 2015
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 25, 2022

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Hospitalist Physician 208M00000X S1392 TX
Cardiovascular Disease Physician 207RC0000X 66208 AZ Primary

Addresses

Primary practice location

1910 E Thomas Rd Ste 101
Phoenix, AZ 85016-7766

Mailing address

PO Box 4417
Houston, TX 77210-4417
Phone (480) 470-0003

Other practice location 1

4502 Medical Dr
San Antonio, TX 78229-4402
Phone (210) 358-4000

Other identifiers 2

IdentifierTypeStateIssuer
404555101MedicaidTX
149289MedicaidAZ

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in TX, AZ2 enrollments
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 2

Enrollment IDStateProvider typePAC IDDetails
I20191105000813 TX Practitioner - HospitalistPractitioner - Internal Medicine 6608108097 Reassigns benefits to 1 organization
I20220628003198 AZ Practitioner - Cardiovascular Disease (Cardiology) 6608108097 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Cardiovascular Disease (Cardiology)
Education
Other, 2011
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Honorhealth AmbulatoryGroup PAC ID 5991603110, 630 clinicians

Practice addresses (Care Compare)

340 E Palm LN
Suite A175
Phoenix, AZ 85004-4603
Phone (602) 386-1100

Hospital & facility affiliations

Procedures performed for Medicare patients

ProcedureNumber of procedures
Coronary angioplasty and stenting1-10
Pacemaker insertion or repair1-10

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
S1392TXMDHospitalist Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Honorhealth Ambulatory Current Accepting new patients
University of Texas Health Science Center at San Antonio Family Medicine CurrentSince Dec 1, 2019 Accepting new patients
Honorhealth Ambulatory CurrentSince Sep 2, 2022 Accepting new patients
Honorhealth Ambulatory Family Medicine CurrentSince Sep 2, 2022 Accepting new patients
The University of Texas Health Science Center at San Antonio CurrentSince Dec 1, 2019 Accepting new patients
Honorhealth Ambulatory Cardiovascular Disease Past Accepting new patients

Locations

1124 E McKellips Rd
Ste 110
Mesa, AZ 85203
Phone (480) 882-4509

340 E Palm Ln
Ste A175
Phoenix, AZ 85004
Phone (602) 386-1100

3099 N Civic Center Plz
Scottsdale, AZ 85251
Phone (480) 945-3535

10510 N 92nd St
Ste 200
Scottsdale, AZ 85258
Phone (480) 323-1250

7351 E Osborn Rd
Ste 200C
Scottsdale, AZ 85251
Phone (480) 882-7465

4502 Medical Dr
San Antonio, TX 78229
Phone (210) 358-3555

7703 Floyd Curl Dr
San Antonio, TX 78229
Phone (210) 450-3700

Interoperability endpoints

  • Direct secure messaging: gelias479967@direct.honorhealth.com

Organizations & group practices 6

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 3

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": "1428710400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1658707200000",
    "number": "1588050033",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 4417",
            "city": "HOUSTON",
            "state": "TX",
            "postal_code": "772104417",
            "telephone_number": "480-470-0003",
            "fax_number": "480-470-0004"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1910 E THOMAS RD STE 101",
            "city": "PHOENIX",
            "state": "AZ",
            "postal_code": "850167766",
            "telephone_number": "480-470-0003",
            "fax_number": "480-470-0004"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "4502 Medical Dr",
            "address_purpose": "LOCATION",
            "city": "San Antonio",
            "state": "TX",
            "postal_code": "782294402",
            "country_code": "US",
            "telephone_number": "210-358-4000",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "ELIAS",
        "first_name": "GHAZWAN",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2015-04-11",
        "last_updated": "2022-07-25",
        "certification_date": "2022-07-25",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208M00000X",
            "taxonomy_group": "",
            "desc": "Hospitalist",
            "state": "TX",
            "license": "S1392",
            "primary": false
        },
        {
            "code": "207RC0000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Cardiovascular Disease",
            "state": "AZ",
            "license": "66208",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "404555101",
            "state": "TX"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "149289",
            "state": "AZ"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Phoenix, AZ

Sources for this page

Verify at the official NPI Registry.