DANIELA HAIMOV
NPI 1114523719
Nurse Practitioner - Primary Care in Phoenix, AZ

Q: What is Daniela Haimov's NPI number?

The NPI number for Daniela Haimov is 1114523719. It was assigned to this individual provider in the NPPES registry on December 8, 2020.

Q: What is Daniela Haimov's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Primary Care, with taxonomy code 363LP2300X.

Q: When was this NPI record last updated?

The NPPES record for Daniela Haimov was last updated on February 1, 2021. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 5 years 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.

Active since December 08, 2020PECOS Enrolled

4350 N 19TH AVE STE 6, PHOENIX, AZ 85015(602) 264-9191 Get Directions Write a Review

NPPES record last updated: February 1, 2021. Verified against the NPPES registry weekly; last sync: August 09, 2026.

Record update history: Feb 1, 2021, Dec 8, 2020 (2 updates tracked since 2020).

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About Daniela Haimov NPPES

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

DANIELA HAIMOV (NPI 1114523719) is an individual primary care provider in Phoenix, Arizona, licensed in Arizona (250766) and active in the NPI registry since December 2020. She is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1114523719

Entity TypeIndividualFemale

Primary Taxonomy363LP2300X

Provider Legal NameDANIELA HAIMOV

Location Address4350 N 19TH AVE STE 6Phoenix, AZ 85015-4602

Mailing Address4350 N 19th Ave Ste 6Phoenix, AZ 85015-4602 · (602) 264-9191 · Fax (602) 532-2973

Phone(602) 264-9191

Sole ProprietorNo

Enumeration DateDecember 8, 2020

Last NPPES UpdateFebruary 1, 20212 updates tracked since enumeration

NPPES CertifiedFebruary 1, 2021

✔ NPI 1114523719 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyNurse Practitioner · Primary CarePhysician Assistants & Advanced Practice Nursing Providers

Taxonomy Code363LP2300X

License✔ Licensed in AZ · 250766

4350 N 19TH AVE STE 6, Phoenix, AZ 85015

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Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Daniela Haimov is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

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 85015 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

$98.00 typical visit price

range $17.72 – $137.41

Typical copayment $24.50 (range $4.43 – $34.35)

Most-billed visit code 99214

Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

Referred Medical Equipment & Supplies CMS DME claims

Durable medical equipment, devices and supplies this provider ordered from DME suppliers for patients, from Medicare fee-for-service claims.

Supply allowance for therapeutic continuous glucose monitor (cgm), includes all supplies and accessories, 1 month supply = 1 unit of service K0553

DME-Other DME · category DE017N

2 suppliers14 claims14 services$184.33 avg. paid by Medicare

Dollar amounts are the average Medicare paid the supplier per service. They are not the cost to the patient.

Other Providers at the Same Location NPPES 6

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

NIKITA GARRETT FNP-BC

Nurse Practitioner (Family)