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HONORHEALTH AMBULATORY
NPI 1629692876
Internal Medicine - Cardiovascular Disease in Phoenix, AZ

Active since June 03, 2020
1515 E BETHANY HOME RD STE 120A, PHOENIX, AZ 85014(602) 861-1168 Get Directions Write a Review

NPPES record last updated: August 21, 2024. Verified against the NPPES registry weekly; last sync: October 18, 2026.

Record update history: Aug 21, 2024, Sep 18, 2020, Jun 3, 2020 (3 updates tracked since 2020).

About Honorhealth Ambulatory NPPES

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

HONORHEALTH AMBULATORY (NPI 1629692876), doing business as Scottsdale Healthcare Corp, is a healthcare organization registered as a cardiovascular disease in Phoenix, Arizona and active in the NPI registry since June 2020. The organization maintains a secondary practice location in Phoenix and lists Savas Petrides, Svp/ceo, as its authorized official.

NPPES Registry Identity

NPI1629692876
Entity TypeOrganization
Primary Taxonomy207RC0000X
Legal Business NameHONORHEALTH AMBULATORY
Location Address1515 E BETHANY HOME RD STE 120APhoenix, AZ 85014-2495
Mailing Address2500 W Utopia Rd Ste 100Phoenix, AZ 85027-4172 · (480) 587-5314
Phone(602) 861-1168
Organization SubpartNo
Authorized OfficialSavas PetridesSvp/ceo · (480) 696-4020
Enumeration DateJune 3, 2020
Last NPPES UpdateAugust 21, 20243 updates tracked since enumeration
NPPES CertifiedAugust 21, 2024
✔ NPI 1629692876 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.
1515 E BETHANY HOME RD STE 120A, Phoenix, AZ 85014
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Other Names 1

Former Legal Business NameScottsdale Healthcare Corp

Secondary Practice Location 1

Location 11515 E Bethany Home Rd Ste 120APhoenix, AZ 85014-2496 · Phone (480) 718-5072

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

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Honorhealth Ambulatory is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Medicare Revalidation Due Date

Revalidation due by December 31, 2026

Medicare-enrolled providers and suppliers confirm their enrollment information with CMS on a set cycle, every 5 years for most and every 3 years for medical equipment suppliers. CMS sets the due date for each enrollment.

StateEnrollment IDDue date
StateArizonaEnrollment IDO20071005000449Non-DME Part B · Clinic/Group PracticeDue dateDecember 31, 2026
Source: CMS Revalidation Due Date List, October 2026 release.

Clinicians Billing Medicare Through This Organization

817

Medicare enrollment records show 817 clinicians reassign Medicare billing to Honorhealth Ambulatory, which bills Medicare for the services they deliver. Of these, 356 practice within 10 miles. Listed here are the 20 practicing nearest to this location.

Clinicians by Medicare Specialty 49

Nurse Practitioner217
Family Practice98
General Surgery61
Cardiovascular Disease (Cardiology)54
Internal Medicine41
Orthopedic Surgery40
Neurology36
Hematology/Oncology34
41 other specialties236

Nearest to this location (20)

See all 817
Farhan Taghizadeh, MD
Otolaryngology
NPI 1114948353
4602 N 16TH ST FL 3
Phoenix, AZ 85016
(480) 296-0488
✔ PECOS✔ Accepts Medicare1.3 mi
Nicolette Hawthorne, FNP-C
Nurse Practitioner
NPI 1902341431
4527 N 16TH ST
Phoenix, AZ 85016
(602) 845-8000
✔ PECOS1.4 mi
Michael Brennan, MD PC
Orthopedic Surgery
NPI 1396714762
2222 E HIGHLAND AVE # 425
Phoenix, AZ 85016
(602) 667-6640
✔ PECOS✔ Accepts Medicare1.5 mi
Heather Dalton, MD
Gynecological Oncology
NPI 1033373139
2222 E HIGHLAND AVE STE 400
Phoenix, AZ 85016
(602) 277-4868
✔ PECOS✔ Accepts Medicare1.5 mi
Charles Andrew Chacko, MD
Hematology/Oncology
NPI 1518301019
2222 E HIGHLAND AVE STE 400
Phoenix, AZ 85016
(855) 485-4673
✔ PECOS✔ Accepts Medicare1.5 mi
Giraldo Kato, MD
Medical Oncology
NPI 1285630210
2222 E HIGHLAND AVE STE 400
Phoenix, AZ 85016
(602) 277-4868
✔ PECOS✔ Accepts Medicare1.5 mi
Carlo Guerrero, MD
Internal Medicine
NPI 1083979132
2222 E HIGHLAND AVE STE 400
Phoenix, AZ 85016
(602) 277-4868
✔ PECOS✔ Accepts Medicare1.5 mi
Daniel Jaffee, MD
Urology
NPI 1356346878
5133 N CENTRAL AVE STE 206
Phoenix, AZ 85012
(602) 264-0608
✔ PECOS✔ Accepts Medicare1.6 mi
Jamael Delgado-Thai, M.D.
Family Practice
NPI 1467615971
4212 N 16TH ST
Phoenix, AZ 85016
(602) 263-1200
✔ PECOS✔ Accepts Medicare1.8 mi
Gerhard Gomez, M.D.
Psychiatry
NPI 1760611677
2929 E CAMELBACK RD STE 119
Phoenix, AZ 85016
(602) 824-8404
✔ PECOS✔ Accepts Medicare2.0 mi
Paige Banyas, DO
Neurology
NPI 1811426992
BARROW NEUROLOGICAL INSTITUTE 2910 N. 3RD AVE SUITE 470
Phoenix, AZ 85013
(602) 406-6262
✔ PECOS✔ Accepts Medicare2.2 mi
Josh Vella, M.D.
Hand Surgery
NPI 1679596720
3200 E CAMELBACK RD STE 180
Phoenix, AZ 85018
(602) 393-4263
✔ PECOS✔ Accepts Medicare2.3 mi
Madhavagopal Cherukuri, MD
Interventional Cardiology
NPI 1104860337
4444 N 32ND ST STE 120
Phoenix, AZ 85018
(480) 718-5072
✔ PECOS✔ Accepts Medicare2.6 mi
Barbara Backer, M.D.
Pediatric Medicine
NPI 1134171374
4400 N 32ND ST SUITE 140
Phoenix, AZ 85018
(602) 254-4424
✔ PECOS✔ Accepts Medicare2.6 mi
Masoud Sultani, M.D.
Anesthesiology
NPI 1104237478
5501 N 19TH AVE STE 103
Phoenix, AZ 85015
(602) 589-0500
✔ PECOS✔ Accepts Medicare2.9 mi
Ghazwan Elias, M.D.
Cardiovascular Disease (Cardiology)
NPI 1588050033
1910 E THOMAS RD STE 101
Phoenix, AZ 85016
(480) 470-0003
✔ PECOS✔ Accepts Medicare2.9 mi
Karam Moon, MD
Neurosurgery
NPI 1104147909
350 W THOMAS RD ATTN: ACADEMIC AFFAIRS
Phoenix, AZ 85013
(602) 406-3000
✔ PECOS✔ Accepts Medicare3.4 mi
Brenna Derksen, MD
Emergency Medicine
NPI 1518377985
350 W THOMAS RD
Phoenix, AZ 85013
(602) 406-3000
✔ PECOS3.4 mi
Ramy El Mankabady, DO
General Surgery
NPI 1770103848
9201 N 5TH ST
Phoenix, AZ 85020
(480) 882-4545
✔ PECOS✔ Accepts Medicare3.4 mi
Keikhosrow Mosallaie, DO
Physical Medicine and Rehabilitation
NPI 1306808993
2610 N 3RD ST STE B
Phoenix, AZ 85004
(602) 274-7600
✔ PECOS✔ Accepts Medicare3.4 mi
See all 817 clinicians

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 Honorhealth Ambulatory's NPI number?

The NPI number for Honorhealth Ambulatory is 1629692876. It was assigned to this organization in the NPPES registry on June 3, 2020. The provider was formerly known as Scottsdale Healthcare Corp.

Where is Honorhealth Ambulatory located?

Honorhealth Ambulatory is located at 1515 E Bethany Home Rd Ste 120A, Phoenix, AZ 85014. The listed phone number is (602) 861-1168.

What is Honorhealth Ambulatory's specialty?

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

Is Honorhealth Ambulatory enrolled in Medicare?

Yes. Honorhealth Ambulatory is registered in the Medicare PECOS enrollment system.

When is Honorhealth Ambulatory's Medicare revalidation due?

According to the CMS Revalidation Due Date List (October 2026 release), the Medicare Non-DME Part B enrollment for this organization (Arizona, Clinic/Group Practice) is due for revalidation by December 31, 2026. Medicare providers and suppliers revalidate their enrollment every 5 years, and medical equipment suppliers every 3 years. Confirm current requirements with your Medicare Administrative Contractor.

How many clinicians bill Medicare through Honorhealth Ambulatory?

According to the CMS Revalidation Reassignment List (October 2026 release), 817 clinicians in 49 Medicare specialties reassign their Medicare billing to Honorhealth Ambulatory. 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 Nurse Practitioner (217), Family Practice (98) and General Surgery (61). Of these, 356 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 Honorhealth Ambulatory 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.