Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
NPIDirectory

Alie Riad Jreisat, MD

Individual provider Family Medicine Physician · NPI 1578130555

Alie Riad Jreisat, MD is a Family Practice in Kingman, Arizona. Qualified in 2008, 18 years ago. Practices with Prescott Healthcare Solutions LLC, a 199-clinician group, works from 2 locations, accepts Medicare assignment and offers telehealth. Licensed in Arizona.

Years since qualifying
18
Licensed in
AZ
In the registry since
2021
What do these letters mean?
MD — Doctor of Medicine
A physician who completed allopathic medical school.

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Practice location Address checks out

3931 N Stockton Hill Rd
Kingman, AZ 86409-2426
Phone: (928) 385-7100
Fax: (855) 538-3114
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (1)

  • 2202 N Stockton Hill Rd Ste 101, Kingman, AZ 86401-4622 — (928) 757-2101

Specialties & licences

Family Medicine Physician (primary) Taxonomy 207Q00000X · Licence 74052 (AZ)

Record details

NPI number1578130555
Entity typeIndividual (Type 1)
GenderMale
Credentials MD
Sole proprietorNo
NPI enumeratedJune 8, 2021
Last updated in NPPESMay 27, 2026
Certification dateMay 27, 2026

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyFAMILY PRACTICE
Medical schoolOTHER
Graduated 2008 (18 years in practice)
Group practice Prescott Healthcare Solutions Llc — 199 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
TelehealthOffers telehealth services

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