Hamidullah Habib Fala, MD

Primary specialty

Internal Medicine PhysicianTaxonomy code 207R00000X

License

43045 Issued in AZ

Practice address

14749 W Mountain View Blvd Ste 138
Surprise, AZ 85374-2704

Phone

(623) 738-0440

Fax

(480) 374-8051

NPI assigned

Aug 4, 2008

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 2

Addresses

Other identifiers 1

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

Internal Medicine

Education

Other, 2007

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Banner Hospital Based Physicians Arizona LLCGroup PAC ID 3274782487, 636 clinicians

Centerwell Senior Primary Care Az CS PCGroup PAC ID 6800318049, 5 clinicians

Practice addresses (Care Compare)

Hospital & facility affiliations

• Banner Home Care-Arizona Home health agency, Mesa, AZ, CCN 037015
• Integrity Home Health Care Services, LLC Home health agency, Phoenix, AZ, CCN 037246
• Emblem Home Health Phoenix Home health agency, Phoenix, AZ, CCN 037438
• Community First Home Health Care, LLC Home health agency, Wickenburg, AZ, CCN 037481
• Banner del E. Webb Medical Center Hospital, Sun City West, AZ, CCN 030093
• Banner Boswell Medical Center Hospital, Sun City, AZ, CCN 030061

Procedures performed for Medicare patients

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

Practice roles

Locations

Interoperability endpoints

• FHIR API: https://fhir4.healow.com/fhir/r4/CIGACD/Endpoint/CIGACD

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.

• Banner Hospital Based Physicians Arizona LLC

  • Multi-Specialty Clinic/Center
  • San Tan Valley, AZ
  • NPI 1275889891

  Single Specialty

  Medicare reassignment Care Compare group NPD
• Centerwell Senior Primary Care Az CS PC

  • Internal Medicine Physician
  • Phoenix, AZ
  • NPI 1255167417

  Single Specialty

  Medicare reassignment Care Compare group NPD
• Fala Medical Clinic PLLC

  • Primary Care Clinic/Center
  • Surprise, AZ
  • NPI 1972134054

  Single Specialty

  Medicare reassignment NPD
• True Care Fala MD

  • Internal Medicine Physician
  • Sun City West, AZ
  • NPI 1588207377

  Single Specialty

  NPD (past) Authorized official
• Banner Hospital Based Physicians Arizona LLC

  • Multi-Specialty Clinic/Center
  • Gilbert, AZ
  • NPI 1124374822

  Single Specialty

  NPD
• Banner Hospital Based Physicians Arizona LLC

  • Critical Care Medicine (Internal Medicine) Physician
  • Phoenix, AZ
  • NPI 1780445171

  Single Specialty

  NPD
• Centerwell Senior Primary Care Az CS PC

  • Internal Medicine Physician
  • Phoenix, AZ
  • NPI 1326991720
  NPD

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

• Banner Boswell Medical Center

  • General Acute Care Hospital
  • Sun City, AZ
  • NPI 1952560914
  Care Compare affiliation
• Banner del E Webb Medical Center

  • General Acute Care Hospital
  • Sun City West, AZ
  • NPI 1588823553
  Care Compare affiliation
• Banner Home Care-Arizona

  • Home Health Agency
  • Sun City, AZ
  • NPI 1023051927
  Care Compare affiliation
• Community First Home Health Care, LLC

  • Home Health Agency
  • Wickenburg, AZ
  • NPI 1336698729
  Care Compare affiliation
• Integrity Home Health Care Services, LLC

  • Home Health Agency
  • Phoenix, AZ
  • NPI 1336246990
  Care Compare affiliation
• Rock Garden Healthcare LLC

  • Home Health Agency
  • Phoenix, AZ
  • NPI 1033715222
  Care Compare affiliation

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

{
    "created_epoch": "1217808000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1683504000000",
    "number": "1124284625",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "14749 W MOUNTAIN VIEW BLVD STE 138",
            "city": "SURPRISE",
            "state": "AZ",
            "postal_code": "853742704",
            "telephone_number": "623-738-0440",
            "fax_number": "480-374-8051"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "14749 W MOUNTAIN VIEW BLVD STE 138",
            "city": "SURPRISE",
            "state": "AZ",
            "postal_code": "853742704",
            "telephone_number": "623-738-0440",
            "fax_number": "480-374-8051"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "FALA",
        "first_name": "HAMIDULLAH",
        "middle_name": "HABIB",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2008-08-04",
        "last_updated": "2023-05-08",
        "certification_date": "2023-05-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207RA0000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Internal Medicine, Adolescent Medicine",
            "state": "AZ",
            "license": "43045",
            "primary": false
        },
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "AZ",
            "license": "43045",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "546663",
            "state": "AZ"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Rosemary Fadool, DO
• Sarah Fagus
• Jeffrey Fairer
• Faith N Grace Transport LLC
• Fala Medical Clinic PLLC
• Family Care Connections LLC
• Family Telemed PLLC
• Family Urgent Care PLLC
• King Fanene, RBT
• Bonnie Farmer

• Internal Medicine Physician in Surprise, AZ
• Providers in Surprise, AZ by specialty
• Internal Medicine Physician in Arizona

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 8, 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.