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ARIZONA HEART DOCTOR
NPI 1144569153
Internal Medicine - Cardiovascular Disease in Mesa, AZ

Active since February 11, 2013CLIA Certified · 2 labs
2045 S VINEYARD STE 119, MESA, AZ 85210(480) 300-4646(480) 300-4647 Get Directions Write a Review

NPPES record last updated: April 9, 2021. Verified against the NPPES registry weekly; last sync: August 09, 2026.

Record update history: Apr 9, 2021, Aug 8, 2017, Jul 17, 2017 and 1 more (4 updates tracked since 2017).

About Arizona Heart Doctor NPPES

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

ARIZONA HEART DOCTOR (NPI 1144569153) is a healthcare organization registered as a cardiovascular disease in Mesa, Arizona and active in the NPI registry since February 2013. The organization holds 2 active CLIA laboratory certificates, maintains a secondary practice location in Tempe, and lists Crystal Alejo, Credentialing Specialist, as its authorized official.

NPPES Registry Identity

NPI1144569153
Entity TypeOrganization
Primary Taxonomy207RC0000X
Legal Business NameARIZONA HEART DOCTOR
Location Address2045 S VINEYARD STE 119Mesa, AZ 85210-6889
Mailing AddressPo Box 32275Mesa, AZ 85275-2275 · (480) 300-4646 · Fax (480) 300-4647
Phone(480) 300-4646
Fax(480) 300-4647
Organization SubpartNo
Authorized OfficialCrystal AlejoCredentialing Specialist · (480) 739-2014
Enumeration DateFebruary 11, 2013
Last NPPES UpdateApril 9, 20214 updates tracked since enumeration
NPPES CertifiedApril 9, 2021
✔ NPI 1144569153 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.
2045 S VINEYARD STE 119, Mesa, AZ 85210
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Secondary Practice Location 1

Location 12055 E Southern Ave Ste FTempe, AZ 85282-7507 · Phone (480) 786-9685 · Fax (480) 304-3460

Other Identifiers 1

Medicaid609549AZ

Group Practice 1

Group TaxonomyThis provider is a business group of one or more individual practitioners, who practice with different areas of specialization.193200000X MULTI-SPECIALTY GROUP

Accepted Insurance

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

CLIA Laboratory Certificates CMS CLIA 2

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 03D2181601

Arizona Heart Doctor · Mesa, AZ
Active · expires Apr 6, 2028
CLIA Number03D2181601
Laboratory TypePhysician Office
Certificate Effective DateApril 7, 2026
Certificate Expiration DateApril 6, 2028
Laboratory DirectorYasir Batres
Laboratory Phone(480) 300-4646
Laboratory LocationArizona Heart Doctor2045 S Vineyard Ste 119, Mesa, AZ 85210
CLIA data matches this NPI record on: Address Name Phone
This certificate is issued to a laboratory to perform only waived tests.

Certificate of Waiver 03D2074698

Arizona Heart Doctor PLLC · Phoenix, AZ
Active · expires Mar 12, 2028
CLIA Number03D2074698
Laboratory TypePhysician Office
Certificate Effective DateMarch 13, 2026
Certificate Expiration DateMarch 12, 2028
Laboratory DirectorYasir A. Batres
Laboratory Phone(480) 300-4646
Laboratory LocationArizona Heart Doctor PLLC202 E Earll Dr Ste 140, Phoenix, AZ 85012
CLIA data matches this NPI record on: Name Phone
This certificate is issued to a laboratory to perform only waived tests.

Other Providers at the Same Location NPPES 3

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

DR. YASIR AHMED BATRES MD
Internal Medicine (Cardiovascular Disease)
2045 S VINEYARD STE 119
MESA, AZ 85210
Maricopa County (480) 300-4646
WILBEN ANDY LARIVIERE PA
Physician Assistant (Medical)
2045 S VINEYARD STE 119
MESA, AZ 85210
Maricopa County (480) 300-4646
PRIDHVI RAJAKUMAR YELAMANCHILI MD
Internal Medicine (Interventional Cardiology)
2045 S VINEYARD STE 119
MESA, AZ 85210
Maricopa County (480) 786-9685

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 Arizona Heart Doctor's NPI number?

The NPI number for Arizona Heart Doctor is 1144569153. It was assigned to this organization in the NPPES registry on February 11, 2013.

Where is Arizona Heart Doctor located?

Arizona Heart Doctor is located at 2045 S Vineyard Ste 119, Mesa, AZ 85210. The listed phone number is (480) 300-4646.

What is Arizona Heart Doctor's specialty?

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

Does Arizona Heart Doctor hold CLIA laboratory certificates?

Yes. 2 active CLIA laboratory certificates are associated with this NPI under the federal Clinical Laboratory Improvement Amendments program. The certificates are listed in the CLIA Laboratory Certificates section above.

What insurance does Arizona Heart Doctor accept?

Health plans from Ambetter from Arizona Complete Health and Imperial Insurance Companies, Inc. list Arizona Heart Doctor 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 Arizona Heart Doctor was last updated on April 9, 2021. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 5 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.