Individual provider Active NPI

Haidar Yassin, M.D.

  • Interventional Cardiology Physician
  • Phoenix, AZ
National Provider Identifier
1659532000
Registry record updated Jul 8, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
Interventional Cardiology PhysicianTaxonomy code 207RI0011X
License
50527 Issued in AZ
Practice address
340 E Palm LN Ste A175
Phoenix, AZ 85004-4603
Phone
(602) 386-1100
NPI assigned
Jun 18, 2008
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 8, 2015

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Student in an Organized Health Care Education/Training Program 390200000X
Interventional Cardiology Physician 207RI0011X 50527 AZ Primary

Addresses

Primary practice location

340 E Palm LN Ste A175
Phoenix, AZ 85004-4603

Mailing address

340 E Palm LN Ste A175
Phoenix, AZ 85004-4603
Phone (602) 386-1100

Other identifiers 1

IdentifierTypeStateIssuer
020937MedicaidAZ

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
I20150630001121 AZ Practitioner - Interventional CardiologyPractitioner - Cardiovascular Disease (Cardiology) 3870738982 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Interventional CardiologyAlso: Cardiovascular Disease (Cardiology)
Education
Other, 2003
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Honorhealth AmbulatoryGroup PAC ID 5991603110, 630 clinicians

Practice addresses (Care Compare)

340 E Palm LN
Suite A175
Phoenix, AZ 85004-4603
Phone (602) 386-1100

Hospital & facility affiliations

  • Honorhealth Scottsdale Shea Medical Center Hospital, Scottsdale, AZ, CCN 030087
  • Honor Health John C. Lincoln Medical Center Hospital, Phoenix, AZ, CCN 030014
  • Honorhealth Deer Valley Medical Center Hospital, Phoenix, AZ, CCN 030092
  • Honorhealth Scottsdale Osborn Medical Center Hospital, Scottsdale, AZ, CCN 030038
  • Banner - University Medical Center Phoenix Hospital, Phoenix, AZ, CCN 030002

Procedures performed for Medicare patients

ProcedureNumber of procedures
Coronary angioplasty and stenting66

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Honorhealth Ambulatory Current Accepting new patients
Honorhealth Ambulatory CurrentSince Sep 1, 2020 Accepting new patients
Honorhealth Ambulatory Cardiovascular Disease CurrentSince Sep 1, 2020 Accepting new patients
Thompson Peak Family Care, PC Family Medicine Past Accepting new patients
Honorhealth Ambulatory Cardiovascular Disease Past Accepting new patients

Locations

1124 E McKellips Rd
Ste 110
Mesa, AZ 85203
Phone (480) 882-4509

340 E Palm Ln
Ste A175
Phoenix, AZ 85004
Phone (602) 386-1100

9250 W Thomas Rd
Ste 300
Phoenix, AZ 85037
Phone (602) 386-1100

20201 N Scottsdale Healthcare Dr
Ste 200
Scottsdale, AZ 85255
Phone (480) 993-2269

10510 N 92nd St
Ste 200
Scottsdale, AZ 85258
Phone (480) 323-1250

Interoperability endpoints

  • FHIR API: https://api.platform.athenahealth.com/3660/brand/1/csg/1/fhir/r4
  • Direct secure messaging: hyassin105289@direct.honorhealth.com
  • Direct secure messaging: haidar.yassin.p130@direct.aac.nextgenshare.com

Organizations & group practices 5

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.

Hospital & facility affiliations 5

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": "1213747200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1436313600000",
    "number": "1659532000",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "340 E PALM LN STE A175",
            "city": "PHOENIX",
            "state": "AZ",
            "postal_code": "850044603",
            "telephone_number": "602-386-1100"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "340 E PALM LN STE A175",
            "city": "PHOENIX",
            "state": "AZ",
            "postal_code": "850044603",
            "telephone_number": "602-386-1100"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "YASSIN",
        "first_name": "HAIDAR",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2008-06-18",
        "last_updated": "2015-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "390200000X",
            "taxonomy_group": "",
            "desc": "Student in an Organized Health Care Education/Training Program",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "207RI0011X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Interventional Cardiology",
            "state": "AZ",
            "license": "50527",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "020937",
            "state": "AZ"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Phoenix, AZ

Sources for this page

Verify at the official NPI Registry.