NPIMap

Organization Active NPI

Phoenician Cardiac Care LLC

  • Cardiovascular Disease Physician
  • Phoenix, AZ
National Provider Identifier
1972113546
Registry record updated Sep 11, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Cardiovascular Disease PhysicianTaxonomy code 207RC0000X
Legal business name
PHOENICIAN CARDIAC CARE LLC
Practice address
2228 W Northern Ave # D-209
Phoenix, AZ 85021-9369
Phone
(480) 444-7464
Fax
(480) 355-1798
NPI assigned
Aug 7, 2020
Last updated
Sep 11, 2020By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 11, 2020

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

Authorized official

Name
Mr. Paramvir Tuli
Title
Ceo/Owner
Phone
(480) 323-0244

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Cardiovascular Disease PhysicianGroup: 193400000X MULTIPLE SINGLE SPECIALTY GROUP 207RC0000X Primary
Interventional Cardiology PhysicianGroup: 193400000X MULTIPLE SINGLE SPECIALTY GROUP 207RI0011X

Addresses

Primary practice location

2228 W Northern Ave # D-209
Phoenix, AZ 85021-9369

Mailing address

2228 W Northern Ave Ste B210
Phoenix, AZ 85021-9336
Phone (480) 444-7464

Electronic endpoints 1

TypeEndpointUseAffiliation
Other URL Phoenix Health Information Exchange (HIE)

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20201027002260 AZ Part B Supplier - Clinic/Group Practice 0749690048 Receives reassigned benefits from 10 practitioners
Practice locations: Phoenix, AZ; Prescott Valley, AZ; Chandler, AZ; Casa Grande, AZ

National Provider Directory

National Provider Directory

Locations

275 E Cottonwood Ln
Ste 1
Casa Grande, AZ 85122

1343 N Alma School Rd
Ste 295205
Chandler, AZ 85224

2226 W Northern Ave
Ste D270
Phoenix, AZ 85021

2228 W Northern Ave
#D209
Phoenix, AZ 85021

Practitioners & affiliated clinicians

Practitioners 14

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.

View all 14

NPI Registry JSON

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

{
    "created_epoch": "1596758400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1599782400000",
    "number": "1972113546",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2228 W NORTHERN AVE STE B210",
            "city": "PHOENIX",
            "state": "AZ",
            "postal_code": "850219336",
            "telephone_number": "480-444-7464",
            "fax_number": "480-355-1798"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2228 W NORTHERN AVE # D-209",
            "city": "PHOENIX",
            "state": "AZ",
            "postal_code": "850219369",
            "telephone_number": "480-444-7464",
            "fax_number": "480-355-1798"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PHOENICIAN CARDIAC CARE LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2020-08-07",
        "last_updated": "2020-09-11",
        "certification_date": "2020-09-11",
        "status": "A",
        "authorized_official_last_name": "TULI",
        "authorized_official_first_name": "PARAMVIR",
        "authorized_official_title_or_position": "CEO/OWNER",
        "authorized_official_telephone_number": "480-323-0244",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "207RC0000X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Internal Medicine, Cardiovascular Disease",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "207RI0011X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Internal Medicine, Interventional Cardiology",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "OTHERS",
            "endpointTypeDescription": "Other URL",
            "endpoint": "Phoenix",
            "affiliation": "N",
            "endpointDescription": "EMR Althea exchange through P2P",
            "use": "HIE",
            "useDescription": "Health Information Exchange (HIE)",
            "contentType": "CSV",
            "contentTypeDescription": "CSV",
            "address_1": "2228 W Northern Ave # D-209",
            "city": "Phoenix",
            "state": "AZ",
            "country_code": "US",
            "postal_code": "850219369",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Phoenix, AZ

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 11, 2020; 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.

Verify at the official NPI Registry.