DR. FAHIM HAIDER JAFARY (M.D.) – Cardiovascular Disease Physician, NPI 1083659700
Cardiovascular Disease Physician
Main info
Doctor Profile
Contacts
Profile Insights
NPPES metrics only — not quality of care.
181 INTERVENTIONAL CARDIOLOGY in WA
Provider Addresses for DR. FAHIM HAIDER JAFARY (M.D.)
401 W Poplar St
Walla Walla, WA 993622846
Phone: (509) 897-2600
Fax: (509) 897-5747
Type: Location
1001 Willow Creek Rd Ste 2200
Prescott, AZ 863011614
Phone: (928) 445-6025
Fax: (928) 778-3026
Type: Location
PO BOX 10880
PRESCOTT, AZ 863040880
Phone: (928) 759-5874
Fax: (928) 458-2039
Type: Mailing
Mercy Health Hospital & Trauma Center, 1000, Mineral Point Avenue, Janesville, Rock County, Wisconsin, 53548, United States
JANESVILLE, WI 535482940
Phone: (608) 756-6868
Type: Location
NPPES updates history
No NPPES updates recorded for this provider.
Prescription Activity
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Open Payments (CMS)
No Open Payments data available for this provider.
This can happen when there are no reportable CMS Open Payments records.
Medicare Enrollment & Revalidation
Source: CMS public data · Not endorsed by CMS ·
Educational use only—not medical, billing, or legal advice.
PECOS enrollment status
Participating (accepts Medicare assignment)
Enrollment effective: 2024-04-16
PECOS data refreshed: 2026-05-27
Medicare revalidation (CMS due date list)
Due date not assigned yet
CMS is tracking 3 Medicare enrollment records; no due dates published yet.
Enrollment records
3
Earliest due date
Not assigned (TBD)
CMS data updated
2026-06-01
Revalidation progress
- Medicare enrolled
- On CMS revalidation list
- Due date assigned
- Revalidate in PECOS
CMS enrollment records
| Enrollment ID | Type | Specialty | State | Due date |
|---|---|---|---|---|
| I20091207000475 | I | Cardiovascular Disease (Cardiology) | AZ | TBD |
| I20171030002204 | I | Interventional Cardiology | WA | TBD |
| I20240416003945 | I | Interventional Cardiology | AK | TBD |
What to do next
- No action required while the due date shows TBD.
- Check the CMS Revalidation Lookup Tool periodically — CMS updates the list about every 60 days.
- Do not submit a revalidation application in PECOS until CMS publishes a concrete due date.
Prepare CMS-855 application → · Look up this NPI in PECOS → · Verify on CMS PECOS
Medicare Utilization (FFS)
Source: CMS public data · Not endorsed by CMS · Beneficiary counts under 11 are suppressed in source data ·
Educational use only—not medical, billing, or legal advice.
No Medicare fee-for-service utilization data available for this provider in our database.
Insurance plans in this area (ZIP 99362)
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Group practice members
| Name | Specialty | State |
|---|---|---|
| Nurse Practitioner | AK | |
| Family Practice | NC | |
| - | AK | |
| - | NY | |
| Nurse Practitioner | AK | |
| Physician Assistant | AK | |
| Nurse Practitioner | AK | |
| General Surgery, Plastic And Reconstructive Surgery | WA | |
| Physician Assistant | AK | |
| - | AK |
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