RISING PHOENIX HEART INSTITUTE
NPI 1073940235
Clinic/Center - Medical Specialty in West Allis, WI

Active since October 02, 2013
2323 S 109TH ST, SUITE 195, WEST ALLIS, WI 53227(414) 541-7158(414) 541-7514 Get Directions Write a Review

NPPES record last updated: October 2, 2013. Verified against the NPPES registry weekly; last sync: July 26, 2026.

About Rising Phoenix Heart Institute NPPES

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

RISING PHOENIX HEART INSTITUTE (NPI 1073940235) is a healthcare organization registered as a medical specialty in West Allis, Wisconsin and active in the NPI registry since October 2013. The organization lists Nadia Moussavi, President, as its authorized official.

NPPES Registry Identity

NPI1073940235
Entity TypeOrganization
Primary Taxonomy261QM2500X
Legal Business NameRISING PHOENIX HEART INSTITUTE
Location Address2323 S 109TH ST, SUITE 195West Allis, WI 53227-1909
Mailing Address2323 S 109th St, Suite 195West Allis, WI 53227-1909 · (414) 541-7158 · Fax (414) 541-7514
Fax(414) 541-7514
Organization SubpartNo
Authorized OfficialNadia MoussaviPresident · (414) 541-7158
Enumeration DateOctober 2, 2013
NPI 1073940235 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyClinic/Center · Medical SpecialtyAmbulatory Health Care Facilities
Taxonomy Code261QM2500X
License Licensed in WI · 34544
Definition

An entity, facility, or distinct part of a facility providing diagnostic, treatment, and prescriptive services related to a specific area of medical specialization. Frequently used for Title V related Children's Specialty services or to meet specific public health needs (e.g., infectious diseases or breast and cervical cancer).

2323 S 109TH ST, West Allis, WI 53227

Other Identifiers 1

Medicaid32454600WI

Other Providers at the Same Location NPPES 7

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

Internal Medicine (Geriatric Medicine)
2323 S 109TH ST, SUITE 195
WEST ALLIS, WI 53227
Dentist (Periodontics)
2323 S 109TH ST, SUITE 275
WEST ALLIS, WI 53227
Internal Medicine (Geriatric Medicine)
2323 S 109TH ST, STE 195
WEST ALLIS, WI 53227
Durable Medical Equipment & Medical Supplies (Oxygen Equipment & Supplies)
2323 S 109TH ST
WEST ALLIS, WI 53227
Dentist (General Practice)
2323 S 109TH ST, #300
WEST ALLIS, WI 53227
Specialist
2323 S 109TH ST, SUITE 195
WEST ALLIS, WI 53227
Dentist (Periodontics)
2323 S 109TH ST, SUITE # 275
WEST ALLIS, WI 53227

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 Rising Phoenix Heart Institute's NPI number?

The NPI number for Rising Phoenix Heart Institute is 1073940235. It was assigned to this organization in the NPPES registry on October 2, 2013.

Where is Rising Phoenix Heart Institute located?

Rising Phoenix Heart Institute is located at 2323 S 109th St Suite 195, West Allis, WI 53227. The listed phone number is (414) 541-7158.

What is Rising Phoenix Heart Institute's specialty?

The primary specialty registered for this NPI is Clinic/Center, specializing in Medical Specialty, with taxonomy code 261QM2500X.

When was this NPI record last updated?

The NPPES record for Rising Phoenix Heart Institute was last updated on October 2, 2013. NPI Profile syncs with the weekly NPPES data releases published by CMS.