Individual provider Active NPI

Manraj Raja Singh Gill, M.D.

  • Interventional Cardiology Physician
  • Mesa, AZ
National Provider Identifier
1679935167
Registry record updated Oct 6, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Interventional Cardiology PhysicianTaxonomy code 207RI0011X
License
70075 Issued in AZ
Practice address
7529 E Broadway Rd Ste 101
Mesa, AZ 85208-2007
Phone
(480) 945-4343
Fax
(480) 945-4350
NPI assigned
Mar 23, 2016
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 6, 2023

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Interventional Cardiology Physician 207RI0011X 70075 AZ Primary

Addresses

Primary practice location

7529 E Broadway Rd Ste 101
Mesa, AZ 85208-2007

Mailing address

5416 E Baseline Rd Ste 129
Mesa, AZ 85206-4703
Phone (480) 945-4343

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: No
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20230802004018 AZ Practitioner - Interventional Cardiology 3870954159 Reassigns benefits to 4 organizations

Care Compare profile

Medicare Care Compare
Specialty
Interventional Cardiology
Education
Other, 2016
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Cardiojost PLLCGroup PAC ID 2062429913, 18 clinicians

Practice addresses (Care Compare)

7529 E Broadway Rd
Suite 101
Mesa, AZ 85208-2057
Phone (480) 945-4343

Hospital & facility affiliations

  • Banner Heart Hospital Hospital, Mesa, AZ, CCN 030105
  • Banner Baywood Medical Center Hospital, Mesa, AZ, CCN 030088
  • Mercy Gilbert Medical Center Hospital, Gilbert, AZ, CCN 030119
  • Chandler Regional Medical Center Hospital, Chandler, AZ, CCN 030036

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
Coronary angioplasty and stenting79
Pacemaker insertion or repair1-10
Leg revascularization (restoring blood flow)1-10

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Cardiojost, PLLC Cardiovascular Disease CurrentSince Jun 10, 2023 Accepting new patients
Exceptional Physicians Group Arizona PLLC CurrentSince May 27, 2024 Accepting new patients
Exceptional Physicians Group Bullhead City Hospital PLLC CurrentSince Jul 19, 2024 Accepting new patients
Exceptional Physicians Group Yuma Hospital PLLC CurrentSince Jul 19, 2024 Accepting new patients
Exceptional Health Care Bullhead City LLC PastSince Nov 19, 2023 Accepting new patients
Southwest Endovascular Center, LLC PastSince Jan 12, 2020 Accepting new patients
Chan Heart Rhythm Institute PLLC PastSince Sep 29, 2014 Accepting new patients
Cai NCP East Mesa JV LLC Cardiovascular Disease PastSince Jun 1, 2024 Accepting new patients
Southwest Cardiovascular Interventional Center, LLC PastSince Jan 1, 2020 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

2365 Highway 95
Bullhead City, AZ 86442
Phone (928) 224-2443

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

19060 N John Wayne Pkwy
Maricopa, AZ 85139
Phone (480) 631-0675

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

7529 E Broadway Rd
Bldg 2
Mesa, AZ 85208

7529 E Broadway Rd
Ste 101
Mesa, AZ 85208

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

5416 E Baseline Rd
Ste 129
Mesa, AZ 85206

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

2737 W Baseline Rd
Ste 27
Tempe, AZ 85283

2648 S Araby Rd
Yuma, AZ 85365
Phone 4693417800100

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

3514 Cedar Springs Rd
Dallas, TX 75219
Phone (281) 415-6687

Interoperability endpoints

  • Direct secure messaging: manraj.gill.p2@direct.swcva.nextgenshare.com
  • Direct secure messaging: rajasinghgill.manraj.p1@direct.swcva.nextgenshare.com
  • FHIR API: https://fhir.nextgen.com/nge/prod/fhir-api-r4/fhir/r4/

Organizations & group practices 9

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 4

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": "1458691200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1696550400000",
    "number": "1679935167",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5416 E BASELINE RD STE 129",
            "city": "MESA",
            "state": "AZ",
            "postal_code": "852064703",
            "telephone_number": "480-945-4343"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7529 E BROADWAY RD STE 101",
            "city": "MESA",
            "state": "AZ",
            "postal_code": "852082007",
            "telephone_number": "480-945-4343",
            "fax_number": "480-945-4350"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GILL",
        "first_name": "MANRAJ RAJA",
        "middle_name": "SINGH",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2016-03-23",
        "last_updated": "2023-10-06",
        "certification_date": "2023-10-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207RI0011X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Interventional Cardiology",
            "state": "AZ",
            "license": "70075",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Mesa, AZ

Sources for this page

Verify at the official NPI Registry.