Individual provider Active NPI

Hassan Samir Makki, DO

  • Cardiovascular Disease Physician
  • Chandler, AZ
National Provider Identifier
1114133261
Registry record updated Feb 24, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Cardiovascular Disease PhysicianTaxonomy code 207RC0000X
License
AZ005416 Issued in AZ
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

Updated by the provider on Feb 24, 2023

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
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

IdentifierTypeStateIssuer
522131MedicaidAZ
Z287556OtherAZMEDICARE
Z287555OtherAZMEDICARE

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
I20100910000702 AZ Practitioner - Interventional CardiologyPractitioner - Cardiovascular Disease (Cardiology)Practitioner - Internal Medicine 5193840361 Reassigns benefits to 3 organizations

Care Compare profile

Medicare Care Compare
Specialty
Interventional CardiologyAlso: Cardiovascular Disease (Cardiology), Internal Medicine
Education
Other, 2004
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Northern Arizona Healthcare CorporationGroup PAC ID 3577473362, 391 clinicians

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 Hospital, Cottonwood, AZ, CCN 030007
  • Flagstaff Medical Center Hospital, Flagstaff, AZ, CCN 030023

Merit-based Incentive Payment System (MIPS)

Final score
82.13 of 100Reported as group
Quality
66.85
Promoting interoperability
99
Improvement activities
40
Cost
74.4

Procedures performed for Medicare patients

ProcedureNumber of procedures
Coronary angioplasty and stenting11
Varicose vein removal1-10

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
5101016045MIMDInternal Medicine Physician
AZ005416AZMDCardiovascular Disease Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Heart and Wellness Center PLLC Interventional Cardiology CurrentSince Aug 1, 2023 Accepting new patients
Sjhmc Physician Services CurrentSince Jun 1, 2009 Accepting new patients
Kingman Healthcare, Inc CurrentSince Feb 1, 2025 Accepting new patients
Northern Arizona Healthcare Corporation Family Medicine CurrentSince Nov 1, 2023 Accepting new patients
Kingman Healthcare, Inc Family Medicine CurrentSince Feb 1, 2025 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 PastSince Dec 28, 2022 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.

View all 13

Hospital & facility affiliations 6

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": "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

Verify at the official NPI Registry.