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PONDEROSA HEART HOUSE CALL
NPI 1073131561
Internal Medicine - Cardiovascular Disease in Gilbert, AZ

Active since July 10, 2020CLIA 03D2193189 · Waiver
2162 E WILLIAMS FIELD RD STE 111, GILBERT, AZ 85295(480) 795-1515(480) 597-1723 Get Directions Write a Review

NPPES record last updated: September 9, 2024. Verified against the NPPES registry weekly; last sync: July 19, 2026.

Record update history: Sep 9, 2024, Jan 27, 2022, Sep 4, 2020 and 1 more (4 updates tracked since 2020).

About Ponderosa Heart House Call NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

PONDEROSA HEART HOUSE CALL (NPI 1073131561) is a healthcare organization registered as a cardiovascular disease in Gilbert, Arizona and active in the NPI registry since July 2020. The organization holds a CLIA Waiver certificate valid through September 16, 2026 and lists Starla Lucille Miller, Chief Operations Officer, as its authorized official.

NPPES Registry Identity

NPI1073131561
Entity TypeOrganization
Primary Taxonomy207RC0000X
Legal Business NamePONDEROSA HEART HOUSE CALL
Location Address2162 E WILLIAMS FIELD RD STE 111Gilbert, AZ 85295-0736
Mailing Address2162 E Williams Field Rd Ste 111Gilbert, AZ 85295-0736 · (480) 795-1515 · Fax (480) 597-1723
Phone(480) 795-1515
Fax(480) 597-1723
Organization SubpartNo
Authorized OfficialStarla Lucille MillerChief Operations Officer · (480) 365-8454
Enumeration DateJuly 10, 2020
Last NPPES UpdateSeptember 9, 20244 updates tracked since enumeration
NPPES CertifiedSeptember 9, 2024
✔ NPI 1073131561 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyInternal Medicine · Cardiovascular DiseaseAllopathic & Osteopathic Physicians
Taxonomy Code207RC0000X
Definition

An internist who specializes in diseases of the heart and blood vessels and manages complex cardiac conditions such as heart attacks and life-threatening, abnormal heartbeat rhythms.

2162 E WILLIAMS FIELD RD STE 111, Gilbert, AZ 85295
Open in Google Maps ↗

Other Identifiers 2

Medicaid080154AZ
OtherOTC13482AZ · Az State License

Group Practice 1

Group TaxonomyThis provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.193400000X SINGLE SPECIALTY GROUP

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Ambetter from Arizona Complete Health.Insurance ›

CLIA Laboratory Certificates CMS CLIA

Laboratory certificates issued under the Clinical Laboratory Improvement Amendments (CLIA) program, which sets federal quality standards for human laboratory testing in the United States. There is no official CMS crosswalk between CLIA and NPI numbers; these certificates are associated with this NPI by matching facility names, locations and phone numbers in the CMS CLIA registry.

Certificate of Waiver 03D2193189

Ponderosa Heart House Call LLC · Gilbert, AZ
Active · expires Sep 16, 2026
CLIA Number03D2193189
Laboratory TypePhysician Office
Certificate Effective DateSeptember 17, 2024
Certificate Expiration DateSeptember 16, 2026
Laboratory DirectorStarla Miller
Laboratory Phone(480) 795-1515
Laboratory LocationPonderosa Heart House Call LLC2162 E Williams Field Rd Ste 111, Gilbert, AZ 85295
CLIA data matches this NPI record on: Address Name Phone
This certificate is issued to a laboratory to perform only waived tests.

Other Providers at the Same Location NPPES 6

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

COLE BEWLEY PA-C
Physician Assistant
2162 E WILLIAMS FIELD RD STE 111
GILBERT, AZ 85295
Maricopa County (480) 795-1515
WENDY KRAMER FNP-C
Nurse Practitioner (Community Health)
2162 E WILLIAMS FIELD RD STE 111
GILBERT, AZ 85295
Maricopa County (480) 795-1515
JULIE TANASE NP
Nurse Practitioner (Family)
2162 E WILLIAMS FIELD RD STE 111
GILBERT, AZ 85295
Maricopa County (480) 795-1515
SONYA D PEARSON PHD
Counselor
2162 E WILLIAMS FIELD RD STE 111
GILBERT, AZ 85295
Maricopa County (480) 462-3882
KEYS SOLUTIONS LLC
Counselor (Professional)
2162 E WILLIAMS FIELD RD STE 111
GILBERT, AZ 85295
Maricopa County (484) 804-6238
AMANDA ROSE GRESSEL FNP
Nurse Practitioner (Family)
2162 E WILLIAMS FIELD RD STE 111
GILBERT, AZ 85295
Maricopa County (480) 795-1515

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Ponderosa Heart House Call's NPI number?

The NPI number for Ponderosa Heart House Call is 1073131561. It was assigned to this organization in the NPPES registry on July 10, 2020.

Where is Ponderosa Heart House Call located?

Ponderosa Heart House Call is located at 2162 E Williams Field Rd Ste 111, Gilbert, AZ 85295. The listed phone number is (480) 795-1515.

What is Ponderosa Heart House Call's specialty?

The primary specialty registered for this NPI is Internal Medicine, specializing in Cardiovascular Disease, with taxonomy code 207RC0000X.

Does Ponderosa Heart House Call hold a CLIA laboratory certificate?

Yes. A Certificate of Waiver (number 03D2193189) is associated with this NPI, valid through September 16, 2026. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.

What insurance does Ponderosa Heart House Call accept?

Health plans from Ambetter from Arizona Complete Health list Ponderosa Heart House Call as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

When was this NPI record last updated?

The NPPES record for Ponderosa Heart House Call was last updated on September 9, 2024. NPI Profile syncs with the weekly NPPES data releases published by CMS.