Active NPI
Basil Al Khatib, M.D.
- Interventional Cardiology Physician
- Phoenix, AZ
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Interventional Cardiology Physician
- License
- 50635
- 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
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| 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
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 128731 | Medicaid | AZ |
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
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Interventional Cardiology
- Education
- Other, 2009
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
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
- Wickenburg Community Hospital
- Abrazo Arrowhead Hospital
- Valleywise Health Medical Center
- Abrazo Scottsdale Campus
Procedures performed for Medicare patients
| Procedure | Number of procedures |
|---|---|
| Coronary angioplasty and stenting | 18 |
| Pacemaker insertion or repair | 1-10 |
| Leg revascularization (restoring blood flow) | 1-10 |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 30763 | NY | MD | Cardiovascular Disease Physician |
| 50635 | AZ | MD | Interventional Cardiology Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| District Medical Group, Inc | Current | Accepting new patients | |
| Banner - University Physician Specialists LLC | Current | Accepting new patients | |
| VHS Outpatient Clinics, Inc. | Current | Accepting new patients | |
| District Medical Group, Inc | Internal Medicine | Current | Accepting new patients |
| Arizona Advanced Surgery LLC | Current | Accepting new patients | |
| Advanced Cardiovascular Center LLC | Interventional Cardiology | Current | Accepting new patients |
| Banner - University Physician Specialists LLC | Current | Accepting new patients | |
| Community Hospital Association, Inc. | Current | Accepting new patients | |
| Community Hospital Association, Inc. | Current | Accepting new patients | |
| VHS Outpatient Clinics, Inc. | Family Medicine | Current | Accepting new patients |
| City of Hope Medical Group of Arizona LLC | Internal Medicine | Current | 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
- balkhatib125591@direct.valleywisehealth.org
- basil.alkhatib.p130@direct.aac.nextgenshare.com
- 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.
-
- Interventional Cardiology Physician
- Goodyear, AZ
- NPI 1346925872
-
- Surgery Physician
- Phoenix, AZ
- NPI 1346880838
-
- Critical Access Hospital
- Wickenburg, AZ
- NPI 1841282852
-
- Anatomic Pathology & Clinical Pathology Physician
- Phoenix, AZ
- NPI 1336472448
-
- Multi-Specialty Clinic/Center
- Goodyear, AZ
- NPI 1912979964
Family Medicine
-
- Multi-Specialty Clinic/Center
- Phoenix, AZ
- NPI 1437529245
-
- Medical Oncology Physician
- Goodyear, AZ
- NPI 1609026806
Internal Medicine
-
- Durable Medical Equipment & Medical Supplies
- Phoenix, AZ
- NPI 1164255865
-
- Rural Health Clinic/Center
- Wittmann, AZ
- NPI 1770097123
-
- Internal Medicine Physician
- Phoenix, AZ
- NPI 1518290626
-
- Durable Medical Equipment & Medical Supplies
- Scottsdale, AZ
- NPI 1891302790
-
- Rural Health Clinic/Center
- Wickenburg, AZ
- NPI 1225274210
Hospital & facility affiliations 17
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- General Acute Care Hospital
- Phoenix, AZ
- NPI 1841224870
-
- Critical Access Hospital
- Wickenburg, AZ
- NPI 1841282852
-
- General Acute Care Hospital
- Phoenix, AZ
- NPI 1073576740
-
- Federally Qualified Health Center (FQHC)
- Phoenix, AZ
- NPI 1114346962
Hospital
-
- Federally Qualified Health Center (FQHC)
- Phoenix, AZ
- NPI 1295154045
Hospital
-
- Federally Qualified Health Center (FQHC)
- Mesa, AZ
- NPI 1306265145
Hospital
-
- Federally Qualified Health Center (FQHC)
- Phoenix, AZ
- NPI 1336568187
Hospital
-
- Federally Qualified Health Center (FQHC)
- Chandler, AZ
- NPI 1427476670
Hospital
-
- Federally Qualified Health Center (FQHC)
- Phoenix, AZ
- NPI 1629497474
Hospital
-
- Federally Qualified Health Center (FQHC)
- Phoenix, AZ
- NPI 1629840137
Hospital
-
- Federally Qualified Health Center (FQHC)
- Guadalupe, AZ
- NPI 1861811614
Hospital
-
- Federally Qualified Health Center (FQHC)
- Phoenix, AZ
- NPI 1891114641
Hospital
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
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 11, 2026; 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.