Individual provider Active NPI

Stefan Hasinski, M.D.

  • Specialist
  • Phoenix, AZ
National Provider Identifier
1194782094
Registry record updated Dec 17, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
SpecialistTaxonomy code 174400000X
License
29125 Issued in AZ
Practice address
15640 N 28TH Dr
Phoenix, AZ 85053-4059
Phone
(602) 439-9000
Fax
(602) 978-5233
NPI assigned
Apr 26, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Dec 17, 2013

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Specialist 174400000X 29125 AZ Primary

Addresses

Primary practice location

15640 N 28TH Dr
Phoenix, AZ 85053-4059

Mailing address

15640 N 28TH Dr
Phoenix, AZ 85053-4059
Phone (602) 439-9000

Other identifiers 3

IdentifierTypeStateIssuer
460003244OtherAZRAILROAD MEDICARE
AZ0890170OtherAZBLUE CROSS
P00609130OtherAZRAILROAD

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
I20080314000432 AZ Practitioner - Endocrinology 2466537436 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Endocrinology
Education
Ohio State University College of Medicine, 1988
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Arizona Endocrinology Center PLCGroup PAC ID 0749365781, 10 clinicians

Practice addresses (Care Compare)

15640 N 28TH Dr
Phoenix, AZ 85053-4059
Phone (602) 439-9623

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Arizona Endocrinology Center, PLC CurrentSince Jan 1, 2008 Accepting new patients
Arizona Endocrinology Center, PLC Specialist CurrentSince Jan 1, 2008 Accepting new patients
Arizona Endocrinology Center, PLC Current Accepting new patients
Drexel University Past Accepting new patients
Major Hospital Past Accepting new patients

Locations

4100 S Lindsay Rd
Ste 130
Gilbert, AZ 85297
Phone (480) 728-9531

3530 S Val Vista Dr
Ste C202
Gilbert, AZ 85297
Phone (480) 633-6868

5130 W Thunderbird Rd
Ste 1
Glendale, AZ 85306
Phone (602) 439-9000

15640 N 28th Dr
Phoenix, AZ 85053
Phone (602) 439-9000

Interoperability endpoints

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

Organizations & group practices 5

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.

NPI Registry JSON

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

{
    "created_epoch": "1146009600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1387238400000",
    "number": "1194782094",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "15640 N 28TH DR",
            "city": "PHOENIX",
            "state": "AZ",
            "postal_code": "850534059",
            "telephone_number": "602-439-9000",
            "fax_number": "602-978-5233"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "15640 N 28TH DR",
            "city": "PHOENIX",
            "state": "AZ",
            "postal_code": "850534059",
            "telephone_number": "602-439-9000",
            "fax_number": "602-978-5233"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HASINSKI",
        "first_name": "STEFAN",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-04-26",
        "last_updated": "2013-12-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "174400000X",
            "taxonomy_group": "",
            "desc": "Specialist",
            "state": "AZ",
            "license": "29125",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "RAILROAD MEDICARE",
            "identifier": "460003244",
            "state": "AZ"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE CROSS",
            "identifier": "AZ0890170",
            "state": "AZ"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "RAILROAD",
            "identifier": "P00609130",
            "state": "AZ"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Phoenix, AZ

Sources for this page

Verify at the official NPI Registry.