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MR. HAITHAM SHAKIR
NPI 1386411379
Physician Assistant - Medical in Phoenix, AZ

Active since December 08, 2023PECOS EnrolledAccepts Medicare Assignment
2640 W BASELINE RD STE 111, PHOENIX, AZ 85041(480) 677-8282(844) 470-2777 Get Directions Write a Review

NPPES record last updated: March 31, 2025. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Mar 31, 2025, Dec 8, 2023 (2 updates tracked since 2023).

About Mr. Haitham Shakir NPPES

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

MR. HAITHAM SHAKIR (NPI 1386411379) is an individual medical provider in Phoenix, Arizona, licensed in Arizona (10956) and active in the NPI registry since December 2023. He is enrolled in Medicare PECOS and is a graduate of Other (2024).

NPPES Registry Identity

NPI1386411379
Entity TypeIndividualMale
Primary Taxonomy363AM0700X
Provider Legal NameMR. HAITHAM SHAKIR
Location Address2640 W BASELINE RD STE 111Phoenix, AZ 85041-6492
Mailing Address261 N Roosevelt AveChandler, AZ 85226-2617 · (480) 677-8282
Phone(480) 677-8282
Fax(844) 470-2777
Sole ProprietorYes
Medical School CMSOtherGraduated 2024
Enumeration DateDecember 8, 2023
Last NPPES UpdateMarch 31, 20252 updates tracked since enumeration
NPPES CertifiedMarch 31, 2025
✔ NPI 1386411379 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPhysician Assistant · MedicalPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363AM0700X
License✔ Licensed in AZ · 10956
2640 W BASELINE RD STE 111, Phoenix, AZ 85041
Open in Google Maps ↗

Other Names 1

Other Name (5)Mr. Haitham Shakir Pa-c

Accepted Insurance

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

Mr. Haitham Shakir 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 ID9537683669
PECOS Enrollment IDI20250409003569
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.

Other Providers at the Same Location NPPES 14

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

DONNA BELLA SUMAYOD NP
Nurse Practitioner (Family)
2640 W BASELINE RD STE 111
PHOENIX, AZ 85041
Maricopa County (480) 677-8282
JULIA DIANE HOWEY PA-C
Physician Assistant
2640 W BASELINE RD STE 111
PHOENIX, AZ 85041
Maricopa County (480) 677-8282
MRS. MATHENA JARDINE NP
Nurse Practitioner (Family)
2640 W BASELINE RD STE 111
PHOENIX, AZ 85041
Maricopa County (480) 677-8282
IVETH ROCIO MAVAREZ DE TARANTINO FNP-C
Nurse Practitioner (Family)
2640 W BASELINE RD STE 111
PHOENIX, AZ 85041
Maricopa County (480) 677-8282
SHARNETTE WASHINGTON FNP-C
Nurse Practitioner (Family)
2640 W BASELINE RD STE 111
PHOENIX, AZ 85041
Maricopa County (480) 677-8282
ELLANA DAVIDOV PA-C
Physician Assistant
2640 W BASELINE RD STE 111
PHOENIX, AZ 85041
Maricopa County (480) 677-8282
MS. SALLY A HARTZELL PA-C
Physician Assistant (Medical)
2640 W BASELINE RD STE 111
PHOENIX, AZ 85041
Maricopa County (480) 677-8282
AMANDA MARIE BROWN
Nurse Practitioner (Family)
2640 W BASELINE RD STE 111
PHOENIX, AZ 85041
Maricopa County (480) 677-8282

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 Haitham Shakir's NPI number?

The NPI number for Haitham Shakir is 1386411379. It was assigned to this individual provider in the NPPES registry on December 8, 2023. The provider is also known as Mr. Haitham Shakir Pa-C.

Where is Haitham Shakir located?

Haitham Shakir practices at 2640 W Baseline Rd Ste 111, Phoenix, AZ 85041. The listed phone number is (480) 677-8282.

What is Haitham Shakir's specialty?

The primary specialty registered for this NPI is Physician Assistant, specializing in Medical, with taxonomy code 363AM0700X.

Is Haitham Shakir enrolled in Medicare?

Yes. Haitham Shakir is registered in the Medicare PECOS system and accepts Medicare assignment, which means accepting the Medicare-approved amount as payment in full for covered services.

What insurance does Haitham Shakir accept?

Health plans from Ambetter from Arizona Complete Health, Blue Cross Blue Shield of Arizona and Oscar Health Plan, Inc. list Haitham Shakir as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

When was this NPI record last updated?

The NPPES record for Haitham Shakir was last updated on March 31, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 16 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.