Active NPI
Lafe Nelson Harris, DO
- Sports Medicine (Family Medicine) Physician
- Mesa, AZ
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Sports Medicine (Family Medicine) Physician
- License
- 006235
- 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
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 |
|---|---|---|---|---|
| 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, HI
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
Enrollment records 2
Care Compare profile
Medicare Care Compare- Specialty
- Sports Medicine
- Education
- Arizona College of Osteopathic Medicine Mid Western University, 2012
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
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 100
- 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
| License | State | Type | Specialty |
|---|---|---|---|
| 9355610-1204 | UT | MD | Sports Medicine (Family Medicine) Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| The Queens Medical Center | Current | Accepting new patients | |
| The Queens Medical Center | Current | Accepting new patients | |
| The Queen'S Medical Center | Current | Accepting new patients | |
| Queens University Medical Group | Current | Accepting new patients | |
| Ihc Health Services Inc | Current | 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.
-
- Multi-Specialty Clinic/Center
- Honolulu, HI
- NPI 1891441382
-
- General Acute Care Hospital
- Honolulu, HI
- NPI 1487693586
-
- Medical Specialty Clinic/Center
- Mesa, AZ
- NPI 1073496055
-
- Multi-Specialty Clinic/Center
- American Fork, UT
- NPI 1851610398
-
- General Acute Care Hospital
- Honolulu, HI
- NPI 1184612764
-
- Urgent Care Clinic/Center
- Honolulu, HI
- NPI 1528691383
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
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 1, 2026; 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.