Individual provider Active NPI

Clifton Worsham, MD

  • Pediatric Cardiology Physician
  • Glendale, AZ
National Provider Identifier
1649203480
Registry record updated Mar 22, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pediatric Cardiology PhysicianTaxonomy code 2080P0202X
License
14869 Issued in AZ
Practice address
5757 W Thunderbird Rd Ste E353
Glendale, AZ 85306-4688
Phone
(602) 933-3366
Fax
(602) 933-4166
NPI assigned
Jul 7, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 22, 2018

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Pediatric Cardiology Physician 2080P0202X 14869 AZ Primary

Addresses

Primary practice location

5757 W Thunderbird Rd Ste E353
Glendale, AZ 85306-4688

Mailing address

3200 E Camelback Rd Ste 250
Phoenix, AZ 85018-2327
Phone (602) 933-1814

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in AZ, OH2 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
I20050209000376 AZ Practitioner - Cardiovascular Disease (Cardiology)Practitioner - Pediatric Medicine 7214988062 Reassigns benefits to 2 organizations
I20230622001960 OH Practitioner - Pediatric MedicinePractitioner - Cardiovascular Disease (Cardiology) 7214988062 Reassigns benefits to 1 organization

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
District Medical Group, Inc CurrentSince Jun 1, 2016 Accepting new patients
Phoenix Children's Hospital Pediatrics Current Accepting new patients
Phoenix Children's Medical Group CurrentSince Mar 1, 2017 Accepting new patients
University Hospitals Medical Group Inc Pediatrics CurrentSince Jun 13, 2023 Accepting new patients
Obstetrix Medical Group of Phoenix PC Pediatric Cardiology Past Accepting new patients
District Medical Group, Inc Pediatrics Past Accepting new patients

Locations

1665 N Avondale Blvd
Avondale, AZ 85392
Phone (602) 933-0005

1501 N Gilbert Rd
Ste 203
Gilbert, AZ 85234
Phone (602) 833-7320

3370 S Mercy Rd
Ste 221
Gilbert, AZ 85297

6524 W Sack Dr
Ste 240
Glendale, AZ 85308
Phone (602) 933-3363

5757 W Thunderbird Rd
Ste E353
Glendale, AZ 85306
Phone (480) 315-8412

1551 E Tangerine Rd
Ste 141
Oro Valley, AZ 85755
Phone (520) 320-7999

1919 E Thomas Rd
Phoenix, AZ 85016
Phone (602) 933-0777

2601 E Roosevelt St
Phoenix, AZ 85008
Phone (602) 220-0298

1920 E Cambridge Ave
Ste 301
Phoenix, AZ 85006
Phone (602) 253-6000

2929 E Thomas Rd
Phoenix, AZ 85016
Phone (602) 470-5043

3141 N 3rd Ave
Phoenix, AZ 85013
Phone (602) 914-1520

2525 E Roosevelt St
Phoenix, AZ 85008
Phone (602) 344-1015

3200 E Camelback Rd
Ste 250
Phoenix, AZ 85018
Phone (602) 933-1814

3141 N 3rd Ave
Ste 100
Phoenix, AZ 85013
Phone (602) 914-1520

726 Gail Gardner Way
Ste A
Prescott, AZ 86305
Phone (928) 443-9580

7505 S McClintock Dr
Ste 103
Tempe, AZ 85283
Phone (480) 755-1000

8055 Mayfield Rd
Ste 105
Chesterland, OH 44026
Phone (440) 214-8024

11100 Euclid Ave
Cleveland Heights, OH 44106

Interoperability endpoints

  • Direct secure messaging: cworsham245135@ehrdirect.uhhospitals.org
  • Direct secure messaging: cworsham18100@direct.valleywisehealth.org

Organizations & group practices 7

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.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1152230400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1521676800000",
    "number": "1649203480",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3200 E CAMELBACK RD STE 250",
            "city": "PHOENIX",
            "state": "AZ",
            "postal_code": "850182327",
            "telephone_number": "602-933-1814"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5757 W THUNDERBIRD RD STE E353",
            "city": "GLENDALE",
            "state": "AZ",
            "postal_code": "853064688",
            "telephone_number": "602-933-3366",
            "fax_number": "602-933-4166"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WORSHAM",
        "first_name": "CLIFTON",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-07-07",
        "last_updated": "2018-03-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2080P0202X",
            "taxonomy_group": "",
            "desc": "Pediatrics, Pediatric Cardiology",
            "state": "AZ",
            "license": "14869",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Glendale, AZ

Sources for this page

Verify at the official NPI Registry.