Saifuldeen Awf Abdulrahman Al Qaisi, MD
Individual provider Active NPI Interventional Cardiology Physician · Peoria, AZ
NPI 1053673723 · NPPES record last updated Aug 7, 2024
Key facts
- NPI
- 1053673723
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Interventional Cardiology Physician 207RI0011X
- License
- 50445 (AZ)
- Practice address
- 13460 N 94TH Dr Ste J1
Peoria, AZ 85381-4246 - Phone
- (623) 876-8816
- Fax
- (623) 298-0168
- NPI assigned
- Jun 8, 2012
- Sex
- Male
- Sole proprietor
- No
Organizations & group practices 9
Hospital & facility affiliations 10
Medicare Care Compare profile
- Specialty
- Interventional Cardiology
- Education
- Other, 2006
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
- VHS Outpatient Clinics Inc
Practice addresses (Care Compare)
13677 W McDowell Rd
Suite 201
Goodyear, AZ 85395-2635
Phone (623) 536-4200
14815 W Bell Rd
Suite 104
Surprise, AZ 85374-7603
Phone (623) 745-4762
18700 N 64TH Dr
Suite 301
Glendale, AZ 85308-7114
Phone (602) 674-6582
18701 N 67TH Ave
Glendale, AZ 85308-7100
Phone (623) 561-1000
1930 E Thomas Rd
Phoenix, AZ 85016-7711
Phone (602) 532-1000
21250 W Roosevelt St
Suite 306
Buckeye, AZ 85326-0315
Phone (602) 841-0741
3125 N Dysart Rd
Avondale, AZ 85392-1208
Phone (623) 882-9161
5130 W Baseline Rd
Suite 102
Laveen, AZ 85339-2984
Phone (602) 237-0039
525 S Watson Rd
Suite 200
Buckeye, AZ 85326-3451
Phone (602) 726-8750
708 S Coeur D Alene LN
Suite 100
Payson, AZ 85541-5662
Phone (928) 472-7440
708 S Coeur D'Alene Lane
Suite a
Payson, AZ 85541-5662
Phone (602) 726-8805
708 S Coeur D'Alene LN
Payson, AZ 85541-5662
Phone (928) 474-2175
Hospital & facility affiliations
- Abrazo West Campus
- Abrazo Arrowhead Hospital
- Mayo Clinic Hospital
- City of Hope Cancer Center Phoenix
- St Josephs Hospital and Medical Center
Procedures performed for Medicare patients
| Procedure | Number of procedures |
|---|---|
| Coronary angioplasty and stenting | 56 |
| Pacemaker insertion or repair | 11 |
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in AZ
- Eligible to order & refer
- Part B services: Yes · DME: Yes · Home health: Yes · Power mobility devices: Yes · Hospice: Yes
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20160308002812 | AZ | Practitioner - Interventional Cardiology |
0042516684 | Reassigns benefits to 2 organizations |
National Provider Directory
- Medicare enrollment (NPD)
- Yes
- Credentials
- Doctor of Medicine
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| VHS Outpatient Clinics, Inc. | Family Medicine | Current |
Accepting new patients |
| VHS Outpatient Clinics, Inc. | Current |
Accepting new patients | |
| Joseph a Caplan MD PC | Cardiovascular Disease | Current |
Accepting new patients |
Locations
5651 W Talavi Blvd
Ste 160
Glendale, AZ 85306
5555 W Thunderbird Rd
Glendale, AZ 85306
Phone (602) 588-5555
18701 N 67th Ave
Glendale, AZ 85308
Phone (623) 561-1000
1325 N Litchfield Rd
Ste 125
Goodyear, AZ 85395
Phone (480) 420-0749
1325 N Litchfield Rd
Ste 130
Goodyear, AZ 85395
Phone (602) 249-8577
13677 W McDowell Rd
Goodyear, AZ 85395
Phone (623) 536-4200
5130 W Baseline Rd
Ste 102
Laveen, AZ 85339
Phone (602) 237-0039
708 S Coeur D Alene Ln
Ste 100
Payson, AZ 85541
Phone (928) 472-7440
26900 N Lake Pleasant Pkwy
Ste 210
Peoria, AZ 85383
Phone (623) 561-3000
13460 N 94th Dr
Ste J1
Peoria, AZ 85381
1930 E Thomas Rd
Phoenix, AZ 85016
Phone (602) 532-1000
2777 E Camelback Rd
Ste 200
Phoenix, AZ 85016
Phone (602) 952-0002
3929 E Bell Rd
Phoenix, AZ 85032
Phone (602) 923-5000
350 W Thomas Rd
Phoenix, AZ 85013
Phone (480) 339-5001
2000 W Bethany Home Rd
Phoenix, AZ 85015
Phone (480) 209-4000
1111 E McDowell Rd
Phoenix, AZ 85006
Phone (602) 239-2000
14420 W Meeker Blvd
Ste 305
Sun City West, AZ 85375
Phone (480) 772-9049
14815 W Bell Rd
Ste B8104
Surprise, AZ 85374
14815 W Bell Rd
Ste 104
Surprise, AZ 85374
Phone (623) 266-1041
350 N Wilmot Rd
Tucson, AZ 85711
Phone (520) 873-3000
Interoperability endpoints
- saifuldeen.al.qaisi.1@600.direct.athenahealth.com
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Cardiovascular Disease Physician | 207RC0000X | 50445 | AZ | |
| Interventional Cardiology Physician | 207RI0011X | 50445 | AZ | Yes |
Addresses
Primary practice location
13460 N 94TH Dr Ste J1
Peoria, AZ 85381-4246
Mailing address
13460 N 94TH Dr Ste J1
Peoria, AZ 85381-4246
Phone (623) 876-8816
Other identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 071733 | Medicaid | AZ |
Other providers in Peoria, AZ
- Aiz Behavioral Health LLC
- Ayomikun Ajulo
- Akdhc, LLC
- Akdhc, LLC-Phoenix Access Center 1
- Patience Ronke Akhimien
- Marwan Al-Ani
- Orwah Al-Khalili
- Israa Al-Sayyed
- Melinda L. Alba
- Ashley Ann Albert
All providers in Peoria, AZ · Interventional Cardiology Physician in Arizona
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Aug 7, 2024. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- Order and Referring (CMS).
- Medicare Care Compare provider data (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.