Active NPI
Hassan Samir Makki, DO
- Cardiovascular Disease Physician
- Chandler, AZ
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Cardiovascular Disease Physician
- License
- AZ005416
- Practice address
- 77 S Dobson Rd
Chandler, AZ 85224-6289 - Phone
- (480) 814-0266
- Fax
- (480) 814-0018
- NPI assigned
- May 15, 2007
- 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 3
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Internal Medicine Physician | 207R00000X | 5101016045 | MI | |
| Cardiovascular Disease Physician | 207RC0000X | 005416 | AZ | |
| Cardiovascular Disease Physician | 207RC0000X | AZ005416 | AZ | Primary |
Addresses
Primary practice location
77 S Dobson Rd
Chandler, AZ 85224-6289
Mailing address
PO Box 1617
Chandler, AZ 85244-1617
Phone (480) 814-0266
Other practice location 1
803 N Salk Dr
Casa Grande, AZ 85122-5447
Phone (520) 836-6682
Other identifiers 3
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 522131 | Medicaid | AZ | |
| Z287556 | Other | AZ | MEDICARE |
| Z287555 | Other | AZ | MEDICARE |
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, 2004
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
1200 N Beaver St
Flagstaff, AZ 86001-3118
Phone (928) 779-3366
1215 N Beaver St
Suite 203
Flagstaff, AZ 86001-3126
Phone (928) 773-2249
2000 S Thompson St
Flagstaff, AZ 86001-8759
Phone (928) 226-6400
269 S Candy LN
Cottonwood, AZ 86326-4158
Phone (928) 639-6000
7810 N US Hwy 89
Flagstaff, AZ 86004-6255
Phone (928) 522-8375
Hospital & facility affiliations
- Verde Valley Medical Center
- Flagstaff Medical Center
Merit-based Incentive Payment System (MIPS)
- Final score
- 82.13 of 100
- Quality
- 66.85
- Promoting interoperability
- 99
- Improvement activities
- 40
- Cost
- 74.4
Procedures performed for Medicare patients
| Procedure | Number of procedures |
|---|---|
| Coronary angioplasty and stenting | 11 |
| Varicose vein removal | 1-10 |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Osteopathy
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 5101016045 | MI | MD | Internal Medicine Physician |
| AZ005416 | AZ | MD | Cardiovascular Disease Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Heart and Wellness Center PLLC | Interventional Cardiology | Current | Accepting new patients |
| Sjhmc Physician Services | Current | Accepting new patients | |
| Kingman Healthcare, Inc | Current | Accepting new patients | |
| Northern Arizona Healthcare Corporation | Family Medicine | Current | Accepting new patients |
| Kingman Healthcare, Inc | Family Medicine | Current | Accepting new patients |
| Kingman Healthcare, Inc | Family Medicine | Current | Accepting new patients |
| Gregg Krahn DPM PC | Past | Accepting new patients | |
| Premier Cardiovascular Center, PLC | Cardiovascular Disease | Past | Accepting new patients |
| Comprehensive Surgical Care LLC | Past | Accepting new patients | |
| Privia Medical Group Arizona, LLC | Past | Accepting new patients | |
| Privia Medical Group Arizona, LLC | Family Medicine | Past | Accepting new patients |
| Privia Medical Group Arizona, LLC | Family Medicine | Past | Accepting new patients |
| Floyd I Miller DPM PC | Past | Accepting new patients |
Locations
269 S Candy Ln
Cottonwood, AZ 86326
Phone (928) 634-2251
1215 N Beaver St
Ste 203
Flagstaff, AZ 86001
Phone (928) 773-2249
3269 N Stockton Hill Rd
Kingman, AZ 86409
Phone (928) 757-0626
1739 E Beverly Ave
Ste 214
Kingman, AZ 86409
Phone (928) 681-8734
1739 E Beverly Ave
Ste 217
Kingman, AZ 86409
Phone (928) 681-8724
1301 S Crismon Rd
Mesa, AZ 85209
Phone (480) 358-6300
350 W Thomas Rd
Phoenix, AZ 85013
Phone (480) 339-5001
500 W Thomas Rd
Ste 680
Phoenix, AZ 85013
Phone (602) 406-6017
124 W Thomas Rd
Fl 2
Phoenix, AZ 85013
Phone (602) 282-0078
10214 N Tatum Blvd
Ste B300
Phoenix, AZ 85028
Phone (480) 469-6866
File 56765
Los Angeles, CA 90074
Organizations & group practices 13
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
- Phoenix, AZ
- NPI 1508559238
-
- Family Medicine Physician
- Flagstaff, AZ
- NPI 1669914552
-
- Community/Retail Pharmacy
- Kingman, AZ
- NPI 1992286298
-
- Multi-Specialty Clinic/Center
- Phoenix, AZ
- NPI 1326098005
-
- Ambulatory Surgical Clinic/Center
- Sun City, AZ
- NPI 1760968234
-
- Podiatric Clinic/Center
- Chandler, AZ
- NPI 1932227139
-
- Podiatrist
- Chandler, AZ
- NPI 1417129248
-
- Cardiovascular Disease Physician
- Chandler, AZ
- NPI 1669700993
-
- Neurology Physician
- Phoenix, AZ
- NPI 1245876705
-
- Family Medicine Physician
- Payson, AZ
- NPI 1740459700
Hospital & facility affiliations 6
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- Psychiatric Hospital Unit
- Flagstaff, AZ
- NPI 1649370875
-
- General Acute Care Hospital
- Flagstaff, AZ
- NPI 1780635078
-
- General Acute Care Hospital
- Cottonwood, AZ
- NPI 1346291648
-
- General Acute Care Hospital
- Sedona, AZ
- NPI 1538608716
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1179187200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1677196800000",
"number": "1114133261",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 1617",
"city": "CHANDLER",
"state": "AZ",
"postal_code": "852441617",
"telephone_number": "480-814-0266",
"fax_number": "480-814-0018"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "77 S DOBSON RD",
"city": "CHANDLER",
"state": "AZ",
"postal_code": "852246289",
"telephone_number": "480-814-0266",
"fax_number": "480-814-0018"
}
],
"practiceLocations": [
{
"address_1": "803 N Salk Dr",
"address_purpose": "LOCATION",
"city": "Casa Grande",
"state": "AZ",
"postal_code": "851225447",
"country_code": "US",
"telephone_number": "520-836-6682",
"fax_number": "520-836-6703",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "MAKKI",
"first_name": "HASSAN",
"middle_name": "SAMIR",
"name_prefix": "Dr.",
"credential": "DO",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2007-05-15",
"last_updated": "2023-02-24",
"certification_date": "2023-02-24",
"status": "A"
},
"taxonomies": [
{
"code": "207R00000X",
"taxonomy_group": "",
"desc": "Internal Medicine",
"state": "MI",
"license": "5101016045",
"primary": false
},
{
"code": "207RC0000X",
"taxonomy_group": "",
"desc": "Internal Medicine, Cardiovascular Disease",
"state": "AZ",
"license": "005416",
"primary": false
},
{
"code": "207RC0000X",
"taxonomy_group": "",
"desc": "Internal Medicine, Cardiovascular Disease",
"state": "AZ",
"license": "AZ005416",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "522131",
"state": "AZ"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "MEDICARE",
"identifier": "Z287556",
"state": "AZ"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "MEDICARE",
"identifier": "Z287555",
"state": "AZ"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Chandler, AZ
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 24, 2023; 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.