Individual provider Active NPI

Khaled O Hadeli, MD

  • Pulmonary Disease Physician
  • Tucson, AZ
National Provider Identifier
1922090273
Registry record updated Jul 3, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pulmonary Disease PhysicianTaxonomy code 207RP1001X
License
26115 Issued in AZ
Practice address
9420 E Golf Links Road, Ste 108
PMB 284
Tucson, AZ 85730
Phone
(520) 447-7413
Fax
(520) 210-7422
NPI assigned
Aug 22, 2005
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 3, 2023

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Critical Care Medicine (Internal Medicine) Physician 207RC0200X 26115 AZ
Sleep Medicine (Internal Medicine) Physician 207RS0012X 26115 AZ
Pulmonary Disease Physician 207RP1001X 26115 AZ Primary

Addresses

Primary practice location

9420 E Golf Links Road, Ste 108
PMB 284
Tucson, AZ 85730

Mailing address

9420 E Golf Links Road, Ste 108
PMB 284
Tucson, AZ 85730
Phone (520) 447-7413

Other identifiers 1

IdentifierTypeStateIssuer
512336MedicaidAZ

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
I20060612000122 AZ Practitioner - Pulmonary DiseasePractitioner - Internal MedicinePractitioner - Critical Care (Intensivists)Practitioner - Other (Physician) 0840240461 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Pulmonary DiseaseAlso: Critical Care (Intensivists), Internal Medicine
Education
Other, 1990
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Natrajan Enterprises PLLCGroup PAC ID 7618342114, 5 clinicians

Practice addresses (Care Compare)

4318 E Desert Oak TRL
Tucson, AZ 85718-6700
Phone (520) 447-7411

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
26115AZMDCritical Care Medicine (Internal Medicine) Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Natrajan Enterprises, PLLC Pulmonary Disease CurrentSince Jun 17, 2023 Accepting new patients
Natrajan Investments PLLC Pulmonary Disease PastSince Feb 19, 2023 Accepting new patients

Locations

355 N Wilmot Rd
Tucson, AZ 85711
Phone (520) 322-4412

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

9420 E Golf Links Rd
Ste 108
Tucson, AZ 85730
Phone (520) 390-3862

Organizations & group practices 2

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": "1124668800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1688342400000",
    "number": "1922090273",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9420 E GOLF LINKS ROAD, STE 108",
            "address_2": "PMB 284",
            "city": "TUCSON",
            "state": "AZ",
            "postal_code": "85730",
            "telephone_number": "520-447-7413",
            "fax_number": "520-210-7422"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9420 E GOLF LINKS ROAD, STE 108",
            "address_2": "PMB 284",
            "city": "TUCSON",
            "state": "AZ",
            "postal_code": "85730",
            "telephone_number": "520-447-7413",
            "fax_number": "520-210-7422"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HADELI",
        "first_name": "KHALED",
        "middle_name": "O",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2005-08-22",
        "last_updated": "2023-07-03",
        "certification_date": "2023-07-03",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207RC0200X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Critical Care Medicine",
            "state": "AZ",
            "license": "26115",
            "primary": false
        },
        {
            "code": "207RS0012X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Sleep Medicine",
            "state": "AZ",
            "license": "26115",
            "primary": false
        },
        {
            "code": "207RP1001X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Pulmonary Disease",
            "state": "AZ",
            "license": "26115",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "512336",
            "state": "AZ"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Tucson, AZ

Sources for this page

Verify at the official NPI Registry.