PONDEROSA HEART HOUSE CALL
NPI 1073131561
Internal Medicine - Cardiovascular Disease in Gilbert, AZ
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, 2028 and lists Starla Lucille Miller, Chief Operations Officer, as its authorized official.
NPPES Registry Identity
Specialties & Licenses
Other Identifiers 2
Group Practice 1
Accepted Insurance
Medicare Participation & PECOS CMS
Medicare enrollment and the clinicians who bill Medicare through this organization, from CMS.
Medicare Enrollment Status
Enrolled in Medicare (PECOS)
Ponderosa Heart House Call is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).
Clinicians Billing Medicare Through This Organization
14Medicare enrollment records show 14 clinicians reassign Medicare billing to Ponderosa Heart House Call, which bills Medicare for the services they deliver. Of these, 4 practice at this address and 7 within 10 miles. They are listed nearest first.
Clinicians by Medicare Specialty 4
Clinicians, nearest first (14)
Gilbert, AZ 85295
Gilbert, AZ 85295
Gilbert, AZ 85295
Gilbert, AZ 85295
Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.
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, AZFrequently 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.
Is Ponderosa Heart House Call enrolled in Medicare?
Yes. Ponderosa Heart House Call is registered in the Medicare PECOS enrollment system.
How many clinicians bill Medicare through Ponderosa Heart House Call?
According to the CMS Revalidation Reassignment List (October 2026 release), 14 clinicians in 4 Medicare specialties reassign their Medicare billing to Ponderosa Heart House Call. A reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for the clinician's services. The largest specialties are Nurse Practitioner (10), Cardiovascular Disease (Cardiology) (2) and Cardiac Electrophysiology (1). Of these, 4 practice at this address and 7 within 10 miles. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.
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, 2028. 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 Health and 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 16, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 52 days ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.
# Ponderosa Heart House Call · NPI 1073131561
Cardiovascular Disease organization in Gilbert, Arizona. Organization record, active in the CMS NPPES registry since July 10, 2020.
## Identity
- **NPI:** 1073131561 (Entity type: Organization)
- **Enumerated:** July 10, 2020
- **Primary specialty:** Internal Medicine - Cardiovascular Disease · taxonomy 207RC0000X
- **Organization subpart:** No
- **Authorized official:** Starla Miller, CHIEF OPERATIONS OFFICER
## Practice location
- **Address:** 2162 E WILLIAMS FIELD RD STE 111, Gilbert, AZ 85295-0736
- **Phone:** (480) 795-1515 · **Fax:** (480) 597-1723
## Medicare
- **Medicare:** Enrolled in Medicare (PECOS)
- **Clinicians billing through this organization:** 14 clinicians in 4 Medicare specialties reassign Medicare billing to this organization (form CMS-855R); largest: Nurse Practitioner (10), Cardiovascular Disease (Cardiology) (2), Cardiac Electrophysiology (1); 4 practice at this address and 7 within 10 miles · CMS Revalidation Reassignment List, October 2026 release
## Record status
- **NPPES last updated:** September 16, 2026
- **Other identifiers:** Medicaid 080154 (AZ); Other OTC13482 (AZ)
- **CLIA laboratory certificates:** 1 on file
---
Source: [NPI Profile](https://npiprofile.com/npi/1073131561) · Data from the CMS NPPES public registry.