DR. KEVIN JOHN HASELHORST MD
NPI 1831170935
General Practice in Goodyear, AZ

Q: What is Kevin Haselhorst's NPI number?

The NPI number for Kevin Haselhorst is 1831170935. It was assigned to this individual provider in the NPPES registry on November 7, 2005.

Q: What is Kevin Haselhorst's specialty?

The primary specialty registered for this NPI is General Practice with taxonomy code 208D00000X.

Q: When was this NPI record last updated?

The NPPES record for Kevin Haselhorst was last updated on September 28, 2021. NPI Profile syncs with the weekly NPPES data releases published by CMS.

Active since November 07, 2005PECOS Enrolled

13677 W MCDOWELL RD, GOODYEAR, AZ 85338(623) 882-1500 Get Directions Write a Review

NPPES record last updated: September 28, 2021. Verified against the NPPES registry weekly; last sync: July 26, 2026.

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About Dr. Kevin John Haselhorst Md NPPES

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

DR. KEVIN JOHN HASELHORST MD (NPI 1831170935) is an individual general practice provider in Goodyear, Arizona, licensed in Arizona (25725) and active in the NPI registry since November 2005. He is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1831170935

Entity TypeIndividualMale

Primary Taxonomy208D00000X

Provider Legal NameDR. KEVIN JOHN HASELHORSTCredential: MD

Location Address13677 W MCDOWELL RDGoodyear, AZ 85338-2618

Mailing Address5777 N 78th PlScottsdale, AZ 85250-6170 · (480) 947-9682

Phone(623) 882-1500

Sole ProprietorNo

Enumeration DateNovember 7, 2005

Last NPPES UpdateSeptember 28, 2021

NPPES CertifiedSeptember 28, 2021

✔ NPI 1831170935 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyGeneral PracticeAllopathic & Osteopathic Physicians

Taxonomy Code208D00000X

License✔ Licensed in AZ · 25725

Definition

A physician who specializes in the general practice of diagnosing, treating, and managing patients with a variety of illnesses and conditions. Source: National Uniform Claim Committee

Also ListedEmergency MedicineTaxonomy 207P00000X · License 25725 (AZ)

13677 W MCDOWELL RD, Goodyear, AZ 85338

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Other Identifiers 6

Other3981220AZ · Evercare Group

Other453051001AZ · Group Health Group

OtherAW1436AZ · Healthnet Group

Medicaid420886AZ

Other860373636AZ · Humana-group #

OtherAZ0728670AZ · Blue Cross Blue Shield-gr

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Blue Cross Blue Shield of Arizona, Oscar Health Insurance, Oscar Health Maintenance Organization of Florida and more.Insurance ›

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Dr. Kevin John Haselhorst Md 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.

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Other Providers at the Same Location NPPES 15

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

DR. GEORGE SHEPARD III MD MBA

Emergency Medicine