Active NPI
Ghazwan Elias, M.D.
- Cardiovascular Disease Physician
- Phoenix, AZ
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Cardiovascular Disease Physician
- License
- 66208
- 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
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 |
|---|---|---|---|---|
| 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
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 404555101 | Medicaid | TX | |
| 149289 | Medicaid | AZ |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in TX, AZ
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
Enrollment records 2
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
Practice addresses (Care Compare)
340 E Palm LN
Suite A175
Phoenix, AZ 85004-4603
Phone (602) 386-1100
Hospital & facility affiliations
- Honorhealth Scottsdale Osborn Medical Center
- Honorhealth Scottsdale Shea Medical Center
- Honorhealth Scottsdale Thompson Peak Med Ctr
Procedures performed for Medicare patients
| Procedure | Number of procedures |
|---|---|
| Coronary angioplasty and stenting | 1-10 |
| Pacemaker insertion or repair | 1-10 |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| S1392 | TX | MD | Hospitalist Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Honorhealth Ambulatory | Current | Accepting new patients | |
| University of Texas Health Science Center at San Antonio | Family Medicine | Current | Accepting new patients |
| Honorhealth Ambulatory | Current | Accepting new patients | |
| Honorhealth Ambulatory | Family Medicine | Current | Accepting new patients |
| The University of Texas Health Science Center at San Antonio | Current | 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
- 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.
-
dba HonorHealth Research Institute
- Hematology & Oncology Physician
- Scottsdale, AZ
- NPI 1407050917
-
dba UT Health Physicians
- Internal Medicine Physician
- San Antonio, TX
- NPI 1720051717
Family Medicine
-
dba Scottsdale Healthcare Primary Care Mesa
- Orthopaedic Surgery Physician
- Mesa, AZ
- NPI 1083047518
Family Medicine
-
- Emergency Medicine Physician
- Mesa, AZ
- NPI 1891518130
-
dba UT Health San Antonio Multispecialty & Research Hospital
- General Acute Care Hospital
- San Antonio, TX
- NPI 1326829904
-
- Cardiovascular Disease Physician
- Scottsdale, AZ
- NPI 1275833915
Hospital & facility affiliations 3
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
dba HonorHealth Scottsdale Shea Medical Center
- General Acute Care Hospital
- Scottsdale, AZ
- NPI 1386608859
-
dba HonorHealth Scottsdale Thompson Peak Medical Center
- General Acute Care Hospital
- Scottsdale, AZ
- NPI 1417152745
-
dba HonorHealth Scottsdale Osborn Medical Center
- General Acute Care Hospital
- Scottsdale, AZ
- NPI 1811951429
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
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 25, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; 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.