Individual provider Active NPI

Madhia Shahid, MD

  • Pediatrics Physician
  • Phoenix, AZ
National Provider Identifier
1053755660
Registry record updated Feb 12, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pediatrics PhysicianTaxonomy code 208000000X
License
46584 Issued in AZ
Practice address
1919 E Thomas Rd
Dept of Endocrinology
Phoenix, AZ 85016-7710
Phone
(602) 933-0935
NPI assigned
Apr 25, 2013
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Feb 12, 2014

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Pediatrics Physician 208000000X 46584 AZ Primary

Addresses

Primary practice location

1919 E Thomas Rd
Dept of Endocrinology
Phoenix, AZ 85016-7710

Mailing address

3501 E Camelback Rd
Apt # 235
Phoenix, AZ 85018-2400
Phone (347) 439-4382

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
I20160617001770 AZ Practitioner - Endocrinology 5395043699 Reassigns benefits to 2 organizations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
46584AZMDPediatrics Physician

Practice roles

OrganizationSpecialtyStatusNew patients
District Medical Group, Inc Pediatrics CurrentSince Jul 1, 2016 Accepting new patients
Phoenix Children's Hospital Pediatrics CurrentSince Jun 30, 2016 Accepting new patients
Phoenix Children's Medical Group CurrentSince Jun 30, 2016 Accepting new patients
Phoenix Children's Hospital Past Accepting new patients
District Medical Group, Inc Pediatrics Past Accepting new patients

Locations

1665 N Avondale Blvd
Avondale, AZ 85392
Phone (602) 933-0005

6524 W Sack Dr
Ste 201
Glendale, AZ 85308
Phone (602) 933-0935

20325 N 51st Ave
Ste 116
Glendale, AZ 85308
Phone (602) 933-1010

1919 E Thomas Rd
Phoenix, AZ 85016
Phone (602) 933-0777

3200 E Camelback Rd
Ste 250
Phoenix, AZ 85018
Phone (602) 933-1814

2525 E Roosevelt St
Phoenix, AZ 85008
Phone (602) 344-1015

1920 E Cambridge Ave
Ste 301
Phoenix, AZ 85006
Phone (602) 253-6000

2601 E Roosevelt St
Phoenix, AZ 85008
Phone (602) 220-0298

3141 N 3rd Ave
Phoenix, AZ 85013
Phone (602) 914-1520

6990 E Shea Blvd
Ste 104
Scottsdale, AZ 85254

Organizations & group practices 6

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1366848000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1392163200000",
    "number": "1053755660",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3501 E CAMELBACK RD",
            "address_2": "APT # 235",
            "city": "PHOENIX",
            "state": "AZ",
            "postal_code": "850182400",
            "telephone_number": "347-439-4382"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1919 E THOMAS RD",
            "address_2": "DEPT OF ENDOCRINOLOGY",
            "city": "PHOENIX",
            "state": "AZ",
            "postal_code": "850167710",
            "telephone_number": "602-933-0935"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SHAHID",
        "first_name": "MADHIA",
        "credential": "MD",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2013-04-25",
        "last_updated": "2014-02-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208000000X",
            "taxonomy_group": "",
            "desc": "Pediatrics",
            "state": "AZ",
            "license": "46584",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Phoenix, AZ

Sources for this page

Verify at the official NPI Registry.