NPIMap

Individual provider Active NPI

Jeffrey L Pakula, D.O.

  • Cardiovascular Disease Physician
  • Peoria, AZ
National Provider Identifier
1821090408
Registry record updated Mar 10, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
Cardiovascular Disease PhysicianTaxonomy code 207RC0000X
License
3203 Issued in AZ
Practice address
13634 N 93Rd Ave
Suite 300
Peoria, AZ 85381-4915
Phone
(623) 815-2484
Fax
(623) 815-2483
NPI assigned
Aug 12, 2005
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 10, 2014

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Cardiovascular Disease Physician 207RC0000X 3203 AZ Primary

Addresses

Primary practice location

13634 N 93Rd Ave
Suite 300
Peoria, AZ 85381-4915

Mailing address

13634 N 93Rd Ave
Suite 300
Peoria, AZ 85381-4915
Phone (623) 815-2484

Other identifiers 1

IdentifierTypeStateIssuer
386351MedicaidAZ

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in AZ
Eligible to order & refer
  • Part B services
  • Medical equipment
  • Home health
  • Power mobility devices
  • Hospice
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20040305000374 AZ Practitioner - Cardiovascular Disease (Cardiology)Practitioner - Internal Medicine 6709774441 Reassigns benefits to 1 organization
Practice locations: Sun City, AZ; Sun City West, AZ

Care Compare profile

Medicare Care Compare
Specialty
Cardiovascular Disease (Cardiology)Also: Internal Medicine
Education
R Franklin University of Med & Sci/Chicago Medical School, 1987
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Heart One Associates LLCGroup PAC ID 0446585897, 20 clinicians

Practice addresses (Care Compare)

9520 W Palm LN
Suite 150
Phoenix, AZ 85037-4454
Phone (602) 584-5444

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
85.72 of 100Reported as group
Quality
82.17
Promoting interoperability
100
Improvement activities
40
Cost
70.23

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
3203AZMDGeneral Practice Dentistry

Practice roles

OrganizationSpecialtyStatusNew patients
Heart One Associates LLC Internal Medicine CurrentSince Feb 1, 2026 Accepting new patients
Sun Health MRI Center Past Accepting new patients
Sun Health Lakes Imaging Center Past Accepting new patients
Cardiovascular Consultants LTD Past Accepting new patients
Cardiac Care Consultants Past Accepting new patients
Banner Sun City Medical Group Past Accepting new patients

Locations

13634 N 93rd Ave
Ste 300
Peoria, AZ 85381
Phone (602) 815-2484

9520 W Palm Ln
Ste 150
Phoenix, AZ 85037
Phone (602) 584-5444

10401 W Thunderbird Blvd
Sun City, AZ 85351
Phone (623) 815-7690

14502 W Meeker Blvd
Sun City West, AZ 85375
Phone (623) 214-4000

Interoperability endpoints

  • FHIR API: https://app.meldrx.com/api/fhir/gemms-car01
  • FHIR API: https://fhir4.healow.com/fhir/r4/HAHHBD

Organizations & group practices 6

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 3

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": "1123804800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1394409600000",
    "number": "1821090408",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "13634 N 93RD AVE",
            "address_2": "SUITE 300",
            "city": "PEORIA",
            "state": "AZ",
            "postal_code": "853814915",
            "telephone_number": "623-815-2484",
            "fax_number": "623-815-2483"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "13634 N 93RD AVE",
            "address_2": "SUITE 300",
            "city": "PEORIA",
            "state": "AZ",
            "postal_code": "853814915",
            "telephone_number": "623-815-2484",
            "fax_number": "623-815-2483"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PAKULA",
        "first_name": "JEFFREY",
        "middle_name": "L",
        "name_prefix": "Dr.",
        "credential": "D.O.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2005-08-12",
        "last_updated": "2014-03-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207RC0000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Cardiovascular Disease",
            "state": "AZ",
            "license": "3203",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "386351",
            "state": "AZ"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Peoria, AZ

Sources for this page

Verify at the official NPI Registry.