Individual provider Active NPI

Alshaimaa Hazaa, MD

  • Internal Medicine Physician
  • Springdale, AR
National Provider Identifier
1003445370
Registry record updated Sep 12, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
License
E-16369 Issued in AR
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

Updated by the provider on Sep 12, 2023

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
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
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20230925003863 AR Practitioner - Internal Medicine 6103270129 Reassigns benefits to 1 organization

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
Mercy Health Northwest Arkansas CommunitiesGroup PAC ID 0648177873, 314 clinicians

Practice addresses (Care Compare)

4600 Mercy LN
Suite 140
Springdale, AR 72762-3070
Phone (479) 347-3905

Hospital & facility affiliations

  • Elite Home Health Home health agency, Springdale, AR, CCN 047346
  • Mercy Hospital Northwest Arkansas Hospital, Rogers, AR, CCN 040010

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
E-16369ARMDInternal Medicine Physician

Practice roles (2 of 9)

OrganizationSpecialtyStatusNew patients
Mercy Health Northwest Arkansas Communities CurrentSince Sep 5, 2023 Accepting new patients
Mercy Health Northwest Arkansas Communities CurrentSince Sep 5, 2023 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

  • Direct secure messaging: 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.

Hospital & facility affiliations 2

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

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

Verify at the official NPI Registry.