ADVANCED CARDIAC SPECIALISTS, CHARTERED — NPI 1912179003 (Board-Certified Urologist (Urinary Tract, Kidney Stone & Prostate Surgeon) in GLOBE, AZ)

CMS-1500 Box 24J / 33a • NPI

1912179003

Type 2 Organization (Box 32a/33a)

HIPAA NUCC Taxonomy • CMS Code

208800000X (CMS 34)

Board-Certified Urologist (Urinary Tract, Kidney Stone & Prostate Surgeon)

Box 32 Service Location & ZIP+4

2005 HWY 60, GLOBE, AZ, 85501

Official NPPES Practice Location

Practice Phone & Referral Fax

(928) 425-7600

Fax: (480) 982-1400

✓ HHS OIG LEIE Sanction Screening — VERIFIED CLEAR: NPI 1912179003 (ADVANCED CARDIAC SPECIALISTS, CHARTERED) has 0 active federal exclusions across all 84,224 HHS OIG LEIE sanction records (Database Verified: 2026-11-11).

CMS Medicare Order & Referring PECOS Eligibility

Institutional Type-2 NPI facilities enroll via CMS-855A institutional provider agreements rather than individual Order & Referring PECOS.

Official CMS NPPES Credential & Practice Profile

10-Digit NPI Number	`1912179003` (NPI-2 Organization / Facility)
Provider / Legal Name	ADVANCED CARDIAC SPECIALISTS, CHARTERED
Plain-English Specialty	Board-Certified Urologist (Urinary Tract, Kidney Stone & Prostate Surgeon) NUCC Code: `208800000X` (Urology)
Certifying / Licensing Body	American Board of Urology (ABU)
Practice Location Address	2005 HWY 60, GLOBE, AZ, 85501
Practice Telephone / Fax	Tel: (928) 425-7600 \| Fax: (480) 982-1400
Administrative Mailing Address	PO BOX 63423, PHOENIX, AZ, 85082-3423
Enumeration & Last Sync	Enumerated: 2008-03-28 \| CMS Record Updated: 2009-05-14
Authorized Official	WILLIAM FAZIO (Controller)

Clinic Location, Accessibility & Directions

📍 Practice Location & Patient Access

2005 HWY 60, GLOBE, AZ, 85501

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Plain-English Taxonomy & CMS Crosswalk (208800000X)

What Does Taxonomy Code 208800000X Mean?

In the HIPAA National Uniform Claim Committee (NUCC) classification, code 208800000X translates to:
"Board-Certified Urologist (Urinary Tract, Kidney Stone & Prostate Surgeon)"

CMS-1500 Medicare Specialty Crosswalk: CMS Code 34 (Physician/Urology)
Certifying / Accrediting Authority: American Board of Urology (ABU)
Clinical Scope: Kidney stones causing flank pain, blood in urine (hematuria), recurrent urinary tract infections (UTIs), prostate enlargement, or urinary incontinence.

Specialty Clinical Procedures & Therapeutic Classes

Standard Scope of Care (ADVANCED CARDIAC SPECIALISTS, CHARTERED)

Typical CPT / Diagnostic Procedures:

Diagnostic Cystourethroscopy (CPT 52000) & Urodynamic Flow Studies
Ureteroscopy with Holmium Laser Lithotripsy for Kidney Stones (CPT 52356)
Extracorporeal Shock Wave Lithotripsy (ESWL — CPT 50590)
Prostate Specific Antigen (PSA) Screening & Ultrasound-Guided Biopsy

Common Therapeutic Classes:

Alpha-Blockers (Tamsulosin, Alfuzosin) for BPH & Ureteral Stone Passage
5-Alpha Reductase Inhibitors (Finasteride, Dutasteride)
Targeted Urinary Antimicrobials (Nitrofurantoin, Fosfomycin, Ciprofloxacin, Septra)

All Registered NUCC Taxonomies & State Licenses

Taxonomy Code & Plain-English Description	State License & Primary Status
`207RC0000X` — Internal Medicine, Cardiovascular Disease Plain English: Board-Certified Cardiologist (Heart & Blood Vessel Specialist)	State: AZ \| License: `Verified` \| Primary: Secondary
`207RC0001X` — Internal Medicine, Clinical Cardiac Electrophysiology Plain English: Board-Certified Internist (Adult Diagnostic & Chronic Disease Physician)	State: AZ \| License: `Verified` \| Primary: Secondary
`208600000X` — Surgery Plain English: Board-Certified Orthopedic Surgeon (Bone, Joint, Spine & Sports Injury Surgeon)	State: AZ \| License: `Verified` \| Primary: Secondary
`2086S0129X` — Plain English: Licensed & Credentialed Allopathic & Osteopathic Physicians — Surgery — Vascular Surgery	State: AZ \| License: `Verified` \| Primary: Secondary
`363AM0700X` — Physician Assistant, Medical Plain English: Licensed & Credentialed Physician Assistants & Advanced Practice Nursing Providers — Physician Assistant, Medical	State: AZ \| License: `Verified` \| Primary: Secondary
`363LA2200X` — Nurse Practitioner, Adult Health Plain English: Licensed & Credentialed Physician Assistants & Advanced Practice Nursing Providers — Nurse Practitioner, Adult Health	State: AZ \| License: `Verified` \| Primary: Secondary
`207R00000X` — Internal Medicine Plain English: Board-Certified Internist (Adult Diagnostic & Chronic Disease Physician)	State: N/A \| License: `Verified` \| Primary: Secondary
`208800000X` — Urology Plain English: Board-Certified Urologist (Urinary Tract, Kidney Stone & Prostate Surgeon)	State: AZ \| License: `Verified` \| Primary: Yes (Primary)

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ADVANCED CARDIAC SPECIALISTS, CHARTERED (NPI #1912179003)