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PHOENIX CARDIAC SURGERY PC
NPI 1184653958
Thoracic Surgery (Cardiothoracic Vascular Surgery) in Phoenix, AZ

Active since July 02, 2006
3131 E CLARENDON AVE, SUITE 102, PHOENIX, AZ 85016(602) 253-9168(602) 251-3126 Get Directions Write a Review

NPPES record last updated: January 7, 2015. Verified against the NPPES registry weekly; last sync: October 18, 2026.

About Phoenix Cardiac Surgery Pc NPPES

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

PHOENIX CARDIAC SURGERY PC (NPI 1184653958) is a healthcare organization registered as a thoracic surgery (cardiothoracic vascular surgery) in Phoenix, Arizona and active in the NPI registry since July 2006. The organization lists Hao K Fang, Partner, as its authorized official.

NPPES Registry Identity

NPI1184653958
Entity TypeOrganization
Primary Taxonomy208G00000X
Legal Business NamePHOENIX CARDIAC SURGERY PC
Location Address3131 E CLARENDON AVE, SUITE 102Phoenix, AZ 85016-7069
Mailing Address3131 E Clarendon Ave, Suite 102Phoenix, AZ 85016-7069 · (602) 253-9168 · Fax (602) 251-3126
Phone(602) 253-9168
Fax(602) 251-3126
Organization SubpartNo
Authorized OfficialHao K FangPartner · (602) 253-9168
Enumeration DateJuly 2, 2006
Last NPPES UpdateJanuary 7, 2015
✔ NPI 1184653958 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyThoracic Surgery (Cardiothoracic Vascular Surgery)Allopathic & Osteopathic Physicians
Taxonomy Code208G00000X
Definition
A thoracic surgeon provides the operative, perioperative and critical care of patients with pathologic conditions within the chest. Included is the surgical care of coronary artery disease, cancers of the lung, esophagus and chest wall, abnormalities of the trachea, abnormalities of the great vessels and heart valves, congenital anomalies, tumors of the mediastinum and diseases of the diaphragm. The management of the airway and injuries of the chest is within the scope of the specialty.
3131 E CLARENDON AVE, Phoenix, AZ 85016
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Other Identifiers 2

Medicaid710609AZ
Medicare PINZ61977

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

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Ambetter from Arizona Complete Health.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)

Phoenix Cardiac Surgery Pc is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Clinicians Billing Medicare Through This Organization

11

Medicare enrollment records show 11 clinicians reassign Medicare billing to Phoenix Cardiac Surgery PC, which bills Medicare for the services they deliver. Of these, 9 practice within 10 miles. They are listed nearest first.

Clinicians by Medicare Specialty 3

Thoracic Surgery6
Cardiac Surgery3
Nurse Practitioner2

Clinicians, nearest first (11)

Jessica Jordan
Nurse Practitioner
NPI 1932717949
1111 E MCDOWELL RD
Phoenix, AZ 85006
(028) 399-3006
✔ PECOS✔ Accepts Medicare4.4 mi
Modesto Colon, MD
Cardiac Surgery
NPI 1083873574
3131 E CLARENDON AVE SUITE 102
Phoenix, AZ 85016
(602) 253-9168
✔ PECOS✔ Accepts Medicare6.5 mi
Sameer Gupta, MD
Thoracic Surgery
NPI 1699117101
3131 E CLARENDON AVE STE 102
Phoenix, AZ 85016
(602) 253-9168
✔ PECOS✔ Accepts Medicare6.5 mi
Prakash Jayanthi, MD
Thoracic Surgery
NPI 1912380221
3131 E CLARENDON AVE STE 102
Phoenix, AZ 85016
(602) 253-9168
✔ PECOS✔ Accepts Medicare6.5 mi
Orazio Amabile, M.D.
Thoracic Surgery
NPI 1992993927
3131 E CLARENDON AVE 102
Phoenix, AZ 85016
(602) 253-9168
✔ PECOS✔ Accepts Medicare6.5 mi
Hao Fang, MD
Thoracic Surgery
NPI 1871522524
3131 E CLARENDON AVE SUITE 102
Phoenix, AZ 85016
(602) 253-9168
✔ PECOS✔ Accepts Medicare6.5 mi
Mark Tasset, MD
Cardiac Surgery
NPI 1902848898
3131 E CLARENDON AVE SUITE 102
Phoenix, AZ 85016
(602) 253-9168
✔ PECOS✔ Accepts Medicare6.5 mi
Eduardo Alcantar, MD
Thoracic Surgery
NPI 1982090221
3131 E CLARENDON AVE STE 102
Phoenix, AZ 85016
(602) 253-9168
✔ PECOS✔ Accepts Medicare6.5 mi
Jin-A Yi, AG-ACNP-BC
Nurse Practitioner
NPI 1275245037
3131 E CLARENDON AVE STE 102
Phoenix, AZ 85016
(602) 253-9168
✔ PECOS✔ Accepts Medicare6.5 mi
Nicole Sydow, M.D.
Thoracic Surgery
NPI 1255598900
1215 N BEAVER ST SUITE 203
Flagstaff, AZ 86001
(928) 773-2150
✔ PECOS✔ Accepts Medicare122 mi
Li Zhang, M.D.
Cardiac Surgery
NPI 1104252998
4755 OGLETOWN STANTON ROAD SUITE 1E50
Newark, DE 19718
(302) 733-1980
✔ PECOS✔ Accepts Medicare2,057 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 Phoenix Cardiac Surgery PC's NPI number?

The NPI number for Phoenix Cardiac Surgery PC is 1184653958. It was assigned to this organization in the NPPES registry on July 2, 2006.

Where is Phoenix Cardiac Surgery PC located?

Phoenix Cardiac Surgery PC is located at 3131 E Clarendon Ave Suite 102, Phoenix, AZ 85016. The listed phone number is (602) 253-9168.

What is Phoenix Cardiac Surgery PC's specialty?

The primary specialty registered for this NPI is Thoracic Surgery (Cardiothoracic Vascular Surgery) with taxonomy code 208G00000X.

Is Phoenix Cardiac Surgery PC enrolled in Medicare?

Yes. Phoenix Cardiac Surgery PC is registered in the Medicare PECOS enrollment system.

How many clinicians bill Medicare through Phoenix Cardiac Surgery PC?

According to the CMS Revalidation Reassignment List (October 2026 release), 11 clinicians in 3 Medicare specialties reassign their Medicare billing to Phoenix Cardiac Surgery 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. The largest specialties are Thoracic Surgery (6), Cardiac Surgery (3) and Nurse Practitioner (2). Of these, 9 practice within 10 miles. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

What insurance does Phoenix Cardiac Surgery PC accept?

Health plans from Ambetter from Arizona Complete Health list Phoenix Cardiac Surgery PC 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 Phoenix Cardiac Surgery PC was last updated on January 7, 2015. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 11 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.