Shashi Jain Goel MD PC Inc

Primary specialty

Internal Medicine PhysicianTaxonomy code 207R00000X

License

24977 Issued in AZ

Legal business name

SHASHI JAIN GOEL MD PC INC

Practice address

2040 W Bethany Home Rd
Suite #105
Phoenix, AZ 85015-2445

Phone

(602) 242-7500

Fax

(602) 433-2644

NPI assigned

Dec 29, 2006

Organization subpart

No

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

Authorized official

Name

Dr. Shashi Jain Goel, MDNPI 1164421426

Title

President

Phone

(602) 242-7500

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Enrolled in AZ

Enrollment records 1

Locations

Practitioners 5

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

• Shashi Jain Goel, MD PC INC

  • Internal Medicine Physician
  • Phoenix, AZ
  • NPI 1164421426
  Medicare reassignment Authorized official
• Sheena Christiansen, NP

  • Family Nurse Practitioner
  • Phoenix, AZ
  • NPI 1245662063
  NPD (past)
• Sudhir Kumar Goel, M.D.

  • Internal Medicine Physician
  • Phoenix, AZ
  • NPI 1215936570
  NPD (past)
• Valerie Miranda, M.D.

  • Family Medicine Physician
  • Phoenix, AZ
  • NPI 1639147838
  NPD (past)
• Lynne Marie Cappellucci, APRN

  • Psychiatric/Mental Health Nurse Practitioner
  • Dayville, CT
  • NPI 1952407744
  NPD (past)

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

{
    "created_epoch": "1167350400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1491350400000",
    "number": "1083770515",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2040 W BETHANY HOME RD",
            "address_2": "SUITE #105",
            "city": "PHOENIX",
            "state": "AZ",
            "postal_code": "850152445",
            "telephone_number": "602-242-7500",
            "fax_number": "602-433-2644"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2040 W BETHANY HOME RD",
            "address_2": "SUITE #105",
            "city": "PHOENIX",
            "state": "AZ",
            "postal_code": "850152445",
            "telephone_number": "602-242-7500",
            "fax_number": "602-433-2644"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SHASHI JAIN GOEL MD PC INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-12-29",
        "last_updated": "2017-04-05",
        "status": "A",
        "authorized_official_last_name": "GOEL",
        "authorized_official_first_name": "SHASHI",
        "authorized_official_middle_name": "JAIN",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "602-242-7500",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Internal Medicine",
            "state": "AZ",
            "license": "24977",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "388026",
            "state": "AZ"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Richard Earnest Sharpe Jr., MD
• Scott Brydson Sharples, MD
• Christine Sharrer, MS, MD
• Lori H. Sharrow, NP
• Shash Group LLC
• Rekha Shastry, OT
• Nadine Shatat, DMD
• Ashkaun Shaterian
• Jazmyn Shatzer, BSN,RN
• Richard Patrick Shaughnessy IV, DO

• Internal Medicine Physician in Phoenix, AZ
• Providers in Phoenix, AZ by specialty
• Internal Medicine Physician in Arizona

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 5, 2017; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.