Active NPI
Theodore S. Haley, M.D.
- Surgery Physician
- Gilbert, AZ
National Provider Identifier
1871795203
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Surgery Physician
- License
- 41538
- Practice address
- 3367 S. Mercy Rd
#210
Gilbert, AZ 85297 - Phone
- (480) 969-4138
- Fax
- (480) 969-0630
- NPI assigned
- Jun 5, 2007
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Surgery Physician | 208600000X | 76320 | AZ | |
| Surgery Physician | 208600000X | 41538 | AZ | Primary |
Addresses
Primary practice location
3367 S. Mercy Rd
#210
Gilbert, AZ 85297
Mailing address
2320 N 3Rd St
Phoenix, AZ 85004-1303
Phone (602) 258-9900
Electronic endpoints 1
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| Direct Messaging Address | theodore.haley@aasaz.eclinicaldirectplus.com |
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
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- General Surgery
- Education
- University of Arizona College of Medicine, 2004
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
2320 N 3Rd St
Phoenix, AZ 85004-1303
Phone (602) 340-0201
Hospital & facility affiliations
- Mercy Gilbert Medical Center
- Dignity Health Arizona General Hospital
- Chandler Regional Medical Center
Merit-based Incentive Payment System (MIPS)
- Final score
- 94.9 of 100
- Promoting interoperability
- 94
- Improvement activities
- 40
Procedures performed for Medicare patients
| Procedure | Number of procedures |
|---|---|
| Colonoscopy | 1-10 |
| Hernia repair - groin (open) | 11 |
| Hernia repair (minimally invasive) | 37 |
| Melanoma (skin cancer) excision | 1-10 |
| Removal of tissue | 1-10 |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 41538 | AZ | MD | Surgery Physician |
| 76320 | AZ | MD | Surgery Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Arizona Advanced Surgery LLC | Surgery | Current | Accepting new patients |
Locations
3367 S Mercy Rd
Ste 210
Gilbert, AZ 85297
Phone (480) 850-2098
2945 S Dobson Rd
Mesa, AZ 85202
Phone (480) 699-2508
2945 S Dobson Rd
#2320N
Mesa, AZ 85202
2320 N 3rd St
Phoenix, AZ 85004
Phone (602) 258-3262
Interoperability endpoints
- https://fhir4.healow.com/fhir/r4/IGJBCD
Organizations & group practices 1
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.
-
- Surgery Physician
- Phoenix, AZ
- NPI 1346880838
Hospital & facility affiliations 11
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- General Acute Care Hospital
- Mesa, AZ
- NPI 1689121188
-
- General Acute Care Hospital
- Chandler, AZ
- NPI 1700910189
-
- General Acute Care Hospital
- Gilbert, AZ
- NPI 1992735088
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1181001600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1661212800000",
"number": "1871795203",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2320 N 3RD ST",
"city": "PHOENIX",
"state": "AZ",
"postal_code": "850041303",
"telephone_number": "602-258-9900",
"fax_number": "602-258-9904"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3367 S. MERCY RD",
"address_2": "#210",
"city": "GILBERT",
"state": "AZ",
"postal_code": "85297",
"telephone_number": "480-969-4138",
"fax_number": "480-969-0630"
}
],
"practiceLocations": [],
"basic": {
"last_name": "HALEY",
"first_name": "THEODORE",
"middle_name": "S.",
"credential": "M.D.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2007-06-05",
"last_updated": "2022-08-23",
"certification_date": "2022-08-23",
"status": "A"
},
"taxonomies": [
{
"code": "208600000X",
"taxonomy_group": "",
"desc": "Surgery",
"state": "AZ",
"license": "76320",
"primary": false
},
{
"code": "208600000X",
"taxonomy_group": "",
"desc": "Surgery",
"state": "AZ",
"license": "41538",
"primary": true
}
],
"identifiers": [],
"endpoints": [
{
"endpointType": "DIRECT",
"endpointTypeDescription": "Direct Messaging Address",
"endpoint": "theodore.haley@aasaz.eclinicaldirectplus.com",
"affiliation": "N",
"address_1": "3367 S. Mercy Rd",
"address_2": "#210",
"city": "Gilbert",
"state": "AZ",
"country_code": "US",
"postal_code": "85297",
"country_name": "United States",
"address_type": "DOM"
}
],
"other_names": []
}Other providers in Gilbert, AZ
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 23, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.