Individual provider Active NPI

Rossa Khalaf, MD

  • Hematology & Oncology Physician
  • Green Valley, AZ
National Provider Identifier
1154676146
Registry record updated Oct 5, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Hematology & Oncology PhysicianTaxonomy code 207RH0003X
License
65376 Issued in AZ
Practice address
121 W Esperanza Blvd # 181
Green Valley, AZ 85614-2622
Phone
(520) 689-6992
Fax
(520) 230-3310
NPI assigned
Jul 17, 2012
Last updated
Oct 5, 2022By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 5, 2022

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Hematology & Oncology Physician 207RH0003X 65376 AZ Primary
Medical Oncology Physician 207RX0202X R5753 TX
Medical Oncology Physician 207RX0202X 65376 AZ

Addresses

Primary practice location

121 W Esperanza Blvd # 181
Green Valley, AZ 85614-2622

Mailing address

3945 E Paradise Falls Dr Ste 201
Tucson, AZ 85712-6687
Phone (520) 689-7022

Other practice location 1

3945 E Paradise Falls Dr Ste 105
Tucson, AZ 85712-6686
Phone (520) 689-7022

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
I20220721001768 AZ Practitioner - Medical OncologyPractitioner - Internal Medicine 8224286992 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Medical OncologyAlso: Internal Medicine
Education
Other, 2010
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Arizona Blood and Cancer Specialists, PLLCGroup PAC ID 4082957428, 15 clinicians

Practice addresses (Care Compare)

10390 N la Canada Dr
Suite 150
Oro Valley, AZ 85737-7274
Phone (520) 276-6047

121 W Esperanza Blvd
Suite 181
Green Valley, AZ 85614-2622
Phone (520) 689-6992

3700 E Fort Lowell Rd
Suite 130
Tucson, AZ 85716-1729
Phone (520) 689-7022

3945 E Paradise Falls Dr
Suite 105
Tucson, AZ 85712-6686
Phone (520) 689-7022

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
100 of 100Reported as group
Quality
100
Improvement activities
40

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
65376AZMDHematology & Oncology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Arizona Blood and Cancer Specialists, PLLC Hematology & Oncology CurrentSince Jul 1, 2022 Accepting new patients
Arizona Blood and Cancer Specialists, PLLC Hematology & Oncology PastSince Nov 15, 2020 Accepting new patients
Arizona Blood and Cancer Specialists, PLLC Hematology & Oncology PastSince Jul 1, 2022 Accepting new patients

Locations

2115 W 16th St
Safford, AZ 85546
Phone (520) 689-7022

10390 N La Canada Dr
Ste 150
Tucson, AZ 85737
Phone (520) 276-6047

3700 E Fort Lowell Rd
Ste 130
Tucson, AZ 85716
Phone (520) 325-9718

3945 E Paradise Falls Dr
Ste 105
Tucson, AZ 85712
Phone (520) 689-7022

3945 E Paradise Falls Dr
Ste 201
Tucson, AZ 85712
Phone (520) 290-5888

Organizations & group practices 3

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

Hospital & facility affiliations 5

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": "1342483200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1664928000000",
    "number": "1154676146",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3945 E PARADISE FALLS DR STE 201",
            "city": "TUCSON",
            "state": "AZ",
            "postal_code": "857126687",
            "telephone_number": "520-689-7022",
            "fax_number": "520-230-3310"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "121 W ESPERANZA BLVD # 181",
            "city": "GREEN VALLEY",
            "state": "AZ",
            "postal_code": "856142622",
            "telephone_number": "520-689-6992",
            "fax_number": "520-230-3310"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "3945 E Paradise Falls Dr Ste 105",
            "address_purpose": "LOCATION",
            "city": "Tucson",
            "state": "AZ",
            "postal_code": "857126686",
            "country_code": "US",
            "telephone_number": "520-689-7022",
            "fax_number": "520-230-3310",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "KHALAF",
        "first_name": "ROSSA",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2012-07-17",
        "last_updated": "2022-10-05",
        "certification_date": "2022-10-05",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207RH0003X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Hematology & Oncology",
            "state": "AZ",
            "license": "65376",
            "primary": true
        },
        {
            "code": "207RX0202X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Medical Oncology",
            "state": "TX",
            "license": "R5753",
            "primary": false
        },
        {
            "code": "207RX0202X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Medical Oncology",
            "state": "AZ",
            "license": "65376",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Green Valley, AZ

Sources for this page

Verify at the official NPI Registry.