Individual provider Active NPI

Khaled Hamed

  • Internal Medicine Physician
  • Tucson, AZ
National Provider Identifier
1891043386
Registry record updated Apr 8, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
License
49984 Issued in AZ
Practice address
1501 N Campbell Ave RM 6336
Tucson, AZ 85724-5040
Phone
(520) 626-2761
NPI assigned
Aug 15, 2012
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Apr 8, 2019

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Student in an Organized Health Care Education/Training Program 390200000X R73430 AZ
Internal Medicine Physician 207R00000X 49984 AZ Primary

Addresses

Primary practice location

1501 N Campbell Ave RM 6336
Tucson, AZ 85724-5040

Mailing address

1501 N Campbell Ave RM 6336
Tucson, AZ 85724-5040
Phone (520) 626-2761

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
I20151012002493 AZ Practitioner - HospitalistPractitioner - Internal Medicine 7810206968 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
HospitalistAlso: Internal Medicine
Education
Other, 2009
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Cogent Healthcare of Arizona PCGroup PAC ID 0648441006, 14 clinicians

Practice addresses (Care Compare)

300 El Camino Real
Sierra Vista, AZ 85635-2812
Phone (520) 417-4594

Hospital & facility affiliations

  • Canyon Vista Medical Center Hospital, Sierra Vista, AZ, CCN 030043
  • Banner - University Medical Center Tucson Campus Hospital, Tucson, AZ, CCN 030064

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
R73430AZMDStudent in an Organized Health Care Education/Training Program

Practice roles

OrganizationSpecialtyStatusNew patients
American Physicians, Inc Internal Medicine CurrentSince Oct 15, 2022 Accepting new patients
American Physicians, Inc. Hospitalist CurrentSince Oct 15, 2022 Accepting new patients
Cogent Healthcare of Arizona PC Internal Medicine CurrentSince Aug 1, 2015 Accepting new patients
RCHP-Sierra Vista Inc Past Accepting new patients

Locations

16640 N 38th St
Phoenix, AZ 85032
Phone (602) 482-6671

9003 E Shea Blvd
Scottsdale, AZ 85260
Phone (480) 323-3383

300 El Camino Real
Sierra Vista, AZ 85635
Phone (520) 417-4594

5700 E Highway 90
Sierra Vista, AZ 85635
Phone (520) 263-2000

350 N Wilmot Rd
Tucson, AZ 85711
Phone (520) 873-3000

Organizations & group practices 4

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 5

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": "1344988800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1554681600000",
    "number": "1891043386",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1501 N CAMPBELL AVE RM 6336",
            "city": "TUCSON",
            "state": "AZ",
            "postal_code": "857245040",
            "telephone_number": "520-626-2761"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1501 N CAMPBELL AVE RM 6336",
            "city": "TUCSON",
            "state": "AZ",
            "postal_code": "857245040",
            "telephone_number": "520-626-2761"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HAMED",
        "first_name": "KHALED",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2012-08-15",
        "last_updated": "2019-04-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "390200000X",
            "taxonomy_group": "",
            "desc": "Student in an Organized Health Care Education/Training Program",
            "state": "AZ",
            "license": "R73430",
            "primary": false
        },
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "AZ",
            "license": "49984",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Tucson, AZ

Sources for this page

Verify at the official NPI Registry.