Organization Active NPI

Integrative Pain and Wellness Medicine, PLLC

  • Interventional Pain Medicine Physician
  • Phoenix, AZ
National Provider Identifier
1023533817
Registry record updated Jun 16, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Interventional Pain Medicine PhysicianTaxonomy code 208VP0014X
Legal business name
INTEGRATIVE PAIN AND WELLNESS MEDICINE, PLLC
Practice address
5051 E Thomas Rd
Phoenix, AZ 85018-7912
Phone
(480) 473-7246
Fax
(480) 473-4942
NPI assigned
Aug 14, 2017
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jun 16, 2018

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

Authorized official

Name
Dr. Bilal F. Shanti, MDNPI 1568415792
Title
Sole Member
Phone
(480) 473-7246

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Interventional Pain Medicine PhysicianGroup: 193400000X MULTIPLE SINGLE SPECIALTY GROUP 208VP0014X Primary

Addresses

Primary practice location

5051 E Thomas Rd
Phoenix, AZ 85018-7912

Mailing address

4400 N Scottsdale Rd # 9717
Scottsdale, AZ 85251-3331
Phone (480) 473-7246

Other practice location 1

1695 W 24th St
Yuma, AZ 85364-6205
Phone (928) 783-3445

Other identifiers 1

IdentifierTypeStateIssuer
NONEOtherNONE

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1502668800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1529107200000",
    "number": "1023533817",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4400 N SCOTTSDALE RD # 9717",
            "city": "SCOTTSDALE",
            "state": "AZ",
            "postal_code": "852513331",
            "telephone_number": "480-473-7246",
            "fax_number": "480-473-4942"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5051 E THOMAS RD",
            "city": "PHOENIX",
            "state": "AZ",
            "postal_code": "850187912",
            "telephone_number": "480-473-7246",
            "fax_number": "480-473-4942"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1695 W 24th St",
            "address_purpose": "LOCATION",
            "city": "Yuma",
            "state": "AZ",
            "postal_code": "853646205",
            "country_code": "US",
            "telephone_number": "928-783-3445",
            "fax_number": "928-783-4484",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "INTEGRATIVE PAIN AND WELLNESS MEDICINE, PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2017-08-14",
        "last_updated": "2018-06-16",
        "status": "A",
        "authorized_official_last_name": "SHANTI",
        "authorized_official_first_name": "BILAL",
        "authorized_official_middle_name": "F.",
        "authorized_official_title_or_position": "SOLE MEMBER",
        "authorized_official_telephone_number": "480-473-7246",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "208VP0014X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Pain Medicine, Interventional Pain Medicine",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "NONE",
            "identifier": "NONE",
            "state": null
        }
    ],
    "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 Jun 16, 2018; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.