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

Active since November 07, 2005PECOS EnrolledAccepts Medicare Assignment
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: October 18, 2026.

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 and is a graduate of Southern Illinois University School Of Medicine (1987).

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
Sole ProprietorNo
Medical School CMSSouthern Illinois University School Of MedicineGraduated 1987
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

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

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare and accepts Medicare assignment

Dr. Kevin John Haselhorst Md 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 ID3072707363
PECOS Enrollment IDI20101101000352
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.

Medicare Billing Reassignments

2

Medicare enrollment records show Kevin Haselhorst reassigns Medicare billing to 2 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

Emergency Medicine
2000 W BETHANY HOME RD
Phoenix, AZ 85015
  • Reassigned Medicare billing, Arizona enrollment
  • 260 clinicians in this Medicare group
Urgent Care
1818 E SKY HARBOR CIR N, BUILDING 2, SUITE 150
Phoenix, AZ 85034
  • Reassigned Medicare billing, Arizona enrollment
  • 43 clinicians in this Medicare group

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

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.

Emergency Medicine
13677 W MCDOWELL RD
GOODYEAR, AZ 85338
Emergency Medicine
13677 W MCDOWELL RD
GOODYEAR, AZ 85338
Emergency Medicine
13677 W MCDOWELL RD
GOODYEAR, AZ 85338
Physician Assistant
13677 W MCDOWELL RD
GOODYEAR, AZ 85338
Emergency Medicine
13677 W MCDOWELL RD
GOODYEAR, AZ 85338
Emergency Medicine
13677 W MCDOWELL RD
GOODYEAR, AZ 85338
Emergency Medicine
13677 W MCDOWELL RD
GOODYEAR, AZ 85338
Emergency Medicine
13677 W MCDOWELL RD
GOODYEAR, AZ 85338

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 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.

Where is Kevin Haselhorst located?

Kevin Haselhorst practices at 13677 W Mcdowell Rd, Goodyear, AZ 85338. The listed phone number is (623) 882-1500.

What is Kevin Haselhorst's specialty?

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

Is Kevin Haselhorst enrolled in Medicare?

Yes. Kevin Haselhorst 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.

Which organizations bill Medicare for Kevin Haselhorst's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Kevin Haselhorst reassigns Medicare benefits to 2 organizations: Emergency Group Of Arizona Professional Corporation (Phoenix, AZ) and American Current Care Of Arizona PA (Phoenix, AZ). Each reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for Kevin Haselhorst's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Kevin Haselhorst accept?

Health plans from Blue Cross Blue Shield of Arizona, Oscar Health, Oscar Health Insurance, Oscar Health Maintenance Organization of Florida and Oscar Health Plan of North Carolina, Inc and 3 other insurers list Kevin Haselhorst 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 Kevin Haselhorst was last updated on September 28, 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.