Individual provider Active NPI

Haitham Shakir

  • Medical Physician Assistant
  • Phoenix, AZ
National Provider Identifier
1386411379
Registry record updated Mar 31, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Medical Physician AssistantTaxonomy code 363AM0700X
License
10956 Issued in AZ
Practice address
2640 W Baseline Rd Ste 111
Phoenix, AZ 85041-6492
Phone
(480) 677-8282
Fax
(844) 470-2777
NPI assigned
Dec 8, 2023
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Mar 31, 2025

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Medical Physician Assistant 363AM0700X 10956 AZ Primary

Addresses

Primary practice location

2640 W Baseline Rd Ste 111
Phoenix, AZ 85041-6492

Mailing address

261 N Roosevelt Ave
Chandler, AZ 85226-2617
Phone (480) 677-8282

Other names 1

  • Mr. Haitham Shakir Other name

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: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20250409003569 AZ Practitioner - Physician Assistant 9537683669 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Physician Assistant
Education
Other, 2024
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Good Health Medical PLLCGroup PAC ID 3779680962, 215 clinicians

Practice addresses (Care Compare)

10420 N la Canada Dr
Suite 120
Oro Valley, AZ 85737-7025
Phone (480) 677-8282

10613 W Olive Ave
Suite 200
Peoria, AZ 85345-7339
Phone (480) 677-8282

11320 W Tangerine Rd
Suite 101
Marana, AZ 85653-1583
Phone (480) 677-8282

1703 W Bethany Home Rd
Suite E27
Phoenix, AZ 85015-2503
Phone (480) 677-8282

17063 W Greenway Rd
Suite 102
Surprise, AZ 85388-9605
Phone (480) 677-8282

1982 W Main St
Suite 101
Mesa, AZ 85201-6917
Phone (480) 677-8282

20640 W Roosevelt St
Suite 104
Buckeye, AZ 85326-1555
Phone (480) 677-8282

2445 E Baseline Rd
Suite 133
Phoenix, AZ 85042-7090
Phone (480) 677-8282

2632 S 83Rd Ave
Suite 113
Phoenix, AZ 85043-7206
Phone (480) 677-8282

3100 N Alma School Rd
Chandler, AZ 85224-1468
Phone (480) 672-8282

3436 W Bell Rd
Phoenix, AZ 85053-2926
Phone (480) 677-8282

37908 N Gantzel Rd
Suite 103
Queen Creek, AZ 85140-9214
Phone (480) 677-8282

401 E Bell Rd
Suite 18
Phoenix, AZ 85022-2395
Phone (480) 677-8282

4025 E Chandler Blvd
Suite 42
Phoenix, AZ 85048-8832
Phone (480) 677-8282

428 S Gilbert Rd
Suite 101
Gilbert, AZ 85296-2261
Phone (480) 677-8282

6661 W Bell Rd
Suite 106B
Glendale, AZ 85308-3697
Phone (480) 677-8282

7448 W Glendale Ave
Suite C 140
Glendale, AZ 85303-2575
Phone (480) 677-8282

9484 E 22ND St
Suite 120
Tucson, AZ 85710-7314
Phone (480) 677-8282

9796 W McDowell Rd
Suite 105
Phoenix, AZ 85037-4179
Phone (480) 677-8282

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
10956AZMDDay Training/Habilitation Specialist

Practice roles

OrganizationSpecialtyStatusNew patients
Good Health Medical, PLLC CurrentSince Mar 31, 2025 Accepting new patients
Good Health Medical, PLLC CurrentSince Mar 31, 2025 Accepting new patients
Good Health Medical, PLLC Past Accepting new patients

Locations

261 N Roosevelt Ave
Chandler, AZ 85226
Phone (480) 305-2888

428 S Gilbert Rd
Ste 101
Gilbert, AZ 85296
Phone (480) 632-7400

11320 W Tangerine Rd
Ste 101
Marana, AZ 85653
Phone (880) 677-8282

3436 W Bell Rd
Phoenix, AZ 85053

2640 W Baseline Rd
Ste 111
Phoenix, AZ 85041
Phone 4803052888 ext. 1109

287 E Hunt Hwy
Ste 105
San Tan Valley, AZ 85143
Phone (480) 667-8282

Interoperability endpoints

  • FHIR API: https://epicproxy.et4001.epichosted.com/APIProxyPRD/MDN/api/FHIR/R4

Organizations & group practices 4

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": "1701993600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1743379200000",
    "number": "1386411379",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "261 N ROOSEVELT AVE",
            "city": "CHANDLER",
            "state": "AZ",
            "postal_code": "852262617",
            "telephone_number": "480-677-8282"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2640 W BASELINE RD STE 111",
            "city": "PHOENIX",
            "state": "AZ",
            "postal_code": "850416492",
            "telephone_number": "480-677-8282",
            "fax_number": "844-470-2777"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SHAKIR",
        "first_name": "HAITHAM",
        "name_prefix": "Mr.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2023-12-08",
        "last_updated": "2025-03-31",
        "certification_date": "2025-03-31",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363AM0700X",
            "taxonomy_group": "",
            "desc": "Physician Assistant, Medical",
            "state": "AZ",
            "license": "10956",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "HAITHAM",
            "last_name": "SHAKIR",
            "prefix": "MR.",
            "credential": "PA-C",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

Other providers in Phoenix, AZ

Sources for this page

Verify at the official NPI Registry.