PHOENIX HEART, PLLC
NPI 1679608095
Internal Medicine - Cardiovascular Disease in Glendale, AZ

Q: What is Phoenix Heart, PLLC's NPI number?

The NPI number for Phoenix Heart, PLLC is 1679608095. It was assigned to this organization in the NPPES registry on February 23, 2007.

Q: What is Phoenix Heart, PLLC's specialty?

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

Active since February 23, 2007

5859 W TALAVI BLVD STE 100, GLENDALE, AZ 85306(602) 298-7777(623) 930-6060 Get Directions Write a Review

NPPES record last updated: March 11, 2021. Verified against the NPPES registry weekly; last sync: October 18, 2026.

Record update history: Mar 11, 2021, Mar 4, 2021, Oct 26, 2020 and 2 more (5 updates tracked since 2020).

On this page

About Phoenix Heart, Pllc NPPES

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

PHOENIX HEART, PLLC (NPI 1679608095) is a healthcare organization registered as a cardiovascular disease in Glendale, Arizona and active in the NPI registry since February 2007. The organization maintains a secondary practice location in Tacoma and lists Lysa Munhall, Credentialing Manager, as its authorized official.

NPPES Registry Identity

NPI1679608095

Entity TypeOrganization

Primary Taxonomy207RC0000X

Legal Business NamePHOENIX HEART, PLLC

Location Address5859 W TALAVI BLVD STE 100Glendale, AZ 85306-1870

Mailing Address5859 W Talavi Blvd Ste 100Glendale, AZ 85306-1870 · (602) 298-7777 · Fax (623) 930-6060

Phone(602) 298-7777

Fax(623) 930-6060

Organization SubpartNo

Authorized OfficialLysa MunhallCredentialing Manager · (602) 298-7777

Enumeration DateFebruary 23, 2007

Last NPPES UpdateMarch 11, 20215 updates tracked since enumeration

NPPES CertifiedMarch 4, 2021

✔ NPI 1679608095 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 6

★ 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.

Also ListedInternal Medicine · Interventional CardiologyTaxonomy 207RI0011X

Also ListedNuclear Medicine · Nuclear CardiologyTaxonomy 207UN0901X

Also ListedPhysician AssistantTaxonomy 363A00000X

Also ListedNurse Practitioner · FamilyTaxonomy 363LF0000X

Also ListedNurse Practitioner · GerontologyTaxonomy 363LG0600X

5859 W TALAVI BLVD STE 100, Glendale, AZ 85306

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Secondary Practice Location 1

Location 19040 Jackson AveTacoma, WA 98431-0001 · Phone (602) 908-8667

Other Identifiers 3

OtherZ27785AZ · Medicare Ptan

OtherZ212189AZ · Medicare Ptan

Medicaid275622AZ

Group Practice 2

Group TaxonomyThis provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.193400000X MULTIPLE SINGLE SPECIALTY GROUP

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, Cigna HealthCare of Arizona, Inc.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 Heart, Pllc is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Clinicians Billing Medicare Through This Organization

Medicare enrollment records show 41 clinicians reassign Medicare billing to Phoenix Heart, PLLC, which bills Medicare for the services they deliver. Of these, 15 practice at this address and 27 within 10 miles. Listed here are the 20 practicing nearest to this location.

Clinicians by Medicare Specialty 5

Nurse Practitioner22

Cardiovascular Disease (Cardiology)15

Cardiac Electrophysiology2

Internal Medicine1

Interventional Cardiology1

Nearest to this location (20)

See all 41

Carissa Buckey, NP

Nurse Practitioner

NPI 1114485067

5859 W TALAVI BLVD STE 100
Glendale, AZ 85306

(602) 298-7777

✔ PECOS✔ Accepts MedicareSame address

Donnamarie Burris, AGACNP -BC

Nurse Practitioner

NPI 1578984936

5859 W TALAVI BLVD STE 100
Glendale, AZ 85306

(602) 298-7777

✔ PECOS✔ Accepts MedicareSame address

Fred Cucher, MD

Cardiovascular Disease (Cardiology)

NPI 1861488298

5859 W TALAVI BLVD STE 100
Glendale, AZ 85306

(602) 298-7777

✔ PECOSSame address

Kenneth Dizon, DO

Cardiovascular Disease (Cardiology)

NPI 1346252129

5859 W TALAVI BLVD STE 100
Glendale, AZ 85306

(602) 298-7777

✔ PECOS✔ Accepts MedicareSame address

Gorakanage Reshmaal Gomes Cumaranatunge, MD

Cardiovascular Disease (Cardiology)

NPI 1235325507

5859 W TALAVI BLVD SUITE 100
Glendale, AZ 85306

(602) 298-7777

✔ PECOS✔ Accepts MedicareSame address

Shawna Hickman, NP-C

Nurse Practitioner

NPI 1609111426

5859 W TALAVI BLVD STE 100
Glendale, AZ 85306

(602) 298-7777

✔ PECOS✔ Accepts MedicareSame address

Dana Hock, FNP

Nurse Practitioner

NPI 1053312801

5859 W TALAVI BLVD STE 100
Glendale, AZ 85306

(602) 298-7777

✔ PECOS✔ Accepts MedicareSame address

Mary Kaplan, ANP

Nurse Practitioner

NPI 1083682942

5859 W TALAVI BLVD STE 100
Glendale, AZ 85306

(602) 298-7777

✔ PECOSSame address

Shakeel Khan, MD

Cardiovascular Disease (Cardiology)

NPI 1366530800

5859 W TALAVI BLVD SUITE 100
Glendale, AZ 85306

(602) 298-7777

✔ PECOS✔ Accepts MedicareSame address

Punit Parasher, M.D.

Cardiovascular Disease (Cardiology)

NPI 1316926579

5859 W TALAVI BLVD STE 100
Glendale, AZ 85306

(602) 298-7777

✔ PECOS✔ Accepts MedicareSame address

Rajul Patel, MD

Cardiovascular Disease (Cardiology)

NPI 1225024318

5859 W TALAVI BLVD SUITE 100
Glendale, AZ 85306

(602) 298-7777

✔ PECOS✔ Accepts MedicareSame address

Kristine Sellberg, MD

Cardiovascular Disease (Cardiology)

NPI 1801886866

5859 W TALAVI BLVD SUITE 100
Glendale, AZ 85306

(602) 298-7777

✔ PECOS✔ Accepts MedicareSame address

Alfred Rossum, MD

Cardiovascular Disease (Cardiology)

NPI 1912993338

5859 W TALAVI BLVD SUITE 100
Glendale, AZ 85306

(602) 298-7777

✔ PECOSSame address

Sumita Gyawali, ARNP

Nurse Practitioner

NPI 1356001507

5859 W TALAVI BLVD STE 100
Glendale, AZ 85306

(206) 303-8402

✔ PECOS✔ Accepts MedicareSame address

Erika Martinez Meraz

Nurse Practitioner

NPI 1043941727

5859 W TALAVI BLVD STE 100
Glendale, AZ 85306

(602) 298-7777

✔ PECOS✔ Accepts MedicareSame address

Deanna Fussy, FNP

Nurse Practitioner

NPI 1972100097

18700 N 64TH DR STE 301
Glendale, AZ 85308

(602) 841-0741

✔ PECOS✔ Accepts Medicare1.7 mi

Vinay Kapadia, FNP

Nurse Practitioner

NPI 1598212003

18700 N 64TH DR STE 205
Glendale, AZ 85308

(623) 455-5084

✔ PECOS✔ Accepts Medicare1.7 mi

Amarnauth Singh, MD

Cardiac Electrophysiology

NPI 1639170764

13634 N 93RD AVE STE 300
Peoria, AZ 85381

(623) 815-2484

✔ PECOS✔ Accepts Medicare4.7 mi

Moustafa Banna, MD

Cardiovascular Disease (Cardiology)

NPI 1003009861

13460 N 94TH DR STE J1
Peoria, AZ 85381

(623) 876-8816

✔ PECOS✔ Accepts Medicare4.9 mi

Vinny Ram, MD

Cardiovascular Disease (Cardiology)

NPI 1881895159

13460 N 94TH DR STE J1
Peoria, AZ 85381

(623) 876-8816

✔ PECOS✔ Accepts Medicare4.9 mi

See all 41 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 Phoenix Heart, PLLC's NPI number?

The NPI number for Phoenix Heart, PLLC is 1679608095. It was assigned to this organization in the NPPES registry on February 23, 2007.

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 Internal Medicine, specializing in Cardiovascular Disease, with taxonomy code 207RC0000X.

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), 41 clinicians in 5 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 Nurse Practitioner (22), Cardiovascular Disease (Cardiology) (15) and Cardiac Electrophysiology (2). Of these, 15 practice at this address and 27 within 10 miles. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

What insurance does Phoenix Heart, PLLC accept?

Health plans from Ambetter from Arizona Complete Health and Cigna HealthCare of Arizona, Inc list Phoenix Heart, PLLC 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 Heart, PLLC was last updated on March 11, 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.