Active NPI
Shani Saks, DO
- Internal Medicine Physician
- Phoenix, AZ
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Internal Medicine Physician
- License
- 4291
- Practice address
- 2632 N 20TH St
Phoenix, AZ 85006-1339 - Phone
- (602) 266-2200
- Fax
- (602) 240-6177
- NPI assigned
- Aug 29, 2005
- Last updated
- Nov 1, 2007
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Internal Medicine Physician | 207R00000X | 4291 | AZ | Primary |
Addresses
Primary practice location
2632 N 20TH St
Phoenix, AZ 85006-1339
Mailing address
PO Box 61773
Phoenix, AZ 85082-1773
Phone (602) 266-2200
Other identifiers 4
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 4291 | Other | AZ | MEDICAL LICENSE |
| WCSKQ | Other | AZ | SUN HEALTH GROUP # |
| P00255779 | Other | AZ | RAILROAD MEDICARE |
| 966070 | Medicaid | AZ |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in AZ
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Cardiovascular Disease (Cardiology)
- Education
- Michigan State University College of Osteopathic Medicine, 1999
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
2075 W Pecos Rd
Suite 2
Chandler, AZ 85224-5723
Phone (602) 698-5820
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Osteopathy
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 4291 | AZ | MD | Physician Assistant |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Akash Makkar PLLC | Current | Accepting new patients | |
| VHS Outpatient Clinics, Inc. | Current | Accepting new patients | |
| VHS Outpatient Clinics, Inc. | Family Medicine | Current | Accepting new patients |
| Kumar Ravi MD Facc PC | Internal Medicine | Past | Accepting new patients |
Locations
803 N Salk Dr
Casa Grande, AZ 85122
Phone (480) 917-3706
2075 W Pecos Rd
Ste 1
Chandler, AZ 85224
Phone (480) 656-5711
2075 W Pecos Rd
Ste 2
Chandler, AZ 85224
Phone (480) 219-6840
13481 W McDowell Rd
Ste 400
Goodyear, AZ 85395
Phone (602) 837-7400
5130 W Baseline Rd
Ste 102
Laveen, AZ 85339
Phone (602) 237-0039
1930 E Thomas Rd
Phoenix, AZ 85016
Phone (602) 532-1000
2632 N 20th St
Phoenix, AZ 85006
Phone (602) 264-6281
2929 E Camelback Rd
Ste 116
Phoenix, AZ 85016
Phone (602) 325-2024
3501 N 24th St
#101
Phoenix, AZ 85016
3501 N 24th St
Ste 101
Phoenix, AZ 85016
4150 N 108th Ave
Ste 142
Phoenix, AZ 85037
Phone (623) 242-9259
9003 E Shea Blvd
Scottsdale, AZ 85260
Phone (480) 323-3383
10503 W Thunderbird Blvd
Ste 113
Sun City, AZ 85351
Phone (623) 583-6420
Interoperability endpoints
- https://api.platform.athenahealth.com/18634/brand/1/csg/1/fhir/r4
- shani.saks.1@18634.direct.athenahealth.com
Organizations & group practices 4
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
-
dba Arizona Heart Arrhythmia Associates
- Clinical Cardiac Electrophysiology Physician
- Phoenix, AZ
- NPI 1699265207
-
dba Abrazo Medical Group
- Multi-Specialty Clinic/Center
- Goodyear, AZ
- NPI 1912979964
Family Medicine
-
dba Arizona Sports Medicine Center (ASMC)
- Durable Medical Equipment & Medical Supplies
- Scottsdale, AZ
- NPI 1891302790
-
- Cardiovascular Disease Physician
- Sun City, AZ
- NPI 1225089410
Internal Medicine
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1125273600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1193875200000",
"number": "1023001682",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 61773",
"city": "PHOENIX",
"state": "AZ",
"postal_code": "850821773",
"telephone_number": "602-266-2200",
"fax_number": "602-240-6177"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2632 N 20TH ST",
"city": "PHOENIX",
"state": "AZ",
"postal_code": "850061339",
"telephone_number": "602-266-2200",
"fax_number": "602-240-6177"
}
],
"practiceLocations": [],
"basic": {
"last_name": "SAKS",
"first_name": "SHANI",
"credential": "DO",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2005-08-29",
"last_updated": "2007-11-01",
"status": "A"
},
"taxonomies": [
{
"code": "207R00000X",
"taxonomy_group": "",
"desc": "Internal Medicine",
"state": "AZ",
"license": "4291",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "MEDICAL LICENSE",
"identifier": "4291",
"state": "AZ"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "SUN HEALTH GROUP #",
"identifier": "WCSKQ",
"state": "AZ"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "RAILROAD MEDICARE",
"identifier": "P00255779",
"state": "AZ"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "966070",
"state": "AZ"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Phoenix, AZ
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 1, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.