Individual provider Active NPI

Lafe Nelson Harris, DO

  • Sports Medicine (Family Medicine) Physician
  • Mesa, AZ
National Provider Identifier
1932469871
Registry record updated Jul 1, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Sports Medicine (Family Medicine) PhysicianTaxonomy code 207QS0010X
License
006235 Issued in AZ
Practice address
4838 E Baseline Rd Ste 122
Mesa, AZ 85206-4675
Phone
(480) 462-7015
Fax
(480) 992-6798
NPI assigned
May 25, 2012
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 1, 2026

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Sports Medicine (Family Medicine) Physician 207QS0010X 9355610-1204 UT
Sports Medicine (Family Medicine) Physician 207QS0010X DOS-2354 HI
Sports Medicine (Family Medicine) Physician 207QS0010X 006235 AZ Primary

Addresses

Primary practice location

4838 E Baseline Rd Ste 122
Mesa, AZ 85206-4675

Mailing address

4838 E Baseline Rd Ste 122
Mesa, AZ 85206-4675
Phone (480) 462-7015

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in UT, HI2 enrollments
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 2

Enrollment IDStateProvider typePAC IDDetails
I20150803002069 UT Practitioner - Family Practice 6608199344 Reassigns benefits to 1 organization
I20230105001582 HI Practitioner - Sports MedicinePractitioner - Family Practice 6608199344 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Sports MedicineAlso: Family Practice
Education
Arizona College of Osteopathic Medicine Mid Western University, 2012
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Queens University Medical GroupGroup PAC ID 2466831557, 614 clinicians

Practice addresses (Care Compare)

1215 Hunakai St
Honolulu, HI 96816-4661
Phone (808) 691-8200

1380 Lusitana St
Honolulu, HI 96813-2448

449 Kapahulu Ave
Suite 104
Honolulu, HI 96815-3850
Phone (808) 735-0007

91 -6390 Kapolei Pkwy
Ewa Beach, HI 96706-6380
Phone (808) 735-0007

98-199 Kamehameha Hwy
BLDG F
Aiea, HI 96701-4821
Phone (808) 735-0007

Merit-based Incentive Payment System (MIPS)

Final score
97.05 of 100Reported as apm
Quality
89.81
Promoting interoperability
100
Improvement activities
40

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
9355610-1204UTMDSports Medicine (Family Medicine) Physician

Practice roles

OrganizationSpecialtyStatusNew patients
The Queens Medical Center CurrentSince Nov 30, 2022 Accepting new patients
The Queens Medical Center CurrentSince Nov 30, 2022 Accepting new patients
The Queen'S Medical Center Current Accepting new patients
Queens University Medical Group CurrentSince Nov 30, 2022 Accepting new patients
Ihc Health Services Inc CurrentSince Sep 1, 2015 Accepting new patients
Ihc Health Services Inc Family Medicine Current Accepting new patients
Sunset Sports Medicine, LLC Current Accepting new patients

Locations

4838 E Baseline Rd
Ste 122
Mesa, AZ 85206
Phone (480) 659-2277

91-2135 Fort Weaver Rd
Fl 4
Ewa Beach, HI 96706
Phone (808) 691-3520

91-2141 Fort Weaver Rd
Ewa Beach, HI 96706
Phone (808) 678-7000

550 S Beretania St
Ste 404
Honolulu, HI 96813
Phone (808) 691-8897

1380 Lusitana St
Ste 913
Honolulu, HI 96813
Phone (808) 691-8521

1301 Punchbowl St
Honolulu, HI 96813
Phone (808) 538-9011

400 C St
Salt Lake Cty, UT 84143
Phone (435) 688-4080

Organizations & group practices 7

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": "1337904000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1782864000000",
    "number": "1932469871",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4838 E BASELINE RD STE 122",
            "city": "MESA",
            "state": "AZ",
            "postal_code": "852064675",
            "telephone_number": "480-462-7015",
            "fax_number": "480-992-6798"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4838 E BASELINE RD STE 122",
            "city": "MESA",
            "state": "AZ",
            "postal_code": "852064675",
            "telephone_number": "480-462-7015",
            "fax_number": "480-992-6798"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HARRIS",
        "first_name": "LAFE",
        "middle_name": "NELSON",
        "name_prefix": "Dr.",
        "credential": "DO",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2012-05-25",
        "last_updated": "2026-07-01",
        "certification_date": "2026-07-01",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207QS0010X",
            "taxonomy_group": "",
            "desc": "Family Medicine, Sports Medicine",
            "state": "UT",
            "license": "9355610-1204",
            "primary": false
        },
        {
            "code": "207QS0010X",
            "taxonomy_group": "",
            "desc": "Family Medicine, Sports Medicine",
            "state": "HI",
            "license": "DOS-2354",
            "primary": false
        },
        {
            "code": "207QS0010X",
            "taxonomy_group": "",
            "desc": "Family Medicine, Sports Medicine",
            "state": "AZ",
            "license": "006235",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Mesa, AZ

Sources for this page

Verify at the official NPI Registry.