Individual provider Active NPI

Ashkan Alkhamisi, MD

  • Sports Medicine (Family Medicine) Physician
  • Phoenix, AZ
National Provider Identifier
1669850509
Registry record updated Mar 13, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Sports Medicine (Family Medicine) PhysicianTaxonomy code 207QS0010X
License
54525 Issued in AZ
Practice address
18404 N Tatum Blvd Ste 101C
Phoenix, AZ 85032-1511
Phone
(623) 683-8000
NPI assigned
May 12, 2015
Last updated
Mar 13, 2023By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 13, 2023

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Sports Medicine (Family Medicine) Physician 207QS0010X 54525 AZ Primary

Addresses

Primary practice location

18404 N Tatum Blvd Ste 101C
Phoenix, AZ 85032-1511

Mailing address

18404 N Tatum Blvd Ste 101C
Phoenix, AZ 85032-1511
Phone (623) 683-8000

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
I20210819003018 AZ Practitioner - Family PracticePractitioner - Sports Medicine 7911280342 Reassigns benefits to 3 organizations

Care Compare profile

Medicare Care Compare
Specialty
Family PracticeAlso: Sports Medicine
Education
University of Arizona College of Medicine, 2015
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Honorhealth Medical Group, LLCGroup PAC ID 1557274057, 338 clinicians
Honorhealth AmbulatoryGroup PAC ID 5991603110, 630 clinicians

Practice addresses (Care Compare)

18404 N Tatum Blvd
Suite 101
Phoenix, AZ 85032-1511
Phone (602) 992-1900

Hospital & facility affiliations

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Honorhealth Medical Group, LLC Current Accepting new patients
Honorhealth Medical Group, LLC Family Medicine CurrentSince Jan 4, 2023 Accepting new patients
Honorhealth Medical Group, LLC Family Medicine CurrentSince Jan 4, 2023 Accepting new patients
Honorhealth Ambulatory Current Accepting new patients
Physician Group of Arizona Inc CurrentSince Aug 10, 2021 Accepting new patients
Physician Group of Arizona Inc CurrentSince Aug 10, 2021 Accepting new patients
Honorhealth Ambulatory CurrentSince Mar 7, 2023 Accepting new patients
Honorhealth Ambulatory CurrentSince Mar 7, 2023 Accepting new patients
Honorhealth Ambulatory Past Accepting new patients
Honorhealth Urgent Care, LLC Past Accepting new patients
Honorhealth Urgent Care, LLC Family Medicine Past Accepting new patients

Locations

3648 W Anthem Way
Ste A100
Anthem, AZ 85086
Phone (623) 434-6444

16716 E Palisades Blvd
Ste 103
Fountain Hills, AZ 85268
Phone (480) 587-6550

6220 W Bell Rd
Ste 130
Glendale, AZ 85308
Phone (602) 547-7348

1124 E McKellips Rd
Ste 102
Mesa, AZ 85203
Phone (480) 587-5520

1301 S Crismon Rd
Mesa, AZ 85209
Phone (480) 358-6300

10230 W Happy Valley Pkwy
Ste 100C
Peoria, AZ 85383
Phone (623) 561-3030

18404 N Tatum Blvd
Ste 101
Phoenix, AZ 85032
Phone (602) 992-1900

18404 N Tatum Blvd
Ste 101C
Phoenix, AZ 85032
Phone (602) 485-7475

2122 E Highland Ave
Ste 300
Phoenix, AZ 85016
Phone (480) 834-8804

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

20401 N 73rd St
Ste 210
Scottsdale, AZ 85255
Phone (480) 688-2075

1492 S Mill Ave
Ste 113
Tempe, AZ 85281
Phone (480) 257-2770

Interoperability endpoints

  • Direct secure messaging: aalkhamisi497669@direct.honorhealth.com

Organizations & group practices 11

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 2

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": "1431388800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1678665600000",
    "number": "1669850509",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "18404 N TATUM BLVD STE 101C",
            "city": "PHOENIX",
            "state": "AZ",
            "postal_code": "850321511",
            "telephone_number": "623-683-8000"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "18404 N TATUM BLVD STE 101C",
            "city": "PHOENIX",
            "state": "AZ",
            "postal_code": "850321511",
            "telephone_number": "623-683-8000"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ALKHAMISI",
        "first_name": "ASHKAN",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2015-05-12",
        "last_updated": "2023-03-13",
        "certification_date": "2023-03-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207QS0010X",
            "taxonomy_group": "",
            "desc": "Family Medicine, Sports Medicine",
            "state": "AZ",
            "license": "54525",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Phoenix, AZ

Sources for this page

Verify at the official NPI Registry.