Individual provider Active NPI

Basil Al Khatib, M.D.

  • Interventional Cardiology Physician
  • Phoenix, AZ
National Provider Identifier
1083977599
Registry record updated Feb 11, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Interventional Cardiology PhysicianTaxonomy code 207RI0011X
License
50635 Issued in AZ
Practice address
3131 E Clarendon Ave Ste 107
Phoenix, AZ 85016-7069
Phone
(602) 664-8000
Fax
(602) 664-8001
NPI assigned
Jun 19, 2012
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Feb 11, 2026

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Interventional Cardiology Physician 207RI0011X 50635 AZ Primary
Cardiovascular Disease Physician 207RC0000X 30763 NY

Addresses

Primary practice location

3131 E Clarendon Ave Ste 107
Phoenix, AZ 85016-7069

Mailing address

3131 E Clarendon Ave Ste 107
Phoenix, AZ 85016-7069
Phone (602) 664-8000

Other identifiers 1

IdentifierTypeStateIssuer
128731MedicaidAZ

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
I20160629003119 AZ Practitioner - Interventional CardiologyPractitioner - Cardiovascular Disease (Cardiology) 3476845082 Reassigns benefits to 8 organizations

Care Compare profile

Medicare Care Compare
Specialty
Interventional CardiologyAlso: Cardiovascular Disease (Cardiology)
Education
Other, 2009
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
VHS Outpatient Clinics IncGroup PAC ID 4486566726, 206 clinicians
Advanced Cardiovascular Center LLCGroup PAC ID 6406210822, 6 clinicians
District Medical Group IncGroup PAC ID 7315086691, 454 clinicians
Arizona Advanced Surgery LLCGroup PAC ID 0547690166, 93 clinicians
Community Hospital Association IncGroup PAC ID 4981688900, 29 clinicians

Practice addresses (Care Compare)

1111 E McDowell Rd
Phoenix, AZ 85006-2612
Phone (602) 839-2792

13481 W McDowell Rd
Suite 400
Goodyear, AZ 85395-2725
Phone (623) 335-3044

1930 E Thomas Rd
Phoenix, AZ 85016-7711
Phone (602) 532-1000

2601 E Roosevelt St
Phoenix, AZ 85008-4973
Phone (602) 344-5011

2945 S Dobson Rd
Mesa, AZ 85202-7941
Phone (480) 969-4138

3125 N Dysart Rd
Avondale, AZ 85392-1208
Phone (623) 882-9161

3141 N 3Rd Ave
Phoenix, AZ 85013-4360
Phone (602) 914-1520

5130 W Baseline Rd
Suite 102
Laveen, AZ 85339-2984
Phone (602) 237-0039

519 Rose LN
Wickenburg, AZ 85390-1448
Phone (602) 952-0002

520 Rose LN
Wickenburg, AZ 85390-1447
Phone (928) 684-5421

523 Rose LN
Wickenburg, AZ 85390-1448

570 W Brown Rd
Mesa, AZ 85201-3227
Phone (480) 344-2000

Hospital & facility affiliations

  • Banner - University Medical Center Phoenix Hospital, Phoenix, AZ, CCN 030002
  • Wickenburg Community Hospital Hospital, Wickenburg, AZ, CCN 031300
  • Abrazo Arrowhead Hospital Hospital, Glendale, AZ, CCN 030094
  • Valleywise Health Medical Center Hospital, Phoenix, AZ, CCN 030022
  • Abrazo Scottsdale Campus Hospital, Phoenix, AZ, CCN 030083

Procedures performed for Medicare patients

ProcedureNumber of procedures
Coronary angioplasty and stenting18
Pacemaker insertion or repair1-10
Leg revascularization (restoring blood flow)1-10

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
30763NYMDCardiovascular Disease Physician
50635AZMDInterventional Cardiology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
District Medical Group, Inc Current Accepting new patients
Banner - University Physician Specialists LLC CurrentSince Feb 1, 2026 Accepting new patients
VHS Outpatient Clinics, Inc. CurrentSince Jan 15, 2019 Accepting new patients
District Medical Group, Inc Internal Medicine CurrentSince May 15, 2016 Accepting new patients
Arizona Advanced Surgery LLC CurrentSince Nov 1, 2025 Accepting new patients
Advanced Cardiovascular Center LLC Interventional Cardiology CurrentSince Jan 1, 2025 Accepting new patients
Banner - University Physician Specialists LLC CurrentSince Feb 1, 2026 Accepting new patients
Community Hospital Association, Inc. CurrentSince Jan 1, 2026 Accepting new patients
Community Hospital Association, Inc. CurrentSince Jan 1, 2026 Accepting new patients
VHS Outpatient Clinics, Inc. Family Medicine CurrentSince Jan 15, 2019 Accepting new patients
City of Hope Medical Group of Arizona LLC Internal Medicine CurrentSince Feb 20, 2017 Accepting new patients
Community Hospital Association, Inc. Past Accepting new patients

Locations (25 of 28)

1890 E Florence Blvd
Ste 1
Casa Grande, AZ 85122
Phone (520) 381-8850

14200 W Celebrate Life Way
Goodyear, AZ 85338
Phone (623) 207-3000

13481 W McDowell Rd
Ste 400
Goodyear, AZ 85395
Phone (602) 837-7400

5130 W Baseline Rd
Ste 102
Laveen, AZ 85339
Phone (602) 237-0039

2945 S Dobson Rd
Mesa, AZ 85202
Phone (480) 699-2508

2945 S Dobson Rd
#2320N
Mesa, AZ 85202

708 S Coeur D Alene Ln
Ste A
Payson, AZ 85541
Phone (928) 472-7440

708 S Coeur D Alene Ln
Ste 100
Payson, AZ 85541
Phone (928) 472-7440

2000 W Bethany Home Rd
Ste 200
Phoenix, AZ 85015
Phone (602) 246-5525

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

1300 N 12th St
Ste 508
Phoenix, AZ 85006
Phone (602) 839-3927

4444 N 32nd St
Ste 175
Phoenix, AZ 85018
Phone (602) 952-0002

3131 E Clarendon Ave
Ste 107
Phoenix, AZ 85016
Phone (602) 664-8000

3141 N 3rd Ave
Phoenix, AZ 85013
Phone (602) 914-1520

1910 E Thomas Rd
Ste 200
Phoenix, AZ 85016

2320 N 3rd St
Phoenix, AZ 85004
Phone (602) 258-3262

2601 E Roosevelt St
Phoenix, AZ 85008
Phone (602) 220-0298

444 W Osborn Rd
Ste 200
Phoenix, AZ 85013
Phone (602) 230-1400

1910 E Thomas Rd
Ste 101
Phoenix, AZ 85016
Phone (480) 470-0003

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

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

755 E McDowell Rd
Phoenix, AZ 85006
Phone (602) 271-5111

5102 W Campbell Ave
Phoenix, AZ 85031
Phone (623) 848-5000

10503 W Thunderbird Blvd
Ste 109
Sun City, AZ 85351
Phone (623) 875-5805

523 Rose Ln
Wickenburg, AZ 85390
Phone (928) 668-1833

Interoperability endpoints

  • Direct secure messaging: balkhatib125591@direct.valleywisehealth.org
  • Direct secure messaging: basil.alkhatib.p130@direct.aac.nextgenshare.com
  • FHIR API: https://fhir4.healow.com/fhir/r4/IGJBCD

Organizations & group practices 12

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 17

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

View all 17

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1340064000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1770768000000",
    "number": "1083977599",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3131 E CLARENDON AVE STE 107",
            "city": "PHOENIX",
            "state": "AZ",
            "postal_code": "850167069",
            "telephone_number": "602-664-8000",
            "fax_number": "602-664-8001"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3131 E CLARENDON AVE STE 107",
            "city": "PHOENIX",
            "state": "AZ",
            "postal_code": "850167069",
            "telephone_number": "602-664-8000",
            "fax_number": "602-664-8001"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "AL KHATIB",
        "first_name": "BASIL",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2012-06-19",
        "last_updated": "2026-02-11",
        "certification_date": "2026-02-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207RI0011X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Interventional Cardiology",
            "state": "AZ",
            "license": "50635",
            "primary": true
        },
        {
            "code": "207RC0000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Cardiovascular Disease",
            "state": "NY",
            "license": "30763",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "128731",
            "state": "AZ"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Phoenix, AZ

Sources for this page

Verify at the official NPI Registry.