Individual provider Active NPI

Neil M Gheewala, M.D.

  • Interventional Cardiology Physician
  • Tucson, AZ
National Provider Identifier
1952562647
Registry record updated May 6, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Interventional Cardiology PhysicianTaxonomy code 207RI0011X
License
54261 Issued in AZ
Practice address
4729 E Camp Lowell Dr
Tucson, AZ 85712-1256
Phone
(520) 321-4800
Fax
(520) 318-0104
NPI assigned
Jun 24, 2008
Last updated
May 6, 2021By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 6, 2021

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine Physician 207R00000X 236437 MA
Interventional Cardiology Physician 207RI0011X 54261 AZ Primary

Addresses

Primary practice location

4729 E Camp Lowell Dr
Tucson, AZ 85712-1256

Mailing address

3709 N Campbell Ave
Ste 201
Tucson, AZ 85719-1563
Phone (520) 838-3540

Other identifiers 1

IdentifierTypeStateIssuer
267172MedicaidAZ

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: No
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20170909000161 AZ Practitioner - Interventional Cardiology 3476772120 Reassigns benefits to 3 organizations

Care Compare profile

Medicare Care Compare
Specialty
Interventional Cardiology
Education
University of Missouri, Kansas City, School of Medicine, 2008
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Pima Heart Physicians PCGroup PAC ID 6507751294, shared by 2 NPIs, 65 clinicians
Tucson Medical CenterGroup PAC ID 4284527227, 29 clinicians

Practice addresses (Care Compare)

4475 S I 19 Frontage Rd
Suite 125
Green Valley, AZ 85614-6336
Phone (520) 838-3540

4729 E Camp Lowell Dr
Tucson, AZ 85712-1256
Phone (520) 838-3540

5301 E Grant Rd
Tucson, AZ 85712-2805
Phone (520) 327-5461

Hospital & facility affiliations

Procedures performed for Medicare patients

ProcedureNumber of procedures
Coronary angioplasty and stenting1-10
Pacemaker insertion or repair1-10

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
236437MAMDInternal Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Pima Heart Physicians, PC Cardiovascular Disease CurrentSince Sep 1, 2017 Accepting new patients
Tucson Medical Center CurrentSince Sep 19, 2017 Accepting new patients
Pima Heart Physicians, PC Cardiovascular Disease Current Accepting new patients
Pima Heart Physicians, PC CurrentSince Sep 1, 2017 Accepting new patients
Tucson Medical Center CurrentSince Sep 19, 2017 Accepting new patients
Pima Heart ASC LLC Past Accepting new patients

Locations

4475 S I 19 Frontage Rd
Ste 125
Green Valley, AZ 85614

480 N Morley Ave
Nogales, AZ 85621
Phone (520) 287-2726

15920 S Rancho Sahuarita Blvd
Ste 120
Sahuarita, AZ 85629
Phone (520) 575-1175

126 S Coronado Dr
Sierra Vista, AZ 85635

126 S Coronado Dr
Ste B
Sierra Vista, AZ 85635
Phone (520) 439-0115

942 E Fry Blvd
Sierra Vista, AZ 85635
Phone (520) 224-9100

1238 W Orange Grove Rd
Ste 103
Tucson, AZ 85704

3709 N Campbell Ave
Ste 201
Tucson, AZ 85719

4729 E Camp Lowell Dr
Tucson, AZ 85712

5301 E Grant Rd
Tucson, AZ 85712
Phone (520) 324-1344

555 E River Rd
Ste 101
Tucson, AZ 85704

6565 E Carondelet Dr
Ste 265
Tucson, AZ 85710
Phone (520) 873-5880

6565 E Carondelet Dr
Ste 301
Tucson, AZ 85710
Phone (520) 253-7824

341 Cool Springs Blvd
Ste 305
Franklin, TN 37067
Phone (972) 391-1915

Interoperability endpoints

  • FHIR API: https://fhir.nextgen.com/nge/prod/fhir-api-r4/fhir/r4/
  • Direct secure messaging: neil.gheewala@ushv.eclinicaldirectplus.com

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

Hospital & facility affiliations 7

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": "1214265600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1620259200000",
    "number": "1952562647",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3709 N CAMPBELL AVE",
            "address_2": "STE 201",
            "city": "TUCSON",
            "state": "AZ",
            "postal_code": "857191563",
            "telephone_number": "520-838-3540",
            "fax_number": "520-325-3526"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4729 E CAMP LOWELL DR",
            "city": "TUCSON",
            "state": "AZ",
            "postal_code": "857121256",
            "telephone_number": "520-321-4800",
            "fax_number": "520-318-0104"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GHEEWALA",
        "first_name": "NEIL",
        "middle_name": "M",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2008-06-24",
        "last_updated": "2021-05-06",
        "certification_date": "2021-05-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "MA",
            "license": "236437",
            "primary": false
        },
        {
            "code": "207RI0011X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Interventional Cardiology",
            "state": "AZ",
            "license": "54261",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "267172",
            "state": "AZ"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Tucson, AZ

Sources for this page

Verify at the official NPI Registry.