1. Home
  2. Directory
  3. Arizona
  4. Mesa
  5. Physician Assistant
  6. NPI Profile

NIDAL ABUKHALIL PA-S
NPI 1104667757
Physician Assistant in Mesa, AZ

Active since June 05, 2024PECOS Enrolled
5850 E STILL CIR, MESA, AZ 85206(480) 219-6000 Get Directions Write a Review

NPPES record last updated: March 25, 2026. Verified against the NPPES registry weekly; last sync: August 09, 2026.

Record update history: Mar 25, 2026, Jun 5, 2024 (2 updates tracked since 2024).

About Nidal Abukhalil Pa-s NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

NIDAL ABUKHALIL PA-S (NPI 1104667757) is an individual physician assistant in Mesa, Arizona, licensed in Arizona (11473) and active in the NPI registry since June 2024. He is enrolled in Medicare PECOS and is a graduate of Other (2025).

NPPES Registry Identity

NPI1104667757
Entity TypeIndividualMale
Primary Taxonomy363A00000X
Provider Legal NameNIDAL ABUKHALILCredential: PA-S
Location Address5850 E STILL CIRMesa, AZ 85206-3618
Mailing Address5850 E Still CirMesa, AZ 85206-3618 · (480) 219-6000
Phone(480) 219-6000
Sole ProprietorNo
Medical School CMSOtherGraduated 2025
Enumeration DateJune 5, 2024
Last NPPES UpdateMarch 25, 20262 updates tracked since enumeration
NPPES CertifiedMarch 25, 2026
✔ NPI 1104667757 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPhysician AssistantPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363A00000X
License✔ Licensed in AZ · 11473
Definition
A physician assistant is a person who has successfully completed an accredited education program for physician assistant, is licensed by the state and is practicing within the scope of that license. Physician assistants are formally trained to perform many of the routine, time-consuming tasks a physician can do. In some states, they may prescribe medications. They take medical histories, perform physical exams, order lab tests and x-rays, and give inoculations. Most states require that they work under the supervision of a physician.
5850 E STILL CIR, Mesa, AZ 85206
Open in Google Maps ↗

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Nidal Abukhalil Pa-s is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

PECOS PAC ID941777601
PECOS Enrollment IDI20260430000617
Eligible to Order & Refer✔ Part B Labs & Imaging✔ Durable Medical Equipment✔ Home Health Agency✔ Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 85206 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.

New Patient
$85.89 typical visit price
range $55.44 – $168.60
Typical copayment $21.47 (range $13.86 – $42.15)
Most-billed visit code 99203
Established Patient
$69.24 typical visit price
range $17.72 – $137.41
Typical copayment $17.31 (range $4.43 – $34.35)
Most-billed visit code 99213
Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

Other Providers at the Same Location NPPES 20

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

HALLE KANE
Physician Assistant
5850 E STILL CIR
MESA, AZ 85206
Maricopa County (480) 219-6000
KAILA M. SWINT
Physician Assistant
5850 E STILL CIR
MESA, AZ 85206
Maricopa County (480) 219-6000
EMA GOMAA PA-C
Physician Assistant
5850 E STILL CIR
MESA, AZ 85206
Maricopa County (484) 401-1996
GABRIELA MORENO RICH PA-S
Student in an Organized Health Care Education/Training Program
5850 E STILL CIR
MESA, AZ 85206
Maricopa County (480) 219-6000
SHANNON WYNGARD
Physician Assistant
5850 E STILL CIR
MESA, AZ 85206
Maricopa County (480) 219-6000
DR. HEATHER SCHNEIDER D.M.D
Student in an Organized Health Care Education/Training Program
5850 E STILL CIR
MESA, AZ 85206
Maricopa County (928) 970-1057
SANJANDEEP SINGH
Student in an Organized Health Care Education/Training Program
5850 E STILL CIR
MESA, AZ 85206
Maricopa County (480) 219-6000
KATIE YI-LING CHUN
Physician Assistant
5850 E STILL CIR
MESA, AZ 85206
Maricopa County (866) 626-2878

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Nidal Abukhalil's NPI number?

The NPI number for Nidal Abukhalil is 1104667757. It was assigned to this individual provider in the NPPES registry on June 5, 2024.

Where is Nidal Abukhalil located?

Nidal Abukhalil practices at 5850 E Still Cir, Mesa, AZ 85206. The listed phone number is (480) 219-6000.

What is Nidal Abukhalil's specialty?

The primary specialty registered for this NPI is Physician Assistant with taxonomy code 363A00000X.

Is Nidal Abukhalil enrolled in Medicare?

Yes. Nidal Abukhalil is registered in the Medicare PECOS enrollment system.

When was this NPI record last updated?

The NPPES record for Nidal Abukhalil was last updated on March 25, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 months ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.