Ponderosa Heart House Call
NPI 1073131561ActiveOrganization· Internal Medicine, Cardiovascular Disease· Gilbert, AZ
Internal Medicine, Cardiovascular Disease in Gilbert, Arizona, registered in NPPES in July 2020. The authorized official on file is Starla Lucille Miller, RN, Chief Operations Officer. Enrolled in Medicare as part b supplier - clinic/group practice.
Overview
| NPI | 1073131561 |
|---|---|
| Status | Active |
| Entity type | Organization |
| NPI issued | Jul 10, 2020 |
| Last updated in NPPES | Sep 16, 2026 |
| Certified by provider | Sep 16, 2026 |
Specialties and licenses
| Taxonomy | Code | License | State |
|---|---|---|---|
| Internal Medicine, Cardiovascular Disease Primary | 207RC0000X | — | — |
Exclusion screening
| List | Result | Details |
|---|---|---|
| HHS-OIG LEIE · Nov 10, 2026 | No match | Checked by NPI and by name + state |
| North Carolina Medicaid · Nov 11, 2026 | No match | — |
| New York OMIG · Nov 11, 2026 | No match | — |
| Ohio Medicaid · Nov 11, 2026 | No match | — |
| Pennsylvania Medicheck · Nov 11, 2026 | No match | — |
| Washington HCA · Nov 11, 2026 | No match | — |
Official OIG search · How matching works ·Bulk check a roster
Medicare
| Enrollment (PECOS) | Enrolled Part B Supplier - Clinic/Group Practice (AZ) |
|---|
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