CARDIOVASCULAR CLINIC OF ARIZONA PLLC
NPI 1124714514
Internal Medicine - Cardiovascular Disease in Tempe, AZ

Active since April 18, 2023
2157 E BASELINE RD STE 101, TEMPE, AZ 85283(480) 992-4344(480) 422-9154 Get Directions Write a Review

NPPES record last updated: December 30, 2025. Verified against the NPPES registry weekly; last sync: November 01, 2026.

Record update history: Dec 30, 2025, Feb 9, 2024 (2 updates tracked since 2024).

About Cardiovascular Clinic Of Arizona Pllc NPPES

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

CARDIOVASCULAR CLINIC OF ARIZONA PLLC (NPI 1124714514) is a healthcare organization registered as a cardiovascular disease in Tempe, Arizona and active in the NPI registry since April 2023. The organization maintains a secondary practice location in Mesa and lists Thaslim Kassim, Ceo, as its authorized official.

NPPES Registry Identity

NPI1124714514
Entity TypeOrganization
Primary Taxonomy207RC0000X
Legal Business NameCARDIOVASCULAR CLINIC OF ARIZONA PLLC
Location Address2157 E BASELINE RD STE 101Tempe, AZ 85283-1544
Mailing Address2157 E Baseline Rd Ste 101Tempe, AZ 85283-1544 · (480) 992-4344 · Fax (480) 422-9154
Fax(480) 422-9154
Organization SubpartNo
Authorized OfficialThaslim KassimCeo · (240) 603-2177
Enumeration DateApril 18, 2023
Last NPPES UpdateDecember 30, 20252 updates tracked since enumeration
NPPES CertifiedDecember 30, 2025
✔ NPI 1124714514 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.
2157 E BASELINE RD STE 101, Tempe, AZ 85283

Secondary Practice Location 1

Location 1221 S Power RdMesa, AZ 85206-5205 · Phone (480) 992-4344 · Fax (480) 422-9154

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

Medicare Participation & PECOS CMS

Medicare enrollment and the clinicians who bill Medicare through this organization, from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Cardiovascular Clinic Of Arizona Pllc is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Clinicians Billing Medicare Through This Organization

3

Medicare enrollment records show 3 clinicians reassign Medicare billing to Cardiovascular Clinic Of Arizona PLLC, which bills Medicare for the services they deliver. Of these, 1 practice within 10 miles. They are listed nearest first.

Clinicians, nearest first (3)

Nurse Practitioner
NPI 1407253248
4838 E BASELINE RD STE 110
Mesa, AZ 85206
(480) 969-4040
✔ PECOS✔ Accepts Medicare9.6 mi
Nurse Practitioner
NPI 1558916247
7615,EAST BASELINE ROAD
Mesa, AZ 85209
(480) 962-0101
✔ PECOS✔ Accepts Medicare13 mi
Cardiovascular Disease (Cardiology)
NPI 1518116680
1722 SHAFFER ST STE 1
Kalamazoo, MI 49048
(269) 381-3963
✔ PECOS✔ Accepts Medicare1,558 mi

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

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 Cardiovascular Clinic Of Arizona PLLC's NPI number?

The NPI number for Cardiovascular Clinic Of Arizona PLLC is 1124714514. It was assigned to this organization in the NPPES registry on April 18, 2023.

Where is Cardiovascular Clinic Of Arizona PLLC located?

Cardiovascular Clinic Of Arizona PLLC is located at 2157 E Baseline Rd Ste 101, Tempe, AZ 85283. The listed phone number is (480) 992-4344.

What is Cardiovascular Clinic Of Arizona PLLC's specialty?

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

Is Cardiovascular Clinic Of Arizona PLLC enrolled in Medicare?

Yes. Cardiovascular Clinic Of Arizona PLLC is registered in the Medicare PECOS enrollment system.

How many clinicians bill Medicare through Cardiovascular Clinic Of Arizona PLLC?

According to the CMS Revalidation Reassignment List (October 2026 release), 3 clinicians reassign their Medicare billing to Cardiovascular Clinic Of Arizona PLLC, in Cardiovascular Disease (Cardiology) and Nurse Practitioner. 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. Of these, 1 practice within 10 miles. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

When was this NPI record last updated?

The NPPES record for Cardiovascular Clinic Of Arizona PLLC was last updated on December 30, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 10 months 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.