NPIMap

Individual provider Active NPI

Gulabchand K Shah, M.D.

  • Diagnostic Radiology Physician
  • Phoenix, AZ
National Provider Identifier
1114033875
Registry record updated Jan 3, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
Diagnostic Radiology PhysicianTaxonomy code 2085R0202X
License
26052 Issued in AZ
Practice address
1111 E McDowell Rd
Phoenix, AZ 85006-2612
Phone
(602) 839-4601
NPI assigned
Aug 22, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 3, 2011

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Diagnostic Radiology Physician 2085R0202X 26052 AZ Primary

Addresses

Primary practice location

1111 E McDowell Rd
Phoenix, AZ 85006-2612

Mailing address

1111 E McDowell Rd
Phoenix, AZ 85006-2612

Other identifiers 1

IdentifierTypeStateIssuer
880931MedicaidAZ

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in AZ
Eligible to order & refer
  • Part B services
  • Medical equipment
  • Home health
  • Power mobility devices
  • Hospice
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20040927001045 AZ Practitioner - Diagnostic RadiologyPractitioner - Nuclear Medicine 0143210542 Reassigns benefits to 6 organizations

Care Compare profile

Medicare Care Compare
Specialty
Diagnostic RadiologyAlso: Nuclear Medicine
Education
Other, 1969
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Banner - University Physician Specialists LLCGroup PAC ID 5991008054, 343 clinicians
Banner - University Hospital Based Physicians LLCGroup PAC ID 1052614294, 343 clinicians

Practice addresses (Care Compare)

37000 N Gantzel Rd
San Tan Valley, AZ 85140-7303
Phone (480) 394-4000

807 S Ponderosa St
Payson, AZ 85541-5542
Phone (928) 471-3222

Hospital & facility affiliations

  • Banner - University Medical Center Phoenix Hospital, Phoenix, AZ, CCN 030002
  • Banner Thunderbird Medical Center Hospital, Glendale, AZ, CCN 030089
  • Banner Casa Grande Medical Center Hospital, Casa Grande, AZ, CCN 030016
  • Valleywise Health Medical Center Hospital, Phoenix, AZ, CCN 030022

Merit-based Incentive Payment System (MIPS)

Final score
88.53 of 100Reported as group
Quality
78.73
Promoting interoperability
98
Improvement activities
40
Cost
62.46

Merit-based Incentive Payment System (MIPS)

Final score
82.85 of 100Reported as group
Quality
69.75
Promoting interoperability
98
Improvement activities
40
Cost
68.18

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
26052AZMDDiagnostic Radiology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Banner Imaging Services LLC Diagnostic Radiology CurrentSince Aug 10, 2024 Accepting new patients
Banner Imaging Services LLC CurrentSince Aug 10, 2024 Accepting new patients
Banner - University Physician Specialists LLC CurrentSince Jan 1, 2016 Accepting new patients
Banner Hospital Based Physicians Arizona LLC CurrentSince Sep 1, 2012 Accepting new patients
Banner Imaging Services LLC Diagnostic Radiology Current Accepting new patients
Banner - University Hospital Based Physicians LLC CurrentSince Jan 1, 2016 Accepting new patients
Banner Hospital Based Physicians Arizona LLC CurrentSince Sep 1, 2012 Accepting new patients
Banner Physician Specialists Arizona LLC CurrentSince May 1, 2012 Accepting new patients
Banner - University Physician Specialists LLC CurrentSince Jan 1, 2016 Accepting new patients
Banner - University Hospital Based Physicians LLC Current Accepting new patients
Banner - University Hospital Based Physicians LLC CurrentSince Jan 1, 2016 Accepting new patients
Banner Physician Specialists Arizona LLC CurrentSince May 1, 2012 Accepting new patients
Banner-University Medical Group Nuclear Medicine CurrentSince Jun 30, 2020 Accepting new patients
Banner-University Medical Group CurrentSince Jun 30, 2020 Accepting new patients
Clinical Diagnostic Radiology in Nuclear Medicine Diagnostic Radiology Past Accepting new patients
Banner Imaging Associates PLC Diagnostic Radiology Past Accepting new patients
Providence Diagnostic Imaging, Inc. Diagnostic Radiology Past Accepting new patients

Locations (25 of 28)

20751 W Market St
Buckeye, AZ 85396
Phone (623) 463-5000

1828 E Florence Blvd
Ste 118
Casa Grande, AZ 85122
Phone (520) 381-9729

1435 S Alma School Rd
Chandler, AZ 85286
Phone (480) 668-1600

155 E Warner Rd
Gilbert, AZ 85296
Phone (480) 649-6600

1900 N Higley Rd
Gilbert, AZ 85234
Phone (480) 543-2000

9780 S Estrella Pkwy
Goodyear, AZ 85338
Phone (623) 474-8101

1800 N Civic Sq
Ste 120
Goodyear, AZ 85395
Phone (928) 813-4624

17900 N Porter Rd
Maricopa, AZ 85138
Phone (520) 233-2500

6553 E Baywood Ave
Ste 102
Mesa, AZ 85206
Phone (480) 268-7600

1917 S Crismon Rd
Mesa, AZ 85209
Phone (480) 610-7100

807 S Ponderosa St
Payson, AZ 85541
Phone (520) 474-3222

120 E Main St
Ste A
Payson, AZ 85541
Phone (928) 474-9744

9165 W Thunderbird Rd
Ste 200
Peoria, AZ 85381
Phone (623) 285-1120

4720 E Greenway Rd
Phoenix, AZ 85032
Phone (602) 439-6000

1300 N 12th St
Ste 508
Phoenix, AZ 85006
Phone (602) 839-3927

2222 E Highland Ave
Ste 106
Phoenix, AZ 85016
Phone (602) 483-6165

9305 W Thomas Rd
Ste 100
Phoenix, AZ 85037
Phone (623) 842-5652

1111 E McDowell Rd
Fl 1
Phoenix, AZ 85006

4200 E Camelback Rd
Ste 105
Phoenix, AZ 85018

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

21772 S Ellsworth Loop Rd
Queen Creek, AZ 85142
Phone (480) 512-3700

37000 N Gantzel Rd
San Tan Valley, AZ 85140
Phone (480) 394-4000

37100 N Gantzel Rd
Ste 107
San Tan Vly, AZ 85140
Phone (480) 394-4480

13995 W Statler Blvd
Surprise, AZ 85374
Phone (623) 478-3100

3838 N Campbell Ave
Bldg 2
Tucson, AZ 85719

Organizations & group practices 18

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.

View all 18

Hospital & facility affiliations 15

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

View all 15

NPI Registry JSON

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

{
    "created_epoch": "1156204800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1294012800000",
    "number": "1114033875",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1111 E MCDOWELL RD",
            "city": "PHOENIX",
            "state": "AZ",
            "postal_code": "850062612"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1111 E MCDOWELL RD",
            "city": "PHOENIX",
            "state": "AZ",
            "postal_code": "850062612",
            "telephone_number": "602-839-4601"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SHAH",
        "first_name": "GULABCHAND",
        "middle_name": "K",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-08-22",
        "last_updated": "2011-01-03",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2085R0202X",
            "taxonomy_group": "",
            "desc": "Radiology, Diagnostic Radiology",
            "state": "AZ",
            "license": "26052",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "880931",
            "state": "AZ"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Phoenix, AZ

Sources for this page

Verify at the official NPI Registry.