Individual provider Active NPI

Zahi Haidar-Ahmad, MD

  • Neonatal-Perinatal Medicine Physician
  • Phoenix, AZ
National Provider Identifier
1861509465
Registry record updated Mar 4, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
Neonatal-Perinatal Medicine PhysicianTaxonomy code 2080N0001X
License
36510 Issued in AZ
Practice address
300 W Clarendon Ave Ste 375
Phoenix, AZ 85013-3476
Phone
(315) 382-1755
Fax
(602) 266-3481
NPI assigned
Aug 23, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 4, 2013

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Neonatal-Perinatal Medicine Physician 2080N0001X 36510 AZ Primary

Addresses

Primary practice location

300 W Clarendon Ave Ste 375
Phoenix, AZ 85013-3476

Mailing address

300 W Clarendon Ave Ste 375
Phoenix, AZ 85013-3476
Phone (315) 382-1755

Other identifiers 1

IdentifierTypeStateIssuer
36510OtherAZAZ MD LICENSE

Other names 1

  • Dr. Zahi Haidar Other name

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
I20250428000499 AZ Practitioner - Pediatric Medicine 7315187044 Reassigns benefits to 1 organization

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
36510AZMDNeonatal-Perinatal Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
TMC Medical Network CurrentSince Feb 16, 2025 Accepting new patients
Banner - University Medical Center Phoenix Past Accepting new patients
Neonatology Associates, LTD Pediatrics Past Accepting new patients
Banner Desert Medical Center Past Accepting new patients
Obstetrix Medical Group of Phoenix PC Neonatal-Perinatal Medicine Past Accepting new patients

Locations

5301 E Grant Rd
Tucson, AZ 85712
Phone (520) 324-1344

2380 N Ferguson Ave
Ste 104
Tucson, AZ 85712
Phone (520) 324-1010

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.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1156291200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1362355200000",
    "number": "1861509465",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "300 W CLARENDON AVE STE 375",
            "city": "PHOENIX",
            "state": "AZ",
            "postal_code": "850133476",
            "telephone_number": "315-382-1755",
            "fax_number": "602-266-3481"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "300 W CLARENDON AVE STE 375",
            "city": "PHOENIX",
            "state": "AZ",
            "postal_code": "850133476",
            "telephone_number": "315-382-1755",
            "fax_number": "602-266-3481"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HAIDAR-AHMAD",
        "first_name": "ZAHI",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-08-23",
        "last_updated": "2013-03-04",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2080N0001X",
            "taxonomy_group": "",
            "desc": "Pediatrics, Neonatal-Perinatal Medicine",
            "state": "AZ",
            "license": "36510",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "AZ MD LICENSE",
            "identifier": "36510",
            "state": "AZ"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "ZAHI",
            "last_name": "HAIDAR",
            "prefix": "DR.",
            "credential": "MD, MSBA",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

Other providers in Phoenix, AZ

Sources for this page

Verify at the official NPI Registry.