Hatim S Al-Jaroushi, M.D
Individual provider Active NPI Pulmonary Disease Physician · Phoenix, AZ
NPI 1477874295 · NPPES record last updated Jun 2, 2025
Key facts
- NPI
- 1477874295
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Pulmonary Disease Physician 207RP1001X
- License
- 76367 (AZ)
- Practice address
- 2601 E Roosevelt St
Phoenix, AZ 85008-4973 - Phone
- (602) 344-5011
- NPI assigned
- Jun 15, 2010
- Sex
- Male
- Sole proprietor
- No
Organizations & group practices 10
Hospital & facility affiliations 13
Medicare Care Compare profile
- Specialty
- Pulmonary Disease
- Education
- Other, 2001
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
- District Medical Group Inc
Practice addresses (Care Compare)
2601 E Roosevelt St
Phoenix, AZ 85008-4973
Phone (602) 344-5011
Hospital & facility affiliations
- Valleywise Health Medical Center
- West Virginia University Hospitals, Inc
Merit-based Incentive Payment System (MIPS)
- Final score
- 95.34 of 100
- Quality
- 79.86
- Promoting interoperability
- 100
- Improvement activities
- 40
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled (2 enrollments) in WV, AZ
- 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 |
|---|---|---|---|---|
| I20160229002419 | WV | Practitioner - Critical Care (Intensivists) |
3678760741 | Reassigns benefits to 2 organizations |
| I20250612001592 | AZ | Practitioner - Pulmonary Disease |
3678760741 | Reassigns benefits to 1 organization |
National Provider Directory
- Medicare enrollment (NPD)
- Yes
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 76367 | AZ | MD | Critical Care Medicine (Internal Medicine) Physician |
| 26700 | WV | MD | Pulmonary Disease Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| West Virginia University Medical Corporation | Current |
Accepting new patients | |
| Charleston Area Medical Center, Inc. | Current | Accepting new patients | |
| District Medical Group, Inc | Critical Care Medicine | Current |
Accepting new patients |
| District Medical Group, Inc | Current |
Accepting new patients | |
| Charleston Area Medical Center Inc | Current |
Accepting new patients | |
| Charleston Area Medical Center, Inc. | Current |
Accepting new patients | |
| West Virginia University Medical Corporation | Family Medicine | Current |
Accepting new patients |
| District Medical Group, Inc | Current | Accepting new patients | |
| West Virginia University Hospitals, Inc | Past | Accepting new patients | |
| District Medical Group, Inc | Family Medicine | Past | Accepting new patients |
Locations
2601 E Roosevelt St
Phoenix, AZ 85008
Phone (602) 220-0298
2525 E Roosevelt St
Phoenix, AZ 85008
Phone (602) 344-1015
2929 E Thomas Rd
Phoenix, AZ 85016
Phone (602) 470-5043
3141 N 3rd Ave
Phoenix, AZ 85013
Phone (602) 914-1520
501 Morris St
Charleston, WV 25301
Phone (304) 348-6293
3200 Maccorkle Ave SE
#C
Charleston, WV 25304
Phone (304) 347-1336
3100 Maccorkle Ave SE
Ste 205
Charleston, WV 25304
Phone (304) 388-2303
1 Medical Center Dr
Morgantown, WV 26506
Phone (304) 293-4500
Interoperability endpoints
- haljaroushi282759@direct.valleywisehealth.org
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Critical Care Medicine (Internal Medicine) Physician | 207RC0200X | 76367 | AZ | |
| Pulmonary Disease Physician | 207RP1001X | 26700 | WV | |
| Pulmonary Disease Physician | 207RP1001X | 76367 | AZ | Yes |
| Internal Medicine Physician | 207R00000X | 76367 | AZ | |
| Internal Medicine Physician | 207R00000X | 26700 | WV | |
| Critical Care Medicine (Internal Medicine) Physician | 207RC0200X | 26700 | WV |
Addresses
Primary practice location
2601 E Roosevelt St
Phoenix, AZ 85008-4973
Mailing address
2929 E Thomas Rd
Phoenix, AZ 85016-8034
Phone (602) 470-5000
Other practice location 1
1 Medical Center Dr
Morgantown, WV 26506-1200
Phone (304) 720-7305
Other identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| WV6289A | Other | WV | MEDICARE PTAN |
| 1477874295 | Medicaid | WV |
Electronic endpoints
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| Direct Messaging Address | haljaroushi39603@direct.wvuhsdirect.com | Health Information Exchange (HIE) | |
| Direct Messaging Address | haljaroushi39603@direct.wvuhsdirect.com | Health Information Exchange (HIE) | |
| Direct Messaging Address | haljaroushi39603@direct.wvuhsdirect.com | Health Information Exchange (HIE) | |
| Direct Messaging Address | haljaroushi39603@direct.wvuhsdirect.com | Health Information Exchange (HIE) |
Other providers in Phoenix, AZ
- Mania Al Rezk
- Yousif Al Rubaye
- Jumanah Al Sumairi
- Mohammed Khalil Shaker Al-Baghdadi
- Yazan Al-Hasan
- Layth Al-Jashaami
- Rasha Adil Abduljabbar Al-Kaabi
- Ahmad Al-Khashman
- Bassel Al-Lahham
- Yuka Al-Matti
All providers in Phoenix, 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 Jun 2, 2025. 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.