Active NPI
Alshaimaa Hazaa, MD
- Internal Medicine Physician
- Springdale, AR
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Internal Medicine Physician
- License
- E-16369
- Practice address
- 4600 Mercy LN Ste 140
Springdale, AR 72762-3070 - Phone
- (479) 347-3905
- NPI assigned
- Apr 7, 2020
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Internal Medicine Physician | 207R00000X | E-16369 | AR | Primary |
Addresses
Primary practice location
4600 Mercy LN Ste 140
Springdale, AR 72762-3070
Mailing address
4600 Mercy LN Ste 140
Springdale, AR 72762-3070
Phone (479) 347-3905
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in AR
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Internal Medicine
- Education
- Other, 2011
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Telehealth
- Offers telehealth services
- Group practices
Practice addresses (Care Compare)
4600 Mercy LN
Suite 140
Springdale, AR 72762-3070
Phone (479) 347-3905
Hospital & facility affiliations
- Elite Home Health
- Mercy Hospital Northwest Arkansas
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| E-16369 | AR | MD | Internal Medicine Physician |
Practice roles (2 of 9)
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Mercy Health Northwest Arkansas Communities | Current | Accepting new patients | |
| Mercy Health Northwest Arkansas Communities | Current | Accepting new patients |
Locations
3101 SE 14th St
Bentonville, AR 72712
Phone (479) 631-2100
1000 SE 13th Ct
Bentonville, AR 72712
Phone (479) 273-9056
4600 Mercy Ln
Ste 140
Springdale, AR 72762
Phone (479) 347-3905
Networks
- MS PPO D-SNP
- devoted network organization-27eb9117-6975-449a-a7ad-909243995ddc
- MS PPO
- TN PPO C-SNP
- MS PPO C-SNP
- devoted network organization-734447cc-691b-4aa7-a112-9c9c8698dcc9
- TN PPO
Interoperability endpoints
- ahazaa1054109@directc.mercy.net
Organizations & group practices 2
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.
-
- Multi-Specialty Clinic/Center
- Rogers, AR
- NPI 1265490916
-
- Endocrinology, Diabetes & Metabolism Physician
- Rogers, AR
- NPI 1770087371
Hospital & facility affiliations 2
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- Home Health Agency
- Springdale, AR
- NPI 1043557788
-
- General Acute Care Hospital
- Rogers, AR
- NPI 1316902414
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1586217600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1694476800000",
"number": "1003445370",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "4600 MERCY LN STE 140",
"city": "SPRINGDALE",
"state": "AR",
"postal_code": "727623070",
"telephone_number": "479-347-3905"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "4600 MERCY LN STE 140",
"city": "SPRINGDALE",
"state": "AR",
"postal_code": "727623070",
"telephone_number": "479-347-3905"
}
],
"practiceLocations": [],
"basic": {
"last_name": "HAZAA",
"first_name": "ALSHAIMAA",
"credential": "MD",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2020-04-07",
"last_updated": "2023-09-12",
"certification_date": "2023-09-12",
"status": "A"
},
"taxonomies": [
{
"code": "207R00000X",
"taxonomy_group": "",
"desc": "Internal Medicine",
"state": "AR",
"license": "E-16369",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Springdale, AR
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 12, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.