David Ivan Shockey, MD

Primary specialty

Emergency Medicine PhysicianTaxonomy code 207P00000X

License

R77382 Issued in AZ

Practice address

2310 E Brown Rd
Mesa, AZ 85213-5226

Phone

(480) 649-9000

NPI assigned

Apr 16, 2019

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 2

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

Family Practice

Education

University of Texas Medical School at San Antonio, 2019

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Brown Road Family Medicine, PLLCGroup PAC ID 5395781769, 6 clinicians

Scottsdale Emergency Associates LTDGroup PAC ID 3274425970, 44 clinicians

Practice addresses (Care Compare)

Hospital & facility affiliations

• Angels Care Home Health Home health agency, Casa Grande, AZ, CCN 037252
• Banner Home Care-Arizona Home health agency, Mesa, AZ, CCN 037015
• Dignity Health Arizona General Hospital Hospital, Mesa, AZ, CCN 030139

Procedures performed for Medicare patients

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

Practice roles

Locations

Interoperability endpoints

• FHIR API: https://fhir4.healow.com/fhir/r4/CDACDD
• FHIR API: https://fhir.nextgen.com/nge/prod/fhir-api-r4/fhir/r4/
• Direct secure messaging: david.shockeymd.p1@direct.brfmvmed.nextgenshare.com
• FHIR API: https://fhir4.healow.com/fhir/r4/CDACDD/Endpoint/CDACDD

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.

• Brown Road Family Medicine, PLLC

  • Preferred Provider Organization
  • Mesa, AZ
  • NPI 1518081066

  Single Specialty

  Medicare reassignment Care Compare group NPD
• Scottsdale Emergency Associates, LTD.

  • Emergency Medicine Physician
  • Scottsdale, AZ
  • NPI 1083671432

  Single Specialty

  Medicare reassignment Care Compare group NPD
• Emergency Physicians Southwest, PC

  • Emergency Medicine Physician
  • Mesa, AZ
  • NPI 1912053752

  Single Specialty

  Medicare reassignment NPD
• Exceptional Physicians Group Arizona PLLC

  • Emergency Medical Services (Emergency Medicine) Physician
  • Maricopa, AZ
  • NPI 1447910229

  Single Specialty

  Medicare reassignment NPD
• Honorhealth

  • Surgery Physician
  • Scottsdale, AZ
  • NPI 1801092564

  Single Specialty

  Medicare reassignment NPD
• Progressive Medical Associates PLLC

  • Emergency Medicine Physician
  • Mesa, AZ
  • NPI 1548218613

  Single Specialty

  Medicare reassignment NPD
• Sound Physicians Emergency Medicine of Arizona, Inc.

  • Emergency Medicine Physician
  • Sierra Vista, AZ
  • NPI 1700328663

  Single Specialty

  Medicare reassignment NPD
• Tec Emergency Physicians of Arizona, LLC

  • Emergency Care Clinic/Center
  • Gilbert, AZ
  • NPI 1245772870

  Single Specialty

  Medicare reassignment NPD
• Honorhealth

  • Prosthetic/Orthotic Supplier
  • Peoria, AZ
  • NPI 1386456762
  NPD
• Honorhealth

  • General Acute Care Hospital
  • Phoenix, AZ
  • NPI 1770690695
  NPD
• Scottsdale Emergency Associates, LTD.

  • Emergency Medicine Physician
  • Scottsdale, AZ
  • NPI 1023298551
  NPD

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

• Agh Mesa LLC

  • Emergency Care Clinic/Center
  • Gilbert, AZ
  • NPI 1043848294

  Hospital

  Care Compare affiliation
• Agh Mesa LLC

  • Emergency Care Clinic/Center
  • Chandler, AZ
  • NPI 1124656376

  Hospital

  Care Compare affiliation
• Agh Mesa LLC

  • Emergency Care Clinic/Center
  • Chandler, AZ
  • NPI 1164050316

  Hospital

  Care Compare affiliation
• Agh Mesa LLC

  • Emergency Care Clinic/Center
  • Mesa, AZ
  • NPI 1275161523

  Hospital

  Care Compare affiliation
• Agh Mesa LLC

  • Emergency Care Clinic/Center
  • San Tan Valley, AZ
  • NPI 1407313109

  Hospital

  Care Compare affiliation
• Agh Mesa LLC

  • Emergency Care Clinic/Center
  • Tempe, AZ
  • NPI 1528525227

  Hospital

  Care Compare affiliation
• Agh Mesa LLC

  • Emergency Care Clinic/Center
  • Phoenix, AZ
  • NPI 1538797782

  Hospital

  Care Compare affiliation
• Agh Mesa LLC

  • General Acute Care Hospital
  • Mesa, AZ
  • NPI 1689121188
  Care Compare affiliation
• Agh Mesa LLC

  • Emergency Care Clinic/Center
  • Mesa, AZ
  • NPI 1932737277

  Hospital

  Care Compare affiliation
• Angel Care Health Services, Inc.

  • Home Health Agency
  • Casa Grande, AZ
  • NPI 1285771469
  Care Compare affiliation
• Banner Home Care-Arizona

  • Home Health Agency
  • Sun City, AZ
  • NPI 1023051927
  Care Compare affiliation

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

{
    "created_epoch": "1555372800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1716163200000",
    "number": "1144883174",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2310 E BROWN RD",
            "city": "MESA",
            "state": "AZ",
            "postal_code": "852135226",
            "telephone_number": "480-649-9000",
            "fax_number": "480-248-9213"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2310 E BROWN RD",
            "city": "MESA",
            "state": "AZ",
            "postal_code": "852135226",
            "telephone_number": "480-649-9000"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SHOCKEY",
        "first_name": "DAVID",
        "middle_name": "IVAN",
        "credential": "MD",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2019-04-16",
        "last_updated": "2024-05-20",
        "certification_date": "2024-05-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Family Medicine",
            "state": "AZ",
            "license": "62975",
            "primary": false
        },
        {
            "code": "207P00000X",
            "taxonomy_group": "",
            "desc": "Emergency Medicine",
            "state": "AZ",
            "license": "R77382",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Sarah A Shipp
• Alicia Shirley, MA, LPC
• Clark Sebastian Shirley, AT, ATC
• Manjunath Shivamanya Kottalgi, M.D.
• Katerina Shnaydman, DO
• Gerald Roy Shockey, M.D.
• Estefania Vasquez Shockley, OTR/L
• David Carl Shoemaker, RN
• Joseph Shoker
• Stacy Lyn Shontz-Buttery, PHARMD

• Emergency Medicine Physician in Mesa, AZ
• Providers in Mesa, AZ by specialty
• Emergency Medicine Physician in Arizona

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 20, 2024; 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.