Individual provider Active NPI

Khaled Albasha, M.D.

  • Cardiovascular Disease Physician
  • Gilbert, AZ
National Provider Identifier
1932147477
Registry record updated Jan 5, 2017
On this page

Key facts

NPPES NPI Registry
Primary specialty
Cardiovascular Disease PhysicianTaxonomy code 207RC0000X
License
29384 Issued in AZ
Practice address
3505 S Mercy Rd
Gilbert, AZ 85297-0427
Phone
(480) 786-9100
NPI assigned
Jun 4, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 5, 2017

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Cardiovascular Disease Physician 207RC0000X 29384 AZ Primary

Addresses

Primary practice location

3505 S Mercy Rd
Gilbert, AZ 85297-0427

Mailing address

3505 S Mercy Rd
Gilbert, AZ 85297-0427
Phone (480) 612-2007

Other identifiers 1

IdentifierTypeStateIssuer
620212MedicaidAZ

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
I20031106000401 AZ Practitioner - Cardiovascular Disease (Cardiology)Practitioner - Internal Medicine 2062325061 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Cardiovascular Disease (Cardiology)Also: Internal Medicine
Education
Other, 1988
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Zaki Lababidi MD SCGroup PAC ID 6204823677, 4 clinicians

Practice addresses (Care Compare)

3505 S Mercy Rd
Gilbert, AZ 85297-0427
Phone (480) 786-9100

3555 S Val Vista Dr
Gilbert, AZ 85297-7323
Phone (480) 728-8000

Hospital & facility affiliations

Procedures performed for Medicare patients

ProcedureNumber of procedures
Coronary angioplasty and stenting1-10

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Zaki Lababidi MD SC Cardiovascular Disease CurrentSince Apr 1, 2014 Accepting new patients
Cardiac Imaging Inc CurrentSince May 1, 2025 Accepting new patients
Dignity Community Care Past Accepting new patients

Locations

1955 W Frye Rd
Chandler, AZ 85224
Phone (480) 507-2961

3505 S Mercy Rd
Gilbert, AZ 85297
Phone (480) 786-9100

3555 S Val Vista Dr
Gilbert, AZ 85297
Phone (480) 434-4356

1400 S Dobson Rd
Mesa, AZ 85202
Phone (480) 412-3000

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

Interoperability endpoints

  • Direct secure messaging: khaledalbasha@csccc.allscriptsdirect.net

Organizations & group practices 3

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 2

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": "1149379200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1483574400000",
    "number": "1932147477",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3505 S MERCY RD",
            "city": "GILBERT",
            "state": "AZ",
            "postal_code": "852970427",
            "telephone_number": "480-612-2007"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3505 S MERCY RD",
            "city": "GILBERT",
            "state": "AZ",
            "postal_code": "852970427",
            "telephone_number": "480-786-9100"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ALBASHA",
        "first_name": "KHALED",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-06-04",
        "last_updated": "2017-01-05",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207RC0000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Cardiovascular Disease",
            "state": "AZ",
            "license": "29384",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "620212",
            "state": "AZ"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Gilbert, AZ

Sources for this page

Verify at the official NPI Registry.