Individual provider Active NPI

Nasser Hajaig, MD

  • Internal Medicine Physician
  • Phoenix, AZ
National Provider Identifier
1457324204
Registry record updated Feb 3, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
License
25018 Issued in AZ
Practice address
19646 N 27TH Ave
Suite 1301
Phoenix, AZ 85027-4017
Phone
(623) 580-5390
Fax
(623) 580-5397
NPI assigned
Feb 10, 2006
Last updated
Feb 3, 2022By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Feb 3, 2022

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine Physician 207R00000X 25018 AZ Primary

Addresses

Primary practice location

19646 N 27TH Ave
Suite 1301
Phoenix, AZ 85027-4017

Mailing address

19646 N 27TH Ave
Suite 1301
Phoenix, AZ 85027-4017
Phone (623) 580-5390

Other identifiers 2

IdentifierTypeStateIssuer
387044MedicaidAZ
21043OtherAZMEDICAID PIN NUMBER

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
I20040708000751 AZ Practitioner - Internal MedicinePractitioner - Other (Physician) 6800788787 Reassigns benefits to 5 organizations

Care Compare profile

Medicare Care Compare
Specialty
Internal Medicine
Education
Other, 1993
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Circle the CityGroup PAC ID 3971824442, shared by 7 NPIs, 63 clinicians
Forward Care Family Practice, PLLCGroup PAC ID 9638584857, 2 clinicians

Practice addresses (Care Compare)

210 S 12TH Ave
Phoenix, AZ 85007-3101
Phone (602) 254-4282

220 S 12TH Ave
Phoenix, AZ 85007-3101
Phone (602) 258-8282

333 W Indian School Rd
Phoenix, AZ 85013-3205
Phone (602) 776-9000

7800 N 55TH Ave
Suite 106
Glendale, AZ 85301-1322
Phone (602) 718-1962

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
25018AZMDInternal Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Circle the City CurrentSince Jan 29, 2020 Accepting new patients
Forward Care Family Practice, PLLC CurrentSince Jan 9, 2022 Accepting new patients
Teris Health Services LLC Current Accepting new patients
Circle the City Family Medicine Current Accepting new patients
Circle the City CurrentSince Jan 29, 2020 Accepting new patients
Squaw Peak Family Physicians PC Family Medicine Current Accepting new patients
Optimal Health and Wellness Center PLLC CurrentSince Aug 3, 2025 Accepting new patients
American Current Care of Arizona PA CurrentSince Oct 6, 2014 Accepting new patients
Teri's Health Services CurrentSince Oct 15, 2021 Accepting new patients
Optimal Mens Center PLLC Family Medicine CurrentSince Feb 19, 2020 Accepting new patients
Glendale Medical Clinic LLC CurrentSince Jan 9, 2022 Accepting new patients
Center for Physical Medicine & Rehabilitation P C Past Accepting new patients
Tri-City Express Care, PLLC Past Accepting new patients
Tri-City Express Care, PLLC Family Medicine Past Accepting new patients
Focused Family Services LLC Internal Medicine Past Accepting new patients
Tri-City Express Care, PLLC Family Medicine Past Accepting new patients
Honorhealth Urgent Care, LLC Family Medicine Past Accepting new patients
Tri-City Express Care, PLLC Past Accepting new patients
Whispering Palms Medical Inc Family Medicine Past Accepting new patients
Tri-City Express Care, PLLC Family Medicine Past Accepting new patients
Tri-City Express Care, PLLC Past Accepting new patients

Locations

1110 E Route 66
Ste 100
Flagstaff, AZ 86001
Phone (928) 527-1920

7800 N 55th Ave
Ste 106
Glendale, AZ 85301
Phone (602) 718-1962

8190 W Union Hills Dr
Ste 145
Glendale, AZ 85308
Phone (602) 678-4625

700 N Estrella Pkwy
Ste 145
Goodyear, AZ 85338
Phone (602) 678-4625

7205 S 51st Ave
Ste 203
Laveen, AZ 85339
Phone (602) 358-7073

14040 N Cave Creek Rd
Ste 205
Phoenix, AZ 85022
Phone (602) 358-7073

210 S 12th Ave
Phoenix, AZ 85007
Phone (602) 254-4282

3522 N 3rd Ave
Phoenix, AZ 85013
Phone (602) 776-7676

901 E Jefferson St
Phoenix, AZ 85034
Phone (602) 261-7888

9327 N 3rd St
Ste 100
Phoenix, AZ 85020
Phone (602) 371-3100

7119 E Broadway Blvd
Tucson, AZ 85710
Phone (520) 881-0050

Interoperability endpoints

  • FHIR API: https://api.platform.athenahealth.com/20695/brand/1/csg/1/fhir/r4
  • FHIR API: https://api.platform.athenahealth.com/22605/brand/1/csg/1/fhir/r4
  • Direct secure messaging: nasser.hajaig.1@11818.direct.athenahealth.com
  • Direct secure messaging: nasser.hajaig.1@20695.direct.athenahealth.com

Organizations & group practices 21

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.

View all 21

NPI Registry JSON

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

{
    "created_epoch": "1139529600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1643846400000",
    "number": "1457324204",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "19646 N 27TH AVE",
            "address_2": "SUITE 1301",
            "city": "PHOENIX",
            "state": "AZ",
            "postal_code": "850274017",
            "telephone_number": "623-580-5390",
            "fax_number": "623-580-5397"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "19646 N 27TH AVE",
            "address_2": "SUITE 1301",
            "city": "PHOENIX",
            "state": "AZ",
            "postal_code": "850274017",
            "telephone_number": "623-580-5390",
            "fax_number": "623-580-5397"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HAJAIG",
        "first_name": "NASSER",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-02-10",
        "last_updated": "2022-02-03",
        "certification_date": "2022-02-03",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "AZ",
            "license": "25018",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "387044",
            "state": "AZ"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICAID PIN NUMBER",
            "identifier": "21043",
            "state": "AZ"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Phoenix, AZ

Sources for this page

Verify at the official NPI Registry.