Individual provider Active NPI

Fakilahyel Samuel Mshelbwala, DO

  • Interventional Cardiology Physician
  • Phoenix, AZ
National Provider Identifier
1124558515
Registry record updated Apr 22, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Interventional Cardiology PhysicianTaxonomy code 207RI0011X
License
010898 Issued in AZ
Practice address
500 W Thomas Rd Ste 850
Phoenix, AZ 85013-4218
Phone
(602) 406-1150
Fax
(602) 406-1159
NPI assigned
Jun 18, 2017
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 22, 2026

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Interventional Cardiology Physician 207RI0011X 010898 AZ Primary
Cardiovascular Disease Physician 207RC0000X 010898 AZ

Addresses

Primary practice location

500 W Thomas Rd Ste 850
Phoenix, AZ 85013-4218

Mailing address

PO Box 33269
Phoenix, AZ 85067-3269
Phone (602) 406-4786

Other practice location 1

7330 N 99th Ave Ste 200A
Glendale, AZ 85307-3018
Phone (602) 406-1150

Other practice location 2

1001 Willow Creek Rd Ste 2200
Prescott, AZ 86301-1614
Phone (928) 445-6025

Other practice location 3

7700 E Florentine Rd Ste 206
Prescott Valley, AZ 86314-2245
Phone (928) 442-8117

Other identifiers 2

IdentifierTypeStateIssuer
201245MedicaidAZ
11019536AOtherININDIANA MEDICAL LICENSING BOARD

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
I20240625003962 AZ Practitioner - Interventional CardiologyPractitioner - Cardiovascular Disease (Cardiology) 1658642004 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Interventional CardiologyAlso: Cardiovascular Disease (Cardiology)
Education
Other, 2017
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Sjhmc Physician ServicesGroup PAC ID 4486646197, 645 clinicians

Practice addresses (Care Compare)

500 W Thomas Rd
850 Sjhmc Heart and Vascular Institute
Phoenix, AZ 85013-4218
Phone (602) 406-1150

Hospital & facility affiliations

Procedures performed for Medicare patients

ProcedureNumber of procedures
Coronary angioplasty and stenting11
Pacemaker insertion or repair1-10

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Sjhmc Physician Services CurrentSince Aug 1, 2024 Accepting new patients
St. Joseph'S Hospital and Medical Center CurrentSince Aug 30, 2020 Accepting new patients
St Josephs Pathology Current Accepting new patients

Locations

1955 W Frye Rd
Chandler, AZ 85224
Phone (480) 507-2961

3555 S Val Vista Dr
Gilbert, AZ 85297
Phone (480) 434-4356

7330 N 99th Ave
Ste 200A
Glendale, AZ 85307
Phone (602) 406-3400

7300 N 99th Ave
Glendale, AZ 85307
Phone (480) 339-5001

500 W Thomas Rd
Ste 680
Phoenix, AZ 85013
Phone (602) 406-6017

500 W Thomas Rd
Ste 750
Phoenix, AZ 85013
Phone (602) 406-1150

500 W Thomas Rd
Ste 850
Phoenix, AZ 85013
Phone (602) 406-1150

500 W Thomas Rd
Ste 100
Phoenix, AZ 85013
Phone (602) 406-1115

500 W Thomas Rd
Ste 750850
Phoenix, AZ 85013
Phone (602) 406-1150

350 W Thomas Rd
Phoenix, AZ 85013
Phone (480) 339-5001

File 56765
Los Angeles, CA 90074

Interoperability endpoints

  • Direct secure messaging: fmshelbwala654191@direct.hfhs.org

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 and National Provider Directory roles.

Hospital & facility affiliations 4

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

NPI Registry JSON

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

{
    "created_epoch": "1497744000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1776816000000",
    "number": "1124558515",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 33269",
            "city": "PHOENIX",
            "state": "AZ",
            "postal_code": "850673269",
            "telephone_number": "602-406-4786",
            "fax_number": "916-636-4358"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "500 W THOMAS RD STE 850",
            "city": "PHOENIX",
            "state": "AZ",
            "postal_code": "850134218",
            "telephone_number": "602-406-1150",
            "fax_number": "602-406-1159"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "7330 N 99th Ave Ste 200A",
            "address_purpose": "LOCATION",
            "city": "Glendale",
            "state": "AZ",
            "postal_code": "853073018",
            "country_code": "US",
            "telephone_number": "602-406-1150",
            "fax_number": "602-406-1159",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "1001 Willow Creek Rd Ste 2200",
            "address_purpose": "LOCATION",
            "city": "Prescott",
            "state": "AZ",
            "postal_code": "863011614",
            "country_code": "US",
            "telephone_number": "928-445-6025",
            "fax_number": "928-778-3026",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "7700 E Florentine Rd Ste 206",
            "address_purpose": "LOCATION",
            "city": "Prescott Valley",
            "state": "AZ",
            "postal_code": "863142245",
            "country_code": "US",
            "telephone_number": "928-442-8117",
            "fax_number": "928-772-8947",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "MSHELBWALA",
        "first_name": "FAKILAHYEL",
        "middle_name": "SAMUEL",
        "name_prefix": "Dr.",
        "credential": "DO",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2017-06-18",
        "last_updated": "2026-04-22",
        "certification_date": "2026-04-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207RI0011X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Interventional Cardiology",
            "state": "AZ",
            "license": "010898",
            "primary": true
        },
        {
            "code": "207RC0000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Cardiovascular Disease",
            "state": "AZ",
            "license": "010898",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "201245",
            "state": "AZ"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "INDIANA MEDICAL LICENSING BOARD",
            "identifier": "11019536A",
            "state": "IN"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Phoenix, AZ

Sources for this page

Verify at the official NPI Registry.