Organization Active NPI

Apollo Hospitalists PLLC

  • Internal Medicine Physician
  • Mesa, AZ
National Provider Identifier
1720120678
Registry record updated Feb 10, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
Legal business name
APOLLO HOSPITALISTS PLLC
Practice address
1400 S Dobson Rd
Mesa, AZ 85202-4707
Phone
(480) 626-4813
Fax
(480) 445-9238
NPI assigned
Feb 13, 2007
Last updated
Feb 10, 2012By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Feb 10, 2012

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

Authorized official

Name
Cathy Tigges
Title
Credentialist
Phone
(602) 765-9279

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine Physician 207R00000X NU Primary

Addresses

Primary practice location

1400 S Dobson Rd
Mesa, AZ 85202-4707

Mailing address

1955 W Baseline Rd # 113-647
Mesa, AZ 85202-9003
Phone (480) 626-4813

Other identifiers 1

IdentifierTypeStateIssuer
348469MedicaidAZ

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in AZ

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20070313000384 AZ Part B Supplier - Clinic/Group Practice 7618070640 Receives reassigned benefits from 22 practitioners
Practice locations: Mesa, AZ

National Provider Directory

National Provider Directory

Locations

1955 W Baseline Rd
Ste 113647
Mesa, AZ 85202
Phone (480) 626-4813

File 50884
Los Angeles, CA 90074

Practitioners & affiliated clinicians

Practitioners 22

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

View all 22

NPI Registry JSON

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

{
    "created_epoch": "1171324800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1328832000000",
    "number": "1720120678",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1955 W BASELINE RD # 113-647",
            "city": "MESA",
            "state": "AZ",
            "postal_code": "852029003",
            "telephone_number": "480-626-4813",
            "fax_number": "480-445-9238"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1400 S DOBSON RD",
            "city": "MESA",
            "state": "AZ",
            "postal_code": "852024707",
            "telephone_number": "480-626-4813",
            "fax_number": "480-445-9238"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "APOLLO HOSPITALISTS PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-02-13",
        "last_updated": "2012-02-10",
        "status": "A",
        "authorized_official_last_name": "TIGGES",
        "authorized_official_first_name": "CATHY",
        "authorized_official_title_or_position": "CREDENTIALIST",
        "authorized_official_telephone_number": "602-765-9279"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "348469",
            "state": "AZ"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Mesa, AZ

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 10, 2012; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.