Mountain Heart Medical Practice PLLC
NPI 1306009519ActiveOrganization· Internal Medicine, Cardiovascular Disease· Flagstaff, AZ
Internal Medicine, Cardiovascular Disease in Flagstaff, Arizona, registered in NPPES in July 2008. The authorized official on file is Suzanne R. Duval, Credentialing.
Overview
| NPI | 1306009519 |
|---|---|
| Status | Active |
| Entity type | Organization |
| NPI issued | Jul 8, 2008 |
| Last updated in NPPES | Apr 7, 2009 |
Specialties and licenses
| Taxonomy | Code | License | State |
|---|---|---|---|
| Internal Medicine, Cardiovascular Disease Primary | 207RC0000X | 30420 | AZ |
Exclusion screening
| List | Result | Details |
|---|---|---|
| HHS-OIG LEIE · Oct 9, 2026 | No match | Checked by NPI and by name + state |
| North Carolina Medicaid · Nov 4, 2026 | No match | — |
| New York OMIG · Nov 4, 2026 | No match | — |
| Ohio Medicaid · Nov 4, 2026 | No match | — |
| Pennsylvania Medicheck · Nov 4, 2026 | No match | — |
| Washington HCA · Nov 4, 2026 | No match | — |
Official OIG search · How matching works ·Bulk check a roster
Medicare
| Enrollment (PECOS) | Not in the public enrollment file of Oct 1, 2026 |
|---|
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