Active NPI
Khaled O Hadeli, MD
- Pulmonary Disease Physician
- Tucson, AZ
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pulmonary Disease Physician
- License
- 26115
- 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
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 3
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| 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
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 512336 | Medicaid | AZ |
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
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20060612000122 | AZ | Practitioner - Pulmonary Disease | 0840240461 | Reassigns benefits to 1 organization |
Care Compare profile
Medicare Care Compare- Specialty
- Pulmonary Disease
- Education
- Other, 1990
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
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
| License | State | Type | Specialty |
|---|---|---|---|
| 26115 | AZ | MD | Critical Care Medicine (Internal Medicine) Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Natrajan Enterprises, PLLC | Pulmonary Disease | Current | Accepting new patients |
| Natrajan Investments PLLC | Pulmonary Disease | Past | 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.
-
- Pulmonary Disease Physician
- Tucson, AZ
- NPI 1730879008
AZ, Pulmonary Disease
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
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 3, 2023; 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.