Active NPI
The Heart Clinic PC
- Cardiovascular Disease Physician
- Scottsdale, AZ
National Provider Identifier
1962470971
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Cardiovascular Disease Physician
- Legal business name
- THE HEART CLINIC PC
- Practice address
- 10293 N 92ND St
Scottsdale, AZ 85258-4565 - Phone
- (480) 747-6535
- Fax
- (480) 747-6538
- NPI assigned
- Mar 8, 2006
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Dr. Imad H Khaled, MD
- Title
- MD
- Phone
- (480) 747-6535
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Cardiovascular Disease Physician | 207RC0000X | Primary |
Addresses
Primary practice location
10293 N 92ND St
Scottsdale, AZ 85258-4565
Mailing address
10293 N 92ND St
Scottsdale, AZ 85258-4565
Phone (480) 747-6535
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in AZ
Enrollment records 1
National Provider Directory
National Provider DirectoryLocations
4045 E Bell Rd
Ste 153
Phoenix, AZ 85032
Phone (602) 652-0400
Practitioners & affiliated clinicians
Practitioners 3
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
-
- Cardiovascular Disease Physician
- Phoenix, AZ
- NPI 1629032487
-
- Cardiovascular Disease Physician
- Scottsdale, AZ
- NPI 1194704650
-
- Cardiovascular Disease Physician
- Alma, MI
- NPI 1700878899
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1141776000000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1420675200000",
"number": "1962470971",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "10293 N 92ND ST",
"city": "SCOTTSDALE",
"state": "AZ",
"postal_code": "852584565",
"telephone_number": "480-747-6535",
"fax_number": "480-747-6538"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "10293 N 92ND ST",
"city": "SCOTTSDALE",
"state": "AZ",
"postal_code": "852584565",
"telephone_number": "480-747-6535",
"fax_number": "480-747-6538"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "THE HEART CLINIC PC",
"organizational_subpart": "NO",
"enumeration_date": "2006-03-08",
"last_updated": "2015-01-08",
"status": "A",
"authorized_official_last_name": "KHALED",
"authorized_official_first_name": "IMAD",
"authorized_official_middle_name": "H",
"authorized_official_title_or_position": "MD",
"authorized_official_telephone_number": "480-747-6535",
"authorized_official_name_prefix": "Dr.",
"authorized_official_credential": "MD"
},
"taxonomies": [
{
"code": "207RC0000X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Internal Medicine, Cardiovascular Disease",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Scottsdale, AZ
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 8, 2015; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.