Sam Reed Shimamoto, M.D.

Primary specialty

Allergy & Immunology PhysicianTaxonomy code 207K00000X

License

29558 Issued in AZ

Practice address

4915 E Baseline Rd
Suite 112
Gilbert, AZ 85234-2965

Phone

(480) 626-6600

Fax

(480) 626-6604

NPI assigned

Feb 14, 2006

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

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

Specialty

Allergy/ImmunologyAlso: Pediatric Medicine

Education

University of Colorado School of Medicine, Denver, 1997

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Telehealth

Offers telehealth services

Group practices

San Tan Allergy and Asthma PCGroup PAC ID 1658309521, 4 clinicians

Practice addresses (Care Compare)

Merit-based Incentive Payment System (MIPS)

Final score

88.51 of 100Reported as individual

Quality

100

Improvement activities

40

Cost

61.7

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

Practice roles

Locations

Interoperability endpoints

• Direct secure messaging: shimamoto.sam.001.0030014@staa.meditab.direct-ci.com

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.

• San Tan Allergy and Asthma PC

  • Allergy & Immunology Physician
  • Gilbert, AZ
  • NPI 1124240510
  Medicare reassignment Care Compare group NPD Authorized official
• Arizona Allergy Asthma & Immunology Consultants PLC

  dba Arizona Allergy Associates

  • Allergy & Immunology Physician
  • Chandler, AZ
  • NPI 1093748550
  NPD (past)
• Valley Allergy PLLC

  • Allergy & Immunology Physician
  • Phoenix, AZ
  • NPI 1982460341
  NPD (past)

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

{
    "created_epoch": "1139875200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1779321600000",
    "number": "1073587382",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4915 E BASELINE RD STE 112",
            "city": "GILBERT",
            "state": "AZ",
            "postal_code": "852342966",
            "telephone_number": "480-626-6600",
            "fax_number": "480-626-6604"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4915 E BASELINE RD",
            "address_2": "SUITE 112",
            "city": "GILBERT",
            "state": "AZ",
            "postal_code": "852342965",
            "telephone_number": "480-626-6600",
            "fax_number": "480-626-6604"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SHIMAMOTO",
        "first_name": "SAM",
        "middle_name": "REED",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-02-14",
        "last_updated": "2026-05-21",
        "certification_date": "2026-05-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207K00000X",
            "taxonomy_group": "",
            "desc": "Allergy & Immunology",
            "state": "AZ",
            "license": "29558",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Richard S Sherry, MD
• Pradip Sheth, R.PH
• Sandip Sheth
• Alicia Shields, APRN
• Jeanna Shim
• Lewis Kie Shin, MD
• Taylor Shin
• Tamar Shindel, LPC
• John Calvin Shipp, PA-C
• Ryan Shipp, DMD

• Allergy & Immunology Physician in Gilbert, AZ
• Providers in Gilbert, AZ by specialty
• Allergy & Immunology Physician in Arizona

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 21, 2026; 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.

Verify at the official NPI Registry.