Individual provider Active NPI

Mika Hakkarainen, PA

  • Physician Assistant
  • Chandler, AZ
National Provider Identifier
1326216136
Registry record updated Jun 19, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physician AssistantTaxonomy code 363A00000X
License
4751 Issued in AZ
Practice address
4722 W Carla Vista Dr
Chandler, AZ 85226-2915
Phone
(360) 870-3155
NPI assigned
Feb 14, 2008
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 19, 2012

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physician Assistant 363A00000X 4751 AZ Primary

Addresses

Primary practice location

4722 W Carla Vista Dr
Chandler, AZ 85226-2915

Mailing address

4722 W Carla Vista Dr
Chandler, AZ 85226-2915
Phone (360) 870-3155

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in AZ, TX, WA3 enrollments
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 3

Enrollment IDStateProvider typePAC IDDetails
I20120824000275 AZ Practitioner - Physician Assistant 4981851086 Reassigns benefits to 2 organizations
I20180130001447 TX Practitioner - Physician Assistant 4981851086 Reassigns benefits to 3 organizations
I20200121000688 WA Practitioner - Physician Assistant 4981851086 Reassigns benefits to 3 organizations

Care Compare profile

Medicare Care Compare
Specialty
Physician Assistant
Education
Other, 2007
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

1327 W Superior St
Suite 101
Sandpoint, ID 83864-2742

180 Via Verde
Suite 100
San Dimas, CA 91773-3989

3655 W Pineridge Dr
Coeur D Alene, ID 83815-8094

3825 N Lafayette St
Denver, CO 80205-3316

5080 Spectrum Dr
Suite 1200W
Addison, TX 75001-6443

Hospital & facility affiliations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Physician Assistant

Practice roles

OrganizationSpecialtyStatusNew patients
Pine Ridge Indian Health Service Hospital CurrentSince Mar 7, 2018 Accepting new patients
Ton Sells Hospital CurrentSince Aug 1, 2020 Accepting new patients
Rosebud Indian Health Service CurrentSince Jan 9, 2018 Accepting new patients
Tri-City Express Care, PLLC CurrentSince Jul 15, 2013 Accepting new patients
Pine Ridge Indian Health Service Hospital CurrentSince Mar 7, 2018 Accepting new patients
Scottsdale Emergency Associates, LTD. Physician Assistant CurrentSince Jun 5, 2012 Accepting new patients
Pine Ridge Indian Health Service Hospital Current Accepting new patients
Dispatchhealth Advanced Care - Washington PC PastSince Oct 21, 2020 Accepting new patients
Post Falls Family Medicine P.a. PastSince Jul 1, 1997 Accepting new patients
Ton Sells Hospital Past Accepting new patients

Locations

495 N Pinal Pkwy
Ste 106
Florence, AZ 85132
Phone (520) 568-0573

890 W Elliot Rd
Ste 103
Gilbert, AZ 85233
Phone (480) 241-7564

415 N Val Vista Dr
Ste 101
Mesa, AZ 85213
Phone (480) 654-5661

7400 E Osborn Rd
Scottsdale, AZ 85251
Phone (480) 481-4000

7850 N Silverbell Rd
Ste 132
Tucson, AZ 85743
Phone (480) 500-2286

7900 S J Stock Rd
Tucson, AZ 85746
Phone (520) 295-2550

Interoperability endpoints

  • Direct secure messaging: mika.hakkarainenpac.p3@direct.kootenai.nextgenshare.com

Organizations & group practices 16

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.

View all 16

Hospital & facility affiliations 4

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": "1202947200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1340064000000",
    "number": "1326216136",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4722 W CARLA VISTA DR",
            "city": "CHANDLER",
            "state": "AZ",
            "postal_code": "852262915",
            "telephone_number": "360-870-3155"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4722 W CARLA VISTA DR",
            "city": "CHANDLER",
            "state": "AZ",
            "postal_code": "852262915",
            "telephone_number": "360-870-3155"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HAKKARAINEN",
        "first_name": "MIKA",
        "credential": "PA",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2008-02-14",
        "last_updated": "2012-06-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "AZ",
            "license": "4751",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Chandler, AZ

Sources for this page

Verify at the official NPI Registry.