Phoenix Heart, PLLC
NPI 1679608095 · Cardiovascular Disease Physician · Glendale, AZ
Enrolled with Medicare as Part B Supplier - Clinic/Group Practice · source: CMS PECOS Public Provider Enrollment (2026.04.01)
Phoenix Heart, PLLC is a Cardiovascular Disease Physician organization in Glendale, AZ (NPI 1679608095).
Provider details
- NPI number
- 1679608095
- Entity type
- Organization
- Primary specialty
- Cardiovascular Disease PhysicianAllopathic & Osteopathic Physicians
- Organization subpart
- No
- Authorized official
- Lysa Munhall, Credentialing Manager(602) 298-7777
Specialties & taxonomies
Allopathic & Osteopathic Physicians
- Interventional Cardiology Physician207RI0011X
Allopathic & Osteopathic Physicians
- Nuclear Cardiology Physician207UN0901X
Allopathic & Osteopathic Physicians
- Physician Assistant363A00000X
Physician Assistants & Advanced Practice Nursing Providers
- Family Nurse Practitioner363LF0000X
Physician Assistants & Advanced Practice Nursing Providers
- Gerontology Nurse Practitioner363LG0600X
Physician Assistants & Advanced Practice Nursing Providers
Profile Score
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
19 yrs in NPPES registry
- Profile completeness38% of score
100% of core fields populated
- Practice footprint23% of score
2 documented practice locations
Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our methodology.
Practice location
Mailing address
Additional practice locations (1)
- 9040 Jackson AveTacoma, WA 98431-0001Phone: (602) 908-8667
Registry dates
- Enumerated
- 2007-02-23
- Last updated
- 2021-03-11
- Certified
- 2021-03-04
Frequently asked questions
- What is Phoenix Heart, PLLC's NPI number?
- Phoenix Heart, PLLC's National Provider Identifier (NPI) is 1679608095, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What type of organization is Phoenix Heart, PLLC?
- Phoenix Heart, PLLC is classified in the NPPES registry as Cardiovascular Disease Physician (Allopathic & Osteopathic Physicians).
- Where is Phoenix Heart, PLLC located?
- Phoenix Heart, PLLC's practice location on file with NPPES is 5859 W Talavi Blvd Ste 100, Glendale, AZ 85306-1870.
- What is Phoenix Heart, PLLC's phone number?
- The practice phone number listed in the NPPES registry for Phoenix Heart, PLLC is (602) 298-7777.
- Does Phoenix Heart, PLLC accept Medicare?
- Phoenix Heart, PLLC is approved to bill Medicare according to CMS PECOS enrollment data (2026.04.01). Confirm current participation with the provider before scheduling.
- Who is the authorized official for Phoenix Heart, PLLC?
- The authorized official listed on Phoenix Heart, PLLC's NPPES record is Lysa Munhall, Credentialing Manager. The authorized official registers and maintains the organization's NPI and is not necessarily its owner.
- Is Phoenix Heart, PLLC's NPI active?
- Yes — Phoenix Heart, PLLC's NPI (1679608095) is active in the NPPES registry as of the last update on 2021-03-11.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.