Individual provider Active NPI

Saifuldeen Awf Abdulrahman Al Qaisi, MD

  • Interventional Cardiology Physician
  • Peoria, AZ
National Provider Identifier
1053673723
Registry record updated Aug 7, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Interventional Cardiology PhysicianTaxonomy code 207RI0011X
License
50445 Issued in 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
Last updated
Aug 7, 2024By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 7, 2024

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Cardiovascular Disease Physician 207RC0000X 50445 AZ
Interventional Cardiology Physician 207RI0011X 50445 AZ Primary

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

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in AZ
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
I20160308002812 AZ Practitioner - Interventional CardiologyPractitioner - Cardiovascular Disease (Cardiology)Practitioner - Internal Medicine 0042516684 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Interventional CardiologyAlso: Cardiovascular Disease (Cardiology)
Education
Other, 2006
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
VHS Outpatient Clinics IncGroup PAC ID 4486566726, 206 clinicians

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

Procedures performed for Medicare patients

ProcedureNumber of procedures
Coronary angioplasty and stenting56
Pacemaker insertion or repair11

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
50445AZMDInterventional Cardiology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Joseph a Caplan MD PC Cardiovascular Disease CurrentSince Sep 5, 2022 Accepting new patients
VHS Outpatient Clinics, Inc. CurrentSince Mar 28, 2022 Accepting new patients
VHS Outpatient Clinics, Inc. Family Medicine CurrentSince Mar 28, 2022 Accepting new patients

Locations

18701 N 67th Ave
Glendale, AZ 85308
Phone (623) 561-1000

5555 W Thunderbird Rd
Glendale, AZ 85306
Phone (602) 588-5555

5651 W Talavi Blvd
Ste 160
Glendale, AZ 85306

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

13460 N 94th Dr
Ste J1
Peoria, AZ 85381

26900 N Lake Pleasant Pkwy
Ste 210
Peoria, AZ 85383
Phone (623) 561-3000

1111 E McDowell Rd
Phoenix, AZ 85006
Phone (602) 239-2000

1930 E Thomas Rd
Phoenix, AZ 85016
Phone (602) 532-1000

2000 W Bethany Home Rd
Phoenix, AZ 85015
Phone (480) 209-4000

2777 E Camelback Rd
Ste 200
Phoenix, AZ 85016
Phone (602) 952-0002

350 W Thomas Rd
Phoenix, AZ 85013
Phone (480) 339-5001

3929 E Bell Rd
Phoenix, AZ 85032
Phone (602) 923-5000

14420 W Meeker Blvd
Ste 305
Sun City West, AZ 85375
Phone (480) 772-9049

14815 W Bell Rd
Ste 104
Surprise, AZ 85374
Phone (623) 266-1041

14815 W Bell Rd
Ste B8104
Surprise, AZ 85374

350 N Wilmot Rd
Tucson, AZ 85711
Phone (520) 873-3000

Interoperability endpoints

  • Direct secure messaging: saifuldeen.al.qaisi.1@600.direct.athenahealth.com

Organizations & group practices 3

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

Hospital & facility affiliations 10

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": "1339113600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1722988800000",
    "number": "1053673723",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "13460 N 94TH DR STE J1",
            "city": "PEORIA",
            "state": "AZ",
            "postal_code": "853814246",
            "telephone_number": "623-876-8816",
            "fax_number": "623-298-0168"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "13460 N 94TH DR STE J1",
            "city": "PEORIA",
            "state": "AZ",
            "postal_code": "853814246",
            "telephone_number": "623-876-8816",
            "fax_number": "623-298-0168"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "AL QAISI",
        "first_name": "SAIFULDEEN",
        "middle_name": "AWF ABDULRAHMAN",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2012-06-08",
        "last_updated": "2024-08-07",
        "certification_date": "2024-08-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207RC0000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Cardiovascular Disease",
            "state": "AZ",
            "license": "50445",
            "primary": false
        },
        {
            "code": "207RI0011X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Interventional Cardiology",
            "state": "AZ",
            "license": "50445",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Peoria, AZ

Sources for this page

Verify at the official NPI Registry.