Individual provider Active NPI

Hasan Aldailami, M.D.

  • Vascular Surgery Physician
  • Scottsdale, AZ
National Provider Identifier
1972882637
Registry record updated Jan 19, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Vascular Surgery PhysicianTaxonomy code 2086S0129X
License
67853 Issued in AZ
Practice address
7351 E Osborn Rd Ste 100
Scottsdale, AZ 85251-6451
Phone
(480) 882-7465
NPI assigned
Aug 12, 2011
Last updated
Jan 19, 2023By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 19, 2023

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Student in an Organized Health Care Education/Training Program 390200000X NU
Vascular Surgery Physician 2086S0129X 67853 AZ Primary

Addresses

Primary practice location

7351 E Osborn Rd Ste 100
Scottsdale, AZ 85251-6451

Mailing address

7351 E Osborn Rd Ste 100
Scottsdale, AZ 85251-6451
Phone (917) 833-6856

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
I20230105002747 AZ Practitioner - Vascular Surgery 2567715840 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Vascular Surgery
Education
Other, 2011
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Honorhealth AmbulatoryGroup PAC ID 5991603110, 630 clinicians

Practice addresses (Care Compare)

19636 N 27TH Ave
Suite 201
Phoenix, AZ 85027-4015
Phone (623) 516-4400

Hospital & facility affiliations

Procedures performed for Medicare patients

ProcedureNumber of procedures
Varicose vein removal1-10
Leg revascularization (restoring blood flow)24
Removal of tissue1-10

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Honorhealth Ambulatory CurrentSince Jan 9, 2023 Accepting new patients
Honorhealth Ambulatory Current Accepting new patients
Honorhealth Ambulatory CurrentSince Jan 9, 2023 Accepting new patients
Ny Presbyterian Hospital - Cornell Past Accepting new patients
Honorhealth Ambulatory Vascular Surgery Past Accepting new patients

Locations

19636 N 27th Ave
Ste 201
Phoenix, AZ 85027
Phone (623) 516-4400

19636 N 27th Ave
Ste 306
Phoenix, AZ 85027
Phone (480) 882-7465

2222 E Highland Ave
Ste 400
Phoenix, AZ 85016
Phone (480) 767-2130

2500 W Utopia Rd
Ste 100
Phoenix, AZ 85027
Phone (623) 683-4462

10510 N 92nd St
Ste 200
Scottsdale, AZ 85258
Phone (480) 323-1250

7351 E Osborn Rd
Ste 100
Scottsdale, AZ 85251
Phone (480) 882-7300

7351 E Osborn Rd
Ste 200C
Scottsdale, AZ 85251
Phone (480) 882-7465

Interoperability endpoints

  • Direct secure messaging: haldailami497662@direct.honorhealth.com

Organizations & group practices 5

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

Hospital & facility affiliations 3

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": "1313107200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1674086400000",
    "number": "1972882637",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7351 E OSBORN RD STE 100",
            "city": "SCOTTSDALE",
            "state": "AZ",
            "postal_code": "852516451",
            "telephone_number": "917-833-6856"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7351 E OSBORN RD STE 100",
            "city": "SCOTTSDALE",
            "state": "AZ",
            "postal_code": "852516451",
            "telephone_number": "480-882-7465"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ALDAILAMI",
        "first_name": "HASAN",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2011-08-12",
        "last_updated": "2023-01-19",
        "certification_date": "2023-01-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "390200000X",
            "taxonomy_group": "",
            "desc": "Student in an Organized Health Care Education/Training Program",
            "state": "NU",
            "license": null,
            "primary": false
        },
        {
            "code": "2086S0129X",
            "taxonomy_group": "",
            "desc": "Surgery, Vascular Surgery",
            "state": "AZ",
            "license": "67853",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Scottsdale, AZ

Sources for this page

Verify at the official NPI Registry.