HAYDAR HASAN PA-C
NPI 1316699820
Physician Assistant in Avondale, AZ

Q: What is Haydar Hasan's NPI number?

The NPI number for Haydar Hasan is 1316699820. It was assigned to this individual provider in the NPPES registry on January 25, 2022.

Q: What is Haydar Hasan's specialty?

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

Q: When was this NPI record last updated?

The NPPES record for Haydar Hasan was last updated on April 22, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 15 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.

Active since January 25, 2022PECOS EnrolledAccepts Medicare Assignment

506 E WESTERN AVE STE 104, AVONDALE, AZ 85323(602) 230-7373 Get Directions Write a Review

NPPES record last updated: April 22, 2025. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Aug 9, 2023, Dec 6, 2022, Mar 10, 2022 and 1 more (4 updates tracked since 2022).

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About Haydar Hasan Pa-c NPPES

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

HAYDAR HASAN PA-C (NPI 1316699820) is an individual physician assistant in Avondale, Arizona, licensed in Arizona (8993) and active in the NPI registry since January 2022. He is enrolled in Medicare PECOS, maintains a secondary practice location in Phoenix, and is a graduate of Creighton University School Of Medicine (2021).

NPPES Registry Identity

NPI1316699820

Entity TypeIndividualMale

Primary Taxonomy363A00000X

Provider Legal NameHAYDAR HASANCredential: PA-C

Location Address506 E WESTERN AVE STE 104Avondale, AZ 85323-2422

Mailing Address3101 N Central Ave Ste 550Phoenix, AZ 85012-2635 · (602) 230-7373

Phone(602) 230-7373

Sole ProprietorNo

Medical School CMSCreighton University School Of MedicineGraduated 2021

Enumeration DateJanuary 25, 2022

Last NPPES UpdateApril 22, 20254 updates tracked since enumeration

NPPES CertifiedApril 22, 2025

✔ NPI 1316699820 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyPhysician AssistantPhysician Assistants & Advanced Practice Nursing Providers

Taxonomy Code363A00000X

License✔ Licensed in AZ · 8993

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.

Also ListedClinical Nurse Specialist · Psychiatric/Mental HealthTaxonomy 364SP0808X · License 8993 (AZ)

506 E WESTERN AVE STE 104, Avondale, AZ 85323

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Secondary Practice Location 1

Location 13033 N Central Ave Ste 700Phoenix, AZ 85012-2806 · Phone (602) 281-7289

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Ambetter from Arizona Complete Health, Antidote Health Plan of Arizona, Inc., Blue Cross Blue Shield of Arizona.Insurance ›

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare and accepts Medicare assignment

Haydar Hasan Pa-c is registered in PECOS and agrees to accept the Medicare-approved amount as full payment. Medicare patients are not billed beyond the standard deductible and coinsurance.

PECOS PAC ID2567841380

PECOS Enrollment IDI20220623003272

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 85323 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.

OLIVIA ABUHL PA-C

Clinical Nurse Specialist (Psychiatric/Mental Health)