Shabib A Alhadheri, MD

Primary specialty

Pediatric Cardiology PhysicianTaxonomy code 2080P0202X

License

34597 Issued in AZ

Practice address

936 W. Chandler Blvd.
Suite #2
Chandler, AZ 85225

Phone

(480) 855-1339

Fax

(480) 857-0313

NPI assigned

May 12, 2006

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

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

Specialty

Cardiovascular Disease (Cardiology)

Education

Other, 1993

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

Practice roles

Locations

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.

• Advanced Pediatric Cardiology, PLLC

  • Pediatric Cardiology Physician
  • Chandler, AZ
  • NPI 1134410913

  AZ, Pediatric Cardiology

  Medicare reassignment NPD Authorized official
• Obstetrix Medical Group of Phoenix PC

  • Pediatric Cardiology Physician
  • Phoenix, AZ
  • NPI 1346269594

  Pediatric Cardiology

  NPD (past)
• Obstetrix Medical Group of Phoenix PC

  • Neonatal-Perinatal Medicine Physician
  • Mesa, AZ
  • NPI 1407957152
  NPD (past)

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

{
    "created_epoch": "1147392000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1678147200000",
    "number": "1124079546",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1478 W ELLIOT RD",
            "address_2": "STE 102",
            "city": "GILBERT",
            "state": "AZ",
            "postal_code": "852335191",
            "telephone_number": "480-855-1339",
            "fax_number": "480-857-0313"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "936 W. CHANDLER BLVD.",
            "address_2": "SUITE #2",
            "city": "CHANDLER",
            "state": "AZ",
            "postal_code": "85225",
            "telephone_number": "480-855-1339",
            "fax_number": "480-857-0313"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ALHADHERI",
        "first_name": "SHABIB",
        "middle_name": "A",
        "credential": "MD",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-05-12",
        "last_updated": "2023-03-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2080P0202X",
            "taxonomy_group": "",
            "desc": "Pediatrics, Pediatric Cardiology",
            "state": "AZ",
            "license": "34597",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Gabrielle Renee Alexander
• Jessi Lea Alexander, D.C.
• Sara Ann Alexander
• Kamal Alfakiani, DDS
• Donnetta Y Alford
• Mohammed A Alhassen, MD
• Aisha Hassan Ali
• Essam Ali, M.D.
• Kristal Anne Ali, APRN
• Victoria Sergeyevna Alimov, M.D.

• All providers in Chandler, AZ
• Pediatric Cardiology Physician in Arizona

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 7, 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.

Verify at the official NPI Registry.