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ANASAZI MEDICAL CLINIC PC
NPI 1669428363
Internal Medicine in Mesa, AZ

Active since May 25, 2006CLIA 03D1024218 · Waiver
6641 EAST BAYWOOD AVE, SUITE #A2, MESA, AZ 85206(480) 396-2022(480) 396-2035 Get Directions Write a Review

NPPES record last updated: March 28, 2008. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Anasazi Medical Clinic Pc NPPES

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

ANASAZI MEDICAL CLINIC PC (NPI 1669428363) is a healthcare organization registered as an internal medicine in Mesa, Arizona and active in the NPI registry since May 2006. The organization holds a CLIA Waiver certificate valid through April 5, 2028 and lists Tariq Khalil, Owner, as its authorized official.

NPPES Registry Identity

NPI1669428363
Entity TypeOrganization
Primary Taxonomy207R00000X
Legal Business NameANASAZI MEDICAL CLINIC PC
Location Address6641 EAST BAYWOOD AVE, SUITE #A2Mesa, AZ 85206
Mailing Address6641 East Baywood Ave, Suite #a2Mesa, AZ 85206 · (480) 396-2022 · Fax (480) 396-2035
Phone(480) 396-2022
Fax(480) 396-2035
Organization SubpartNo
Authorized OfficialTariq KhalilOwner · (480) 398-2022
Enumeration DateMay 25, 2006
Last NPPES UpdateMarch 28, 2008
✔ NPI 1669428363 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyInternal MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207R00000X
License✔ Licensed in AZ · 22725
Definition
A physician who provides long-term, comprehensive care in the office and the hospital, managing both common and complex illness of adolescents, adults and the elderly. Internists are trained in the diagnosis and treatment of cancer, infections and diseases affecting the heart, blood, kidneys, joints and digestive, respiratory and vascular systems. They are also trained in the essentials of primary care internal medicine, which incorporates an understanding of disease prevention, wellness, substance abuse, mental health and effective treatment of common problems of the eyes, ears, skin, nervous system and reproductive organs.
6641 EAST BAYWOOD AVE, Mesa, AZ 85206
Open in Google Maps ↗

Other Identifiers 1

Medicare PINZ78972AZ

Group Practice 1

Group TaxonomyThis provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.193400000X SINGLE SPECIALTY GROUP

CLIA Laboratory Certificates CMS CLIA

Laboratory certificates issued under the Clinical Laboratory Improvement Amendments (CLIA) program, which sets federal quality standards for human laboratory testing in the United States. There is no official CMS crosswalk between CLIA and NPI numbers; these certificates are associated with this NPI by matching facility names, locations and phone numbers in the CMS CLIA registry.

Certificate of Waiver 03D1024218

Anasazi Medical Clinic, PC · Mesa, AZ
Active · expires Apr 5, 2028
CLIA Number03D1024218
Laboratory TypePhysician Office
Certificate Effective DateApril 6, 2026
Certificate Expiration DateApril 5, 2028
Laboratory DirectorTariq Khalil, MD
Laboratory Phone(480) 396-2022
Laboratory LocationAnasazi Medical Clinic, PC6641 E Baywood, Ste A-2, Mesa, AZ 85206
CLIA data matches this NPI record on: Name Phone
This certificate is issued to a laboratory to perform only waived tests.

Other Providers at the Same Location NPPES

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

DR. TARIQ KHALIL MD
Internal Medicine
6641 EAST BAYWOOD AVE, SUITE # A2
MESA, AZ 85206
Maricopa County (480) 396-2022

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 Anasazi Medical Clinic PC's NPI number?

The NPI number for Anasazi Medical Clinic PC is 1669428363. It was assigned to this organization in the NPPES registry on May 25, 2006.

Where is Anasazi Medical Clinic PC located?

Anasazi Medical Clinic PC is located at 6641 East Baywood Ave Suite #a2, Mesa, AZ 85206. The listed phone number is (480) 396-2022.

What is Anasazi Medical Clinic PC's specialty?

The primary specialty registered for this NPI is Internal Medicine with taxonomy code 207R00000X.

Does Anasazi Medical Clinic PC hold a CLIA laboratory certificate?

Yes. A Certificate of Waiver (number 03D1024218) is associated with this NPI, valid through April 5, 2028. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.

When was this NPI record last updated?

The NPPES record for Anasazi Medical Clinic PC was last updated on March 28, 2008. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 18 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.