Alhassan M Badahman, M.D.
Individual provider Active NPI Pulmonary Disease Physician · Mesa, AZ
NPI 1477586022 · NPPES record last updated Jan 9, 2012
Key facts
- NPI
- 1477586022
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Pulmonary Disease Physician 207RP1001X
- License
- 37982 (AZ)
- Practice address
- 3155 E Southern Ave
Suite 203
Mesa, AZ 85204-5519 - Phone
- (480) 325-8173
- Fax
- (480) 325-8179
- NPI assigned
- Jul 8, 2006
- Sex
- Male
- Sole proprietor
- No
Organizations & group practices 17
Hospital & facility affiliations 5
Medicare Care Compare profile
- Specialty
- Pulmonary Disease
- Education
- Other, 1996
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
- The Aroostook Medical Center
Covenant Medical Center Inc
Practice addresses (Care Compare)
140 Academy St
Presque Isle, ME 04769-3102
146 Academy St
Presque Isle, ME 04769-3102
226 Bluebell Rd
Cedar Falls, IA 50613-6328
Phone (319) 575-5800
2710 Saint Francis Dr
Waterloo, IA 50702-5619
Phone (319) 272-5000
2710 Saint Francis Dr
Waterloo, IA 50702-5620
3421 W 9TH St
Waterloo, IA 50702-5401
Hospital & facility affiliations
- Mercyone Waterloo Medical Center
- Northern Light a R Gould Hospital
- Sartori Memorial Hospital, Inc
- Allen Hospital
- Grundy County Memorial Hospital
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled (3 enrollments) in ME, AZ, IA
- Eligible to order & refer
- Part B services: Yes · DME: Yes · Home health: Yes · Power mobility devices: Yes · Hospice: Yes
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20050609000375 | ME | Practitioner - Pulmonary Disease |
7214970391 | Reassigns benefits to 1 organization |
| I20080714000638 | AZ | Practitioner - Pulmonary Disease |
7214970391 | |
| I20240812002451 | IA | Practitioner - Pulmonary Disease |
7214970391 | Reassigns benefits to 1 organization |
National Provider Directory
- Medicare enrollment (NPD)
- Yes
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 015928 | ME | MD | Pulmonary Disease Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Covenant Medical Center, Inc. | Current |
Accepting new patients | |
| The Aroostook Medical Center | Current | Accepting new patients | |
| Covenant Medical Center Inc | Current |
Accepting new patients | |
| The Aroostook Medical Center | Current |
Accepting new patients | |
| The Aroostook Medical Center | Current |
Accepting new patients | |
| Arizona Lung & Sleep Institute PLLC | Pulmonary Disease | Past |
Accepting new patients |
| Critical Care Consultants LLC | Critical Care Medicine | Past | Accepting new patients |
| Horizons Health Services | Past | Accepting new patients |
Locations
751 Main St
Arlington, IA 50606
Phone (563) 633-6965
226 Bluebell Rd
Cedar Falls, IA 50613
Phone (319) 575-5800
3421 W 9th St
Waterloo, IA 50702
Phone (319) 272-7050
140 Academy St
Ste 10
Presque Isle, ME 04769
Phone (207) 764-3734
140 Academy St
#10
Presque Isle, ME 04769
Phone (207) 764-3734
140 Academy St
Presque Isle, ME 04769
Phone (207) 768-4000
Interoperability endpoints
- abadahman3929767@direct.trinity-health.org
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Pulmonary Disease Physician | 207RP1001X | 015928 | ME | |
| Pulmonary Disease Physician | 207RP1001X | 37982 | AZ | Yes |
Addresses
Primary practice location
3155 E Southern Ave
Suite 203
Mesa, AZ 85204-5519
Mailing address
3155 E Southern Ave
Suite 203
Mesa, AZ 85204-5519
Phone (480) 325-8173
Other identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 7153373 | Other | ME | AETNA NON-HMO |
| 3320405 | Other | ME | AETNA HMO |
| 693021 | Other | ME | HRVPIL |
| 04659 | Other | ME | ANTHEM |
| Z78334 | Other | AZ | GROUP PTAN |
| 106988 | Other | ME | MARTPOINT |
| 225114008 | Other | ME | UNITED HEALTHCARE |
| M1064102 | Other | ME | CIGNA |
| Z148046 | Other | AZ | PTAN MD ANDERSON |
Other providers in Mesa, AZ
- Back in Balance Chiropractic,LLC
- Back to Health Nursing
- Virginia L Backman
- Jaclyn Bacon
- Sharon Denise Badabing
- Kristen Badone
- Anita Kathryn Baehr
- Brian Baer
- Devin Vincent Baer
- Joshua J Baer
All providers in Mesa, AZ · Pulmonary Disease Physician in Arizona
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Jan 9, 2012. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- Order and Referring (CMS).
- Medicare Care Compare provider data (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.