NPIMap

Individual provider Active NPI

Khalid M Shirif, M.D.

  • Hospice and Palliative Medicine (Surgery) Physician
  • Gilbert, AZ
National Provider Identifier
1407927130
Registry record updated May 11, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
Hospice and Palliative Medicine (Surgery) PhysicianTaxonomy code 2086H0002X
License
38215 Issued in AZ
Practice address
105 N Pasadena St
Gilbert, AZ 85233-5013
Phone
(480) 268-2670
Fax
(480) 268-2671
NPI assigned
Nov 13, 2006
Last updated
May 11, 2010By the provider in NPPES
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on May 11, 2010

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Hospice and Palliative Medicine (Surgery) Physician 2086H0002X 38215 AZ Primary
Geriatric Medicine (Family Medicine) Physician 207QG0300X 38215 AZ
Hospice and Palliative Medicine (Internal Medicine) Physician 207RH0002X 38215 AZ

Addresses

Primary practice location

105 N Pasadena St
Gilbert, AZ 85233-5013

Mailing address

105 N Pasadena St
Gilbert, AZ 85233-5013
Phone (480) 268-2670

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in AZ
Eligible to order & refer
  • Part B services
  • Medical equipment
  • Home health
  • Power mobility devices
  • Hospice
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20100722000399 AZ Practitioner - Hospice/Palliative CarePractitioner - General PracticePractitioner - Family PracticePractitioner - Geriatric Medicine 7517099807 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Hospice/Palliative CareAlso: Family Practice, General Practice, Geriatric Medicine
Education
University of Minnesota Medical School, 1997
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Vanguard Mobile Physicians PLLCGroup PAC ID 2567744519, 3 clinicians

Practice addresses (Care Compare)

105 N Pasadena St
Gilbert, AZ 85233-5013

1840 E University Dr
Suite 1
Mesa, AZ 85203-8237
Phone (480) 246-3593

Hospital & facility affiliations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
38215AZMDHospice and Palliative Medicine (Surgery) Physician

Practice roles

OrganizationSpecialtyStatusNew patients
American Care Concepts Hospice LLC Geriatric Medicine CurrentSince Nov 12, 2019 Accepting new patients
Grace Medical Group LLC Geriatric Medicine CurrentSince Feb 25, 2024 Accepting new patients
Reflections Hospice of Arizona North Geriatric Medicine Current Accepting new patients
Anthem East LLC Geriatric Medicine CurrentSince Jul 29, 2022 Accepting new patients
Traditions Hospice of Arizona II, LLC PastSince Feb 6, 2013 Accepting new patients
Apache Healthcare Services Inc. Past Accepting new patients
Traditions Hospice of Arizona I, LLC PastSince Aug 26, 2014 Accepting new patients
Healthy Tomorrows Past Accepting new patients
Apache Healthcare Services Inc. Past Accepting new patients

Locations

105 N Pasadena St
Ste 3
Gilbert, AZ 85233
Phone (480) 246-3500

1840 E University Dr
Ste 1
Mesa, AZ 85203
Phone (480) 246-3593

2675 N Wyatt Dr
Tucson, AZ 85712
Phone (520) 260-0937

Interoperability endpoints

  • Direct secure messaging: khalid.shirif.1@29610.direct.athenahealth.com

Ownership & related parties

All facility ownership & control disclosures 4

Facilities whose Medicare enrollment lists this provider’s PECOS associate ID as an owner or managing party.

FacilityTypeRoleSince
Anthem Hospice CareGilbert, AZ, CCN 031681 Hospice 5% Or Greater Direct Ownership Interest (100%) Aug 31, 2011
American Care Concepts Hospice LLCGilbert, AZ, CCN 001557 Hospice 5% Or Greater Direct Ownership Interest (100%)
Corporate Director (100%)		 Nov 7, 2019
Nov 12, 2019
Anthem East LLCGilbert, AZ, CCN 001563 Hospice 5% Or Greater Direct Ownership Interest (100%)
Corporate Director (100%)		 Jul 29, 2022
Jul 29, 2022
All Heart Hospice LLCMesa, AZ, CCN 001589 Hospice Corporate Director (75%) Feb 23, 2022

Owned or controlled facilities with NPI records 4

Facilities whose Medicare enrollment lists this provider as an owner, officer, director or managing party.

Organizations & group practices 10

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 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": "1163376000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1273536000000",
    "number": "1407927130",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "105 N PASADENA ST",
            "city": "GILBERT",
            "state": "AZ",
            "postal_code": "852335013",
            "telephone_number": "480-268-2670",
            "fax_number": "480-268-2671"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "105 N PASADENA ST",
            "city": "GILBERT",
            "state": "AZ",
            "postal_code": "852335013",
            "telephone_number": "480-268-2670",
            "fax_number": "480-268-2671"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SHIRIF",
        "first_name": "KHALID",
        "middle_name": "M",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-11-13",
        "last_updated": "2010-05-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2086H0002X",
            "taxonomy_group": "",
            "desc": "Surgery, Hospice and Palliative Medicine",
            "state": "AZ",
            "license": "38215",
            "primary": true
        },
        {
            "code": "207QG0300X",
            "taxonomy_group": "",
            "desc": "Family Medicine, Geriatric Medicine",
            "state": "AZ",
            "license": "38215",
            "primary": false
        },
        {
            "code": "207RH0002X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Hospice and Palliative Medicine",
            "state": "AZ",
            "license": "38215",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Gilbert, AZ

Sources for this page

Verify at the official NPI Registry.