Phoenix Heart, PLLC
NPI 1679608095ActiveOrganization· Internal Medicine, Cardiovascular Disease· Glendale, AZ
Internal Medicine, Cardiovascular Disease in Glendale, Arizona, registered in NPPES in February 2007. The authorized official on file is Lysa Munhall, Credentialing Manager. Enrolled in Medicare as part b supplier - clinic/group practice.
Overview
| NPI | 1679608095 |
|---|---|
| Status | Active |
| Entity type | Organization |
| NPI issued | Feb 23, 2007 |
| Last updated in NPPES | Mar 11, 2021 |
| Certified by provider | Mar 4, 2021 |
Specialties and licenses
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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