NPIMap

Organization Active NPI

Lifeline Hospitalist Associates LLC

  • Internal Medicine Physician
  • Mesa, AZ
National Provider Identifier
1265107478
Registry record updated Dec 30, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
Legal business name
LIFELINE HOSPITALIST ASSOCIATES LLC
Practice address
255 W Brown Rd
Mesa, AZ 85201-3404
Phone
(480) 985-1093
Fax
(480) 296-7665
NPI assigned
Aug 10, 2021
Last updated
Dec 30, 2025By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Dec 30, 2025

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

Authorized official

Name
Waqas Ahmad Qamar, MDNPI 1447517503
Title
Authorized Official
Phone
(734) 642-6543

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine Physician 207R00000X Primary

Addresses

Primary practice location

255 W Brown Rd
Mesa, AZ 85201-3404

Mailing address

PO Box 20610
Mesa, AZ 85277-0610
Phone (480) 985-1093

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in AZ

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20211004003129 AZ Part B Supplier - Clinic/Group Practice 3577961606 Receives reassigned benefits from 41 practitioners
Practice locations: Mesa, AZ; Phoenix, AZ; Chandler, AZ

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 42

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

View all 42

NPI Registry JSON

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

{
    "created_epoch": "1628553600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1767052800000",
    "number": "1265107478",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 20610",
            "city": "MESA",
            "state": "AZ",
            "postal_code": "852770610",
            "telephone_number": "480-985-1093",
            "fax_number": "480-296-7665"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "255 W BROWN RD",
            "city": "MESA",
            "state": "AZ",
            "postal_code": "852013404",
            "telephone_number": "480-985-1093",
            "fax_number": "480-296-7665"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "LIFELINE HOSPITALIST ASSOCIATES LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2021-08-10",
        "last_updated": "2025-12-30",
        "certification_date": "2025-12-30",
        "status": "A",
        "authorized_official_last_name": "QAMAR",
        "authorized_official_first_name": "WAQAS",
        "authorized_official_middle_name": "AHMAD",
        "authorized_official_title_or_position": "AUTHORIZED OFFICIAL",
        "authorized_official_telephone_number": "734-642-6543",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Mesa, AZ

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 30, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.