NPIMap

Organization Active NPI

Cedars Heart Clinic, LLC

  • Interventional Cardiology Physician
  • Chandler, AZ
National Provider Identifier
1902815897
Registry record updated Apr 15, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Interventional Cardiology PhysicianTaxonomy code 207RI0011X
License
29317 Issued in AZ
Legal business name
CEDARS HEART CLINIC, LLC
Practice address
1445 W Chandler Blvd Ste B10
Chandler, AZ 85224-5204
Phone
(480) 917-5900
Fax
(480) 917-2255
NPI assigned
Aug 7, 2006
Last updated
Apr 15, 2026By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Apr 15, 2026

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

Authorized official

Name
Dr. Ziad M Elghoul, MDNPI 1497787642
Title
Officer
Phone
(480) 917-5900

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Interventional Cardiology Physician 207RI0011X 29317 AZ Primary

Addresses

Primary practice location

1445 W Chandler Blvd Ste B10
Chandler, AZ 85224-5204

Mailing address

1445 W Chandler Blvd Ste B10
Chandler, AZ 85224-5204
Phone (480) 917-5900

Other identifiers 1

IdentifierTypeStateIssuer
569048MedicaidAZ

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20060923000054 AZ Part B Supplier - Clinic/Group Practice 1658376744 Receives reassigned benefits from 10 practitioners
1 other NPI on this enrollment
Practice locations: Casa Grade, AZ; Chandler, AZ

Other NPIs on the same Medicare enrollment 1

NPIs listed together on one Medicare enrollment, typically parts of the same organization.

Laboratory certificates & supplier records

Derived by NPIMap

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

CLIA numberLaboratoryCertificateExpires
03D1069285Cedars Heart Clinic, LLC1445 W Chandler Blvd BLDG B-10, Chandler, AZ 85224Certificate of waiverMay 30, 2027

National Provider Directory

National Provider Directory
Tax ID family
Cedars Heart Clinic2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

Organizations that report the same tax identification number in the National Provider Directory.

Locations

1968 N Peart Rd
Bldg B
Casa Grande, AZ 85122

1968 N Peart Rd
Ste B4
Casa Grande, AZ 85122

1445 W Chandler Blvd
Ste B10
Chandler, AZ 85224
Phone (480) 917-5900

1955 W Frye Rd
Ste 5
Chandler, AZ 85224

1960 W Frye Rd
Ste 5
Chandler, AZ 85224
Phone (480) 917-5900

Practitioners & affiliated clinicians

Practitioners 11

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.

NPI Registry JSON

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

{
    "created_epoch": "1154908800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1776211200000",
    "number": "1902815897",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1445 W CHANDLER BLVD STE B10",
            "city": "CHANDLER",
            "state": "AZ",
            "postal_code": "852245204",
            "telephone_number": "480-917-5900",
            "fax_number": "480-917-2255"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1445 W CHANDLER BLVD STE B10",
            "city": "CHANDLER",
            "state": "AZ",
            "postal_code": "852245204",
            "telephone_number": "480-917-5900",
            "fax_number": "480-917-2255"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CEDARS HEART CLINIC, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-08-07",
        "last_updated": "2026-04-15",
        "certification_date": "2026-04-15",
        "status": "A",
        "authorized_official_last_name": "ELGHOUL",
        "authorized_official_first_name": "ZIAD",
        "authorized_official_middle_name": "M",
        "authorized_official_title_or_position": "OFFICER",
        "authorized_official_telephone_number": "480-917-5900",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207RI0011X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Interventional Cardiology",
            "state": "AZ",
            "license": "29317",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "569048",
            "state": "AZ"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Chandler, AZ

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 15, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.