Individual provider Active NPI

Carl Edward Ferguson, D.O.

  • Family Medicine Physician
  • Mesa, AZ
National Provider Identifier
1619068681
Registry record updated Mar 17, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
2244 Issued in AZ
Practice address
3514 N Power Rd Ste 105
Mesa, AZ 85215-2907
Phone
(480) 422-8533
Fax
(480) 981-2442
NPI assigned
Sep 27, 2006
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Mar 17, 2025

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine Physician 207Q00000X 2244 AZ Primary

Addresses

Primary practice location

3514 N Power Rd Ste 105
Mesa, AZ 85215-2907

Mailing address

7529 E Baseline
Suite 101
Mesa, AZ 85208
Phone (480) 945-4343

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address carl.ferguson.p1@direct.swcva.nextgenshare.com Cardiojost, Inc

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
I20051209000206 AZ Practitioner - Family Practice 2961423678 Reassigns benefits to 1 organization
Practice locations: Mesa, AZ

Care Compare profile

Medicare Care Compare
Specialty
Family Practice
Education
Oklahoma State University College of Osteopathic Medicine, 1982
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Cardiojost PLLCGroup PAC ID 2062429913, 18 clinicians

Practice addresses (Care Compare)

3514 N Power Rd
Suite 105
Mesa, AZ 85215-2907
Phone (480) 422-8533

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
89.38 of 100Reported as group
Quality
94.74
Promoting interoperability
99
Improvement activities
40
Cost
70.7

Procedures performed for Medicare patients

ProcedureNumber of procedures
Removal of skin lesions1-10

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled
HHS exclusion list flag
Flagged The directory lists this NPI on an HHS exclusion list. The OIG exclusions file (LEIE) holds no record for this NPI, and the directory does not say which list the flag comes from. How exclusions are shown Confirm with the OIG exclusions search.
Credentials
Doctor of Osteopathy

State licenses

LicenseStateTypeSpecialty
2244AZMDGeneral Practice Dentistry

Practice roles

OrganizationSpecialtyStatusNew patients
McKellips Family Medical Clinic, PLLC Family Medicine CurrentSince Oct 1, 2012 Accepting new patients
Cardiojost, PLLC CurrentSince Sep 1, 2019 Accepting new patients
Southwest Cardiovascular Interventional Center, LLC CurrentSince Mar 24, 2025 Accepting new patients
Chan Heart Rhythm Institute PLLC PastSince Sep 29, 2014 Accepting new patients
Frederick Health Hospital Inc Past Accepting new patients

Locations

410 N Malacate St
Ajo, AZ 85321
Phone (520) 387-5651

750 S Ironwood Dr
Apache Junction, AZ 85120
Phone (480) 982-1265

203 S Candy Ln
Ste 6A
Cottonwood, AZ 86326
Phone (928) 493-9937

3049 E McKellips Rd
Ste 5
Mesa, AZ 85213
Phone (480) 830-1553

3514 N Power Rd
Ste 105
Mesa, AZ 85215
Phone (480) 422-8533

5416 E Baseline Rd
Mesa, AZ 85206

7529 E Broadway Rd
Bldg 2
Mesa, AZ 85208

6709 E Southern Ave
Mesa, AZ 85206
Phone (480) 773-2220

7529 E Broadway Rd
Ste 101
Mesa, AZ 85208

140 S Power Rd
Ste 102
Mesa, AZ 85206
Phone 4809454343212

7529 E Broadway Rd
Ste 104
Mesa, AZ 85208

117 E Main St
Ste F100
Payson, AZ 85541

1600 Willow Creek Rd
Prescott, AZ 86301
Phone (928) 608-5500

3033 N Windsong Dr
Ste 101
Prescott Valley, AZ 86314
Phone (928) 379-6064

2320 S 22nd Dr
Yuma, AZ 85364
Phone (928) 783-4476

Interoperability endpoints

  • FHIR API: https://fhir.nextgen.com/nge/prod/fhir-api-r4/fhir/r4/

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.

FacilityTypeRoleSince
Care Plus Hospice Care LLCScottsdale, AZ, CCN 001509 Hospice Contracted Managing Employee Apr 1, 2023

Owned or controlled facilities with NPI records 1

Facilities whose Medicare enrollment lists this provider as an owner, officer, director or managing party.

Organizations & group practices 5

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 1

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": "1159315200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1742169600000",
    "number": "1619068681",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7529 E BASELINE",
            "address_2": "SUITE 101",
            "city": "MESA",
            "state": "AZ",
            "postal_code": "85208",
            "telephone_number": "480-945-4343",
            "fax_number": "480-945-4350"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3514 N POWER RD STE 105",
            "city": "MESA",
            "state": "AZ",
            "postal_code": "852152907",
            "telephone_number": "480-422-8533",
            "fax_number": "480-981-2442"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "FERGUSON",
        "first_name": "CARL",
        "middle_name": "EDWARD",
        "name_prefix": "Dr.",
        "credential": "D.O.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-09-27",
        "last_updated": "2025-03-17",
        "certification_date": "2025-03-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "AZ",
            "license": "2244",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "carl.ferguson.p1@direct.swcva.nextgenshare.com",
            "affiliation": "Y",
            "affiliationName": "Cardiojost, Inc",
            "address_1": "3514 N Power Rd Ste 105",
            "city": "Mesa",
            "state": "AZ",
            "country_code": "US",
            "postal_code": "852152907",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Mesa, AZ

Sources for this page

Verify at the official NPI Registry.