Individual provider Active NPI

Reina O Khamees, PA-C

  • Medical Physician Assistant
  • Glendale, AZ
National Provider Identifier
1689036741
Registry record updated Sep 13, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Medical Physician AssistantTaxonomy code 363AM0700X
License
6338 Issued in AZ
Practice address
16390 N 59TH Ave Ste 200
Glendale, AZ 85306-1711
Phone
(623) 334-4000
Fax
(623) 334-4400
NPI assigned
Mar 28, 2016
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Sep 13, 2024

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

Specialties & licenses 8

Specialty (taxonomy)CodeLicenseStatePrimary
Durable Medical Equipment & Medical Supplies 332B00000X 7057360001 AZ
Durable Medical Equipment & Medical Supplies 332B00000X 7034950001 AZ
Durable Medical Equipment & Medical Supplies 332B00000X 7047150001 AZ
Durable Medical Equipment & Medical Supplies 332B00000X 7629170001 AZ
Durable Medical Equipment & Medical Supplies 332B00000X 7045160001 AZ
Durable Medical Equipment & Medical Supplies 332B00000X 7046960001 AZ
Medical Physician Assistant 363AM0700X 6338 AZ Primary
Durable Medical Equipment & Medical Supplies 332B00000X 7209350001 AZ

Addresses

Primary practice location

16390 N 59TH Ave Ste 200
Glendale, AZ 85306-1711

Mailing address

16390 N 59TH Ave Ste 200
Glendale, AZ 85306-1711
Phone (623) 334-4000

Other practice location 1

17061 N Avenue Of The Arts Ste 100
Surprise, AZ 85378-6996
Phone (623) 334-4000

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: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20160510002516 AZ Practitioner - Physician Assistant 3072802347 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Physician Assistant
Education
Other, 2015
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Arrowhead Family Health Center PCGroup PAC ID 7113816521, 14 clinicians

Practice addresses (Care Compare)

16390 N 59TH Ave
Suite 200
Glendale, AZ 85306-1711
Phone (623) 334-4000

2629 N Scottsdale Rd
Scottsdale, AZ 85257-1370
Phone (623) 334-4000

Hospital & facility affiliations

  • St Josephs Hospital and Medical Center Hospital, Phoenix, AZ, CCN 030024

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Physician Assistant

State licenses

LicenseStateTypeSpecialty
7034950001AZMDDurable Medical Equipment & Medical Supplies
7045160001AZMDDurable Medical Equipment & Medical Supplies
7046960001AZMDDurable Medical Equipment & Medical Supplies
7047150001AZMDDurable Medical Equipment & Medical Supplies
7057360001AZMDDurable Medical Equipment & Medical Supplies
7209350001AZMDDurable Medical Equipment & Medical Supplies
7629170001AZMDDurable Medical Equipment & Medical Supplies
6338AZMDMedical Physician Assistant

Practice roles

OrganizationSpecialtyStatusNew patients
Arrowhead Family Health Center PC Durable Medical Equipment & Medical Supplies CurrentSince Jan 3, 2023 Accepting new patients
Arrowhead Family Health Center PC CurrentSince Jan 3, 2023 Accepting new patients
Honorhealth Urgent Care, LLC Past Accepting new patients
Tri-City Express Care, PLLC Past Accepting new patients
Whispering Palms Medical Inc Past Accepting new patients
Tri-City Express Care, PLLC Past Accepting new patients
Tri-City Express Care, PLLC Past Accepting new patients
Tri-City Express Care, PLLC Past Accepting new patients
Tri-City Express Care, PLLC Past Accepting new patients

Locations

16390 N 59th Ave
Ste 200
Glendale, AZ 85306
Phone 62333440007337

13430 N Scottsdale Rd
Ste 200
Scottsdale, AZ 85254
Phone (833) 500-1753

2629 N Scottsdale Rd
Ste 200
Scottsdale, AZ 85257
Phone (623) 277-5552

17061 N Avenue of the Arts
Ste 100
Surprise, AZ 85378
Phone (623) 277-5552

Interoperability endpoints

  • Direct secure messaging: reina.khamees@rdhmsc.eclinicaldirectplus.com

Organizations & group practices 9

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 4

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": "1459123200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1726185600000",
    "number": "1689036741",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "16390 N 59TH AVE STE 200",
            "city": "GLENDALE",
            "state": "AZ",
            "postal_code": "853061711",
            "telephone_number": "623-334-4000",
            "fax_number": "623-334-4400"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "16390 N 59TH AVE STE 200",
            "city": "GLENDALE",
            "state": "AZ",
            "postal_code": "853061711",
            "telephone_number": "623-334-4000",
            "fax_number": "623-334-4400"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "17061 N Avenue Of The Arts Ste 100",
            "address_purpose": "LOCATION",
            "city": "Surprise",
            "state": "AZ",
            "postal_code": "853786996",
            "country_code": "US",
            "telephone_number": "623-334-4000",
            "fax_number": "623-334-4400",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "KHAMEES",
        "first_name": "REINA",
        "middle_name": "O",
        "credential": "PA-C",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2016-03-28",
        "last_updated": "2024-09-13",
        "certification_date": "2024-09-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "332B00000X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies",
            "state": "AZ",
            "license": "7057360001",
            "primary": false
        },
        {
            "code": "332B00000X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies",
            "state": "AZ",
            "license": "7034950001",
            "primary": false
        },
        {
            "code": "332B00000X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies",
            "state": "AZ",
            "license": "7047150001",
            "primary": false
        },
        {
            "code": "332B00000X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies",
            "state": "AZ",
            "license": "7629170001",
            "primary": false
        },
        {
            "code": "332B00000X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies",
            "state": "AZ",
            "license": "7045160001",
            "primary": false
        },
        {
            "code": "332B00000X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies",
            "state": "AZ",
            "license": "7046960001",
            "primary": false
        },
        {
            "code": "363AM0700X",
            "taxonomy_group": "",
            "desc": "Physician Assistant, Medical",
            "state": "AZ",
            "license": "6338",
            "primary": true
        },
        {
            "code": "332B00000X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies",
            "state": "AZ",
            "license": "7209350001",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Glendale, AZ

Sources for this page

Verify at the official NPI Registry.