Individual provider Active NPI

Pareed Aliyar, M.D.

  • Cardiovascular Disease Physician
  • Lake Havasu City, AZ
National Provider Identifier
1780686832
Registry record updated May 13, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
Cardiovascular Disease PhysicianTaxonomy code 207RC0000X
License
24775 Issued in AZ
Practice address
1840 Mesquite Ave
Ste. B
Lake Havasu City, AZ 86403-5771
Phone
(928) 453-8500
Fax
(928) 453-3660
NPI assigned
Aug 10, 2005
Last updated
May 13, 2010By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 13, 2010

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Specialist 174400000X 24775 AZ
Cardiovascular Disease Physician 207RC0000X 24775 AZ Primary

Addresses

Primary practice location

1840 Mesquite Ave
Ste. B
Lake Havasu City, AZ 86403-5771

Mailing address

1840 Mesquite Ave
Ste. B
Lake Havasu City, AZ 86403-5771
Phone (928) 453-8500

Other identifiers 1

IdentifierTypeStateIssuer
0600060955OtherAZRAILROAD MEDICARE

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
I20091203000764 AZ Practitioner - Cardiovascular Disease (Cardiology) 7810036886 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Cardiovascular Disease (Cardiology)
Education
Other, 1972
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Agave Adult Medical Care LLCGroup PAC ID 0749674117, 2 clinicians

Practice addresses (Care Compare)

70 Bell Rock PLZ
Suite C
Sedona, AZ 86351-9066
Phone (315) 717-7898

Hospital & facility affiliations

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Midwest Internal Medicine PLLC Specialist CurrentSince Nov 15, 2000 Accepting new patients
Agave Adult Medical Care LLC CurrentSince Aug 1, 2025 Accepting new patients
Active Vital Care LLC PastSince Sep 28, 2025 Accepting new patients

Locations

1840 Mesquite Ave
Ste B
Lk Havasu Cty, AZ 86403
Phone (928) 453-8500

70 Bell Rock Plz
Ste C
Sedona, AZ 86351
Phone (315) 717-7898

Interoperability endpoints

  • FHIR API: https://api.platform.athenahealth.com/25335/brand/1/csg/1/fhir/r4
  • Direct secure messaging: ird9820@yourcarecommunity.org

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.

Hospital & facility affiliations 2

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": "1123632000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1273708800000",
    "number": "1780686832",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1840 MESQUITE AVE",
            "address_2": "STE. B",
            "city": "LAKE HAVASU CITY",
            "state": "AZ",
            "postal_code": "864035771",
            "telephone_number": "928-453-8500",
            "fax_number": "928-453-3660"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1840 MESQUITE AVE",
            "address_2": "STE. B",
            "city": "LAKE HAVASU CITY",
            "state": "AZ",
            "postal_code": "864035771",
            "telephone_number": "928-453-8500",
            "fax_number": "928-453-3660"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ALIYAR",
        "first_name": "PAREED",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2005-08-10",
        "last_updated": "2010-05-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "174400000X",
            "taxonomy_group": "",
            "desc": "Specialist",
            "state": "AZ",
            "license": "24775",
            "primary": false
        },
        {
            "code": "207RC0000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Cardiovascular Disease",
            "state": "AZ",
            "license": "24775",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "RAILROAD MEDICARE",
            "identifier": "0600060955",
            "state": "AZ"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Lake Havasu City, AZ

Sources for this page

Verify at the official NPI Registry.