Individual provider Active NPI

John Salvatore Raniolo, D.O.

  • Interventional Cardiology Physician
  • Phoenix, AZ
National Provider Identifier
1952383564
Registry record updated Oct 25, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Interventional Cardiology PhysicianTaxonomy code 207RI0011X
License
1968 Issued in AZ
Practice address
20414 N 27TH Ave
Suite 300
Phoenix, AZ 85027-3250
Phone
(623) 879-6000
Fax
(623) 516-2000
NPI assigned
Nov 18, 2005
Last updated
Oct 25, 2023By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 25, 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 1968 AZ Primary

Addresses

Primary practice location

20414 N 27TH Ave
Suite 300
Phoenix, AZ 85027-3250

Mailing address

PO Box 5608
Carefree, AZ 85377-5608
Phone (623) 879-6000

Other identifiers 1

IdentifierTypeStateIssuer
232942MedicaidAZ

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
I20051103000044 AZ Practitioner - Cardiovascular Disease (Cardiology) 6305864984 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Cardiovascular Disease (Cardiology)
Education
Philadelphia College of Osteopathic Medicine, 1977
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Southwest Desert Cardiology PCGroup PAC ID 4385627785, 8 clinicians

Practice addresses (Care Compare)

20414 N 27TH Ave
Suite 300
Phoenix, AZ 85027-3254

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Southwest Desert Cardiology PC CurrentSince Jul 1, 1987 Accepting new patients
Southwest Desert Cardiology PC PastSince Jan 1, 1990 Accepting new patients

Locations

20414 N 27th Ave
Ste 300
Phoenix, AZ 85027
Phone (623) 879-6000

Interoperability endpoints

  • FHIR API: https://api.platform.athenahealth.com/9032/brand/1/csg/1/fhir/r4

Organizations & group practices 2

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.

NPI Registry JSON

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

{
    "created_epoch": "1132272000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1698192000000",
    "number": "1952383564",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 5608",
            "city": "CAREFREE",
            "state": "AZ",
            "postal_code": "853775608",
            "telephone_number": "623-879-6000",
            "fax_number": "623-516-2000"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "20414 N 27TH AVE",
            "address_2": "SUITE 300",
            "city": "PHOENIX",
            "state": "AZ",
            "postal_code": "850273250",
            "telephone_number": "623-879-6000",
            "fax_number": "623-516-2000"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "RANIOLO",
        "first_name": "JOHN",
        "middle_name": "SALVATORE",
        "name_prefix": "Dr.",
        "credential": "D.O.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2005-11-18",
        "last_updated": "2023-10-25",
        "certification_date": "2023-10-25",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207RI0011X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Interventional Cardiology",
            "state": "AZ",
            "license": "1968",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "232942",
            "state": "AZ"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Phoenix, AZ

Sources for this page

Verify at the official NPI Registry.