PHOENIX HEART, PLLC
NPI 1578396982
Registered Nurse - Cardiac Rehabilitation in Glendale, AZ
About Phoenix Heart, Pllc NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
PHOENIX HEART, PLLC (NPI 1578396982) is a healthcare organization registered as a cardiac rehabilitation in Glendale, Arizona and active in the NPI registry since August 2024. The organization holds 2 active CLIA laboratory certificates and lists Shakeel O Khan, Authorized Official, as its authorized official.
NPPES Registry Identity
Specialties & Licenses
Group Practice 1
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 Heart, Pllc is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).
Clinicians Billing Medicare Through This Organization
10Medicare enrollment records show 10 clinicians reassign Medicare billing to Phoenix Heart, PLLC, which bills Medicare for the services they deliver. Of these, 6 practice at this address. They are listed nearest first.
Clinicians by Medicare Specialty 3
Clinicians, nearest first (10)
Phoenix, AZ 85006
Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.
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 03D1074757
Phoenix Heart, PLLC · Glendale, AZCertificate of Waiver 03D2223452
Phoenix Heart Ambulatory Surgery And Electrophysiology, LLC · Glendale, AZFrequently 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 Heart, PLLC's NPI number?
The NPI number for Phoenix Heart, PLLC is 1578396982. It was assigned to this organization in the NPPES registry on August 21, 2024.
Where is Phoenix Heart, PLLC located?
Phoenix Heart, PLLC is located at 5859 W Talavi Blvd Ste 100, Glendale, AZ 85306. The listed phone number is (602) 298-7777.
What is Phoenix Heart, PLLC's specialty?
The primary specialty registered for this NPI is Registered Nurse, specializing in Cardiac Rehabilitation, with taxonomy code 163WC3500X.
Is Phoenix Heart, PLLC enrolled in Medicare?
Yes. Phoenix Heart, PLLC is registered in the Medicare PECOS enrollment system.
How many clinicians bill Medicare through Phoenix Heart, PLLC?
According to the CMS Revalidation Reassignment List (October 2026 release), 10 clinicians in 3 Medicare specialties reassign their Medicare billing to Phoenix Heart, PLLC. 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 Cardiovascular Disease (Cardiology) (8), Cardiac Electrophysiology (1) and Interventional Cardiology (1). Of these, 6 practice at this address. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.
Does Phoenix Heart, PLLC 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.
When was this NPI record last updated?
The NPPES record for Phoenix Heart, PLLC was last updated on August 21, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 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.
# Phoenix Heart, Pllc · NPI 1578396982
Cardiac Rehabilitation organization in Glendale, Arizona. Organization record, active in the CMS NPPES registry since August 21, 2024.
## Identity
- **NPI:** 1578396982 (Entity type: Organization)
- **Enumerated:** August 21, 2024
- **Primary specialty:** Registered Nurse - Cardiac Rehabilitation · taxonomy 163WC3500X
- **Organization subpart:** Yes (part of Phoenix Heart, Pllc)
- **Authorized official:** Shakeel Khan, AUTHORIZED OFFICIAL
## Practice location
- **Address:** 5859 W TALAVI BLVD STE 100, Glendale, AZ 85306-1870
- **Phone:** (602) 298-7777 · **Fax:** (602) 298-6440
## Medicare
- **Medicare:** Enrolled in Medicare (PECOS)
- **Clinicians billing through this organization:** 10 clinicians in 3 Medicare specialties reassign Medicare billing to this organization (form CMS-855R); largest: Cardiovascular Disease (Cardiology) (8), Cardiac Electrophysiology (1), Interventional Cardiology (1); 6 practice at this address · CMS Revalidation Reassignment List, October 2026 release
## Record status
- **NPPES last updated:** August 21, 2024
- **CLIA laboratory certificates:** 2 on file
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Source: [NPI Profile](https://npiprofile.com/npi/1578396982) · Data from the CMS NPPES public registry.