NPIMap

Individual provider Active NPI

Hesham Sahawneh, DO

  • Surgery Physician
  • Kingman, AZ
National Provider Identifier
1871506766
Registry record updated Nov 7, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Surgery PhysicianTaxonomy code 208600000X
License
DO3194 Issued in AZ
Practice address
3931 Stockton Hill Rd
Kingman, AZ 86409-3001
Phone
(928) 681-3535
NPI assigned
Aug 14, 2006
Last updated
Nov 7, 2007By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Nov 7, 2007

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Surgery Physician 208600000X DO3194 AZ Primary

Addresses

Primary practice location

3931 Stockton Hill Rd
Kingman, AZ 86409-3001

Mailing address

PO Box 4257
Cottonwood, AZ 86326-2617
Phone (928) 634-0665

Other identifiers 1

IdentifierTypeStateIssuer
388498MedicaidAZ

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in AZ
Eligible to order & refer
  • Part B services
  • Medical equipment
  • Home health
  • Power mobility devices
  • Hospice
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20060916000071 AZ Practitioner - General Surgery 9537164090 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
General Surgery
Education
Des Moines University of Osteopathic Medicine and Health Sciences, 1992
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices

Practice addresses (Care Compare)

5300 S Hwy 95
Suite D
Fort Mohave, AZ 86426-9251
Phone (928) 788-3609

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
95.75 of 100Reported as group
Promoting interoperability
95
Improvement activities
40

Procedures performed for Medicare patients

ProcedureNumber of procedures
Colonoscopy64
Hernia repair - groin (open)1-10
Hernia repair (minimally invasive)1-10
Upper gastrointestinal (GI) endoscopy for acid reflux29

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
3194AZMDClinical Psychologist
DO3194AZMDSurgery Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Valley View Physician Practices LLC Current Accepting new patients
Kingman Healthcare, Inc Current Accepting new patients
Valley View Physician Practices LLC CurrentSince Nov 1, 2020 Accepting new patients
Valley View Physician Practices, LLC CurrentSince Nov 1, 2020 Accepting new patients
Kingman Healthcare, Inc Surgery CurrentSince Jan 1, 2009 Accepting new patients
Kingman Healthcare, Inc CurrentSince Jan 1, 2009 Accepting new patients
Hillcrest Surgical Associates Surgery PastSince Jan 1, 1990 Accepting new patients

Locations

2735 Silver Creek Rd
Bullhead City, AZ 86442
Phone (520) 763-2273

5300 S Highway 95
Ste A
Fort Mohave, AZ 86426
Phone (928) 768-9496

5300 S Highway 95
Ste C
Fort Mohave, AZ 86426
Phone (928) 768-2330

5300 S Highway 95
Ste D
Fort Mohave, AZ 86426
Phone (928) 788-3609

3269 N Stockton Hill Rd
Kingman, AZ 86409
Phone (928) 757-0626

3931 N Stockton Hill Rd
Kingman, AZ 86409
Phone (928) 385-7100

Interoperability endpoints

  • Direct secure messaging: hesham.sahawneh.1@19231.direct.athenahealth.com

Organizations & group practices 7

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 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": "1155513600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1194393600000",
    "number": "1871506766",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 4257",
            "city": "COTTONWOOD",
            "state": "AZ",
            "postal_code": "863262617",
            "telephone_number": "928-634-0665"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3931 STOCKTON HILL RD",
            "city": "KINGMAN",
            "state": "AZ",
            "postal_code": "864093001",
            "telephone_number": "928-681-3535"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SAHAWNEH",
        "first_name": "HESHAM",
        "credential": "DO",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-08-14",
        "last_updated": "2007-11-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208600000X",
            "taxonomy_group": "",
            "desc": "Surgery",
            "state": "AZ",
            "license": "DO3194",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "388498",
            "state": "AZ"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Kingman, AZ

Sources for this page

Verify at the official NPI Registry.