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AVANTGARDE CARDIOVASCULAR SERVICES PC
NPI 1134835358
Internal Medicine - Interventional Cardiology in Youngtown, AZ

Active since January 31, 2023
11124 W CALIFORNIA AVE, SUITE G, YOUNGTOWN, AZ 85363(623) 583-2073 Get Directions Write a Review

NPPES record last updated: January 31, 2023. Verified against the NPPES registry weekly; last sync: October 25, 2026.

About Avantgarde Cardiovascular Services Pc NPPES

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

AVANTGARDE CARDIOVASCULAR SERVICES PC (NPI 1134835358) is a healthcare organization registered as an interventional cardiology in Youngtown, Arizona and active in the NPI registry since January 2023. The organization lists Peggy Jeter, Office Manager, as its authorized official.

NPPES Registry Identity

NPI1134835358
Entity TypeOrganization
Primary Taxonomy207RI0011X
Legal Business NameAVANTGARDE CARDIOVASCULAR SERVICES PC
Location Address11124 W CALIFORNIA AVE, SUITE GYoungtown, AZ 85363-1246
Mailing Address11124 W California Ave, Suite GYoungtown, AZ 85363-1246
Phone(623) 583-2073
Organization SubpartYes
Authorized OfficialPeggy JeterOffice Manager · (623) 583-2073
Enumeration DateJanuary 31, 2023
NPPES CertifiedJanuary 31, 2023
✔ NPI 1134835358 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyInternal Medicine · Interventional CardiologyAllopathic & Osteopathic Physicians
Taxonomy Code207RI0011X
Definition
An area of medicine within the subspecialty of cardiology, which uses specialized imaging and other diagnostic techniques to evaluate blood flow and pressure in the coronary arteries and chambers of the heart and uses technical procedures and medications to treat abnormalities that impair the function of the cardiovascular system.
11124 W CALIFORNIA AVE, Youngtown, AZ 85363
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Other Identifiers 1

Medicaid097588AZ

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)

Avantgarde Cardiovascular Services Pc is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Clinicians Billing Medicare Through This Organization

Medicare enrollment records show 1 clinician reassigns Medicare billing to Avantgarde Cardiovascular Services PC, which bills Medicare for the services this clinician delivers.

Clinician (1)

Michael Amponsah, MD
Interventional Cardiology
NPI 1518233899
13460 N. 94TH DRIVE SUITE J-1
Peoria, AZ 85381
(623) 876-8816
✔ PECOS✔ Accepts Medicare2.2 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 Avantgarde Cardiovascular Services PC's NPI number?

The NPI number for Avantgarde Cardiovascular Services PC is 1134835358. It was assigned to this organization in the NPPES registry on January 31, 2023.

Where is Avantgarde Cardiovascular Services PC located?

Avantgarde Cardiovascular Services PC is located at 11124 W California Ave Suite G, Youngtown, AZ 85363. The listed phone number is (623) 583-2073.

What is Avantgarde Cardiovascular Services PC's specialty?

The primary specialty registered for this NPI is Internal Medicine, specializing in Interventional Cardiology, with taxonomy code 207RI0011X.

Is Avantgarde Cardiovascular Services PC enrolled in Medicare?

Yes. Avantgarde Cardiovascular Services PC is registered in the Medicare PECOS enrollment system.

How many clinicians bill Medicare through Avantgarde Cardiovascular Services PC?

According to the CMS Revalidation Reassignment List (October 2026 release), 1 clinician (Interventional Cardiology) reassigns their Medicare billing to Avantgarde Cardiovascular Services PC. 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. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

When was this NPI record last updated?

The NPPES record for Avantgarde Cardiovascular Services PC was last updated on January 31, 2023. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 years 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.