Individual provider Active NPI

Shefali Gandhi-List, M.D.

  • Obstetrics & Gynecology Physician
  • Phoenix, AZ
National Provider Identifier
1063446656
Registry record updated Dec 3, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Obstetrics & Gynecology PhysicianTaxonomy code 207V00000X
License
45803 Issued in AZ
Practice address
9305 W Thomas Rd Ste 155
Phoenix, AZ 85037-0910
Phone
(623) 936-1780
NPI assigned
Jul 10, 2006
Last updated
Dec 3, 2019By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Dec 3, 2019

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Obstetrics & Gynecology Physician 207V00000X 45803 AZ Primary

Addresses

Primary practice location

9305 W Thomas Rd Ste 155
Phoenix, AZ 85037-0910

Mailing address

9305 W Thomas Rd
Ste 155
Phoenix, AZ 85037-3360
Phone (650) 366-5594

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
I20120307000788 AZ Practitioner - Obstetrics/Gynecology 0244400182 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Obstetrics/Gynecology
Education
Washington University School of Medicine, 2001
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices

Practice addresses (Care Compare)

1111 E McDowell Rd
Phoenix, AZ 85006-2612
Phone (602) 839-2000

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
45803AZMDObstetrics & Gynecology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Banner - University Hospital Based Physicians LLC CurrentSince Jul 1, 2025 Accepting new patients
Banner - University Hospital Based Physicians LLC CurrentSince Jul 1, 2025 Accepting new patients
Banner Thunderbird Medical Center Past Accepting new patients
Banner - University Medical Center Phoenix Past Accepting new patients

Locations

5555 W Thunderbird Rd
Glendale, AZ 85306
Phone (602) 588-5555

1111 E McDowell Rd
Phoenix, AZ 85006
Phone (602) 239-2000

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": "1152489600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1575331200000",
    "number": "1063446656",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9305 W THOMAS RD",
            "address_2": "STE 155",
            "city": "PHOENIX",
            "state": "AZ",
            "postal_code": "850373360",
            "telephone_number": "650-366-5594",
            "fax_number": "650-366-6352"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9305 W THOMAS RD STE 155",
            "city": "PHOENIX",
            "state": "AZ",
            "postal_code": "850370910",
            "telephone_number": "623-936-1780"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GANDHI-LIST",
        "first_name": "SHEFALI",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-07-10",
        "last_updated": "2019-12-03",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207V00000X",
            "taxonomy_group": "",
            "desc": "Obstetrics & Gynecology",
            "state": "AZ",
            "license": "45803",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Phoenix, AZ

Sources for this page

Verify at the official NPI Registry.