Individual provider Active NPI

James Ferris Ganem, M.D.

  • Interventional Cardiology Physician
  • Chandler, AZ
National Provider Identifier
1649251380
Registry record updated Jul 22, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
Interventional Cardiology PhysicianTaxonomy code 207RI0011X
License
16666 Issued in AZ
Practice address
595 N Dobson Rd
Suite C-48
Chandler, AZ 85224-4226
Phone
(480) 899-9430
Fax
(480) 899-9554
NPI assigned
Nov 9, 2005
Last updated
Jul 22, 2014By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 22, 2014

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Interventional Cardiology Physician 207RI0011X 16666 AZ Primary
Nuclear Cardiology Physician 207UN0901X 16666 AZ

Addresses

Primary practice location

595 N Dobson Rd
Suite C-48
Chandler, AZ 85224-4226

Mailing address

595 N Dobson Rd
Suite C-48
Chandler, AZ 85224-4226
Phone (480) 899-9430

Other identifiers 1

IdentifierTypeStateIssuer
1356334346OtherGROUP NPI

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
I20101201000152 AZ Practitioner - Interventional CardiologyPractitioner - Cardiovascular Disease (Cardiology)Practitioner - Other (Physician) 5496731218 Reassigns benefits to 1 organization

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
16666AZMDInterventional Cardiology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
East Valley Cardiology, LTD Cardiovascular Disease CurrentSince Oct 1, 1991 Accepting new patients
Dignity Community Care Past Accepting new patients
Chandler Regional Medical Center Past Accepting new patients

Locations

2175 N Alma School Rd
Ste A108
Chandler, AZ 85224
Phone (480) 814-7800

20924 N John Wayne Pkwy
Ste D4
Maricopa, AZ 85139
Phone (480) 899-9430

Interoperability endpoints

  • FHIR API: https://fhir-api.fhirprod.aws.greenwayhealth.com/fhir/R4/2.16.840.1.113883.3.140.60309

Organizations & group practices 3

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1131494400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1405987200000",
    "number": "1649251380",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "595 N DOBSON RD",
            "address_2": "SUITE C-48",
            "city": "CHANDLER",
            "state": "AZ",
            "postal_code": "852244226",
            "telephone_number": "480-899-9430",
            "fax_number": "480-899-9554"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "595 N DOBSON RD",
            "address_2": "SUITE C-48",
            "city": "CHANDLER",
            "state": "AZ",
            "postal_code": "852244226",
            "telephone_number": "480-899-9430",
            "fax_number": "480-899-9554"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GANEM",
        "first_name": "JAMES",
        "middle_name": "FERRIS",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2005-11-09",
        "last_updated": "2014-07-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207RI0011X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Interventional Cardiology",
            "state": "AZ",
            "license": "16666",
            "primary": true
        },
        {
            "code": "207UN0901X",
            "taxonomy_group": "",
            "desc": "Nuclear Medicine, Nuclear Cardiology",
            "state": "AZ",
            "license": "16666",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "GROUP NPI",
            "identifier": "1356334346",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Chandler, AZ

Sources for this page

Verify at the official NPI Registry.