Individual provider Active NPI

Shani Saks, DO

  • Internal Medicine Physician
  • Phoenix, AZ
National Provider Identifier
1023001682
Registry record updated Nov 1, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
License
4291 Issued in AZ
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, 2007By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Nov 1, 2007

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
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

IdentifierTypeStateIssuer
4291OtherAZMEDICAL LICENSE
WCSKQOtherAZSUN HEALTH GROUP #
P00255779OtherAZRAILROAD MEDICARE
966070MedicaidAZ

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
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20051010000644 AZ Practitioner - Cardiovascular Disease (Cardiology) 5698790541 Reassigns benefits to 2 organizations

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
Akash Makkar PLLCGroup PAC ID 5698014322, 6 clinicians

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

LicenseStateTypeSpecialty
4291AZMDPhysician Assistant

Practice roles

OrganizationSpecialtyStatusNew patients
Akash Makkar PLLC CurrentSince Aug 1, 2021 Accepting new patients
VHS Outpatient Clinics, Inc. CurrentSince Sep 1, 2017 Accepting new patients
VHS Outpatient Clinics, Inc. Family Medicine CurrentSince Sep 1, 2017 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

  • FHIR API: https://api.platform.athenahealth.com/18634/brand/1/csg/1/fhir/r4
  • Direct secure messaging: 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.

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

Verify at the official NPI Registry.