Active NPI
Maulik Gautam Shah, M.D.
- Cardiovascular Disease Physician
- Scottsdale, AZ
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Cardiovascular Disease Physician
- License
- 41574
- Practice address
- 16427 N Scottsdale Rd
Suite 100
Scottsdale, AZ 85254-8197 - Phone
- (480) 718-5072
- Fax
- (480) 718-5074
- NPI assigned
- Mar 19, 2008
- Last updated
- Oct 9, 2020
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 4
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Cardiovascular Disease Physician | 207RC0000X | A80105 | CA | |
| Interventional Cardiology Physician | 207RI0011X | 41574 | AZ | |
| Nuclear Cardiology Physician | 207UN0901X | 41754 | AZ | |
| Cardiovascular Disease Physician | 207RC0000X | 41574 | AZ | Primary |
Addresses
Primary practice location
16427 N Scottsdale Rd
Suite 100
Scottsdale, AZ 85254-8197
Mailing address
PO Box 13507
Scottsdale, AZ 85267-3507
Phone (480) 718-5072
Other practice location 1
7373 N Scottsdale Rd Ste B100
Scottsdale, AZ 85253
Phone (480) 718-5072
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 447809 | Medicaid | AZ |
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
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Cardiovascular Disease (Cardiology)
- Education
- University of California, San Francisco School of Medicine, 2001
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Telehealth
- Offers telehealth services
- Group practices
Practice addresses (Care Compare)
7373 N Scottsdale Rd
Suite B120
Scottsdale, AZ 85253-3555
Phone (480) 718-5072
Hospital & facility affiliations
- Honorhealth Scottsdale Thompson Peak Med Ctr
- Honorhealth Scottsdale Osborn Medical Center
- Honorhealth Scottsdale Shea Medical Center
- Honor Health John C. Lincoln Medical Center
- Honorhealth Deer Valley Medical Center
Procedures performed for Medicare patients
| Procedure | Number of procedures |
|---|---|
| Coronary angioplasty and stenting | 1-10 |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| A80105 | CA | MD | Cardiovascular Disease Physician |
| 41574 | AZ | MD | Interventional Cardiology Physician |
| 41754 | AZ | MD | Nuclear Cardiology Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Honorhealth Ambulatory | Current | Accepting new patients | |
| Honorhealth Ambulatory | Current | Accepting new patients | |
| Honorhealth Ambulatory | Current | Accepting new patients | |
| Honorhealth Ambulatory | Cardiovascular Disease | Past | Accepting new patients |
Locations
10510 N 92nd St
Ste 200
Scottsdale, AZ 85258
Phone (480) 323-1250
16427 N Scottsdale Rd
Ste 100
Scottsdale, AZ 85254
Phone (480) 718-5072
3099 N Civic Center Plz
Scottsdale, AZ 85251
Phone (480) 945-3535
7373 N Scottsdale Rd
Ste B120
Scottsdale, AZ 85253
Phone (480) 718-5072
Interoperability endpoints
- mshah110672@direct.honorhealth.com
Organizations & group practices 5
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
-
dba HonorHealth Research Institute
- Hematology & Oncology Physician
- Scottsdale, AZ
- NPI 1407050917
-
- Cardiovascular Disease Physician
- Scottsdale, AZ
- NPI 1750785358
-
- Neurology Physician
- Phoenix, AZ
- NPI 1285258137
-
- Emergency Medicine Physician
- Mesa, AZ
- NPI 1891518130
-
- Cardiovascular Disease Physician
- Scottsdale, AZ
- NPI 1275833915
Hospital & facility affiliations 5
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
dba HonorHealth Scottsdale Shea Medical Center
- General Acute Care Hospital
- Scottsdale, AZ
- NPI 1386608859
-
dba HonorHealth Scottsdale Thompson Peak Medical Center
- General Acute Care Hospital
- Scottsdale, AZ
- NPI 1417152745
-
dba HonorHealth Deer Valley Medical Center
- General Acute Care Hospital
- Phoenix, AZ
- NPI 1528169125
-
dba HonorHealth John C. Lincoln Medical Center
- General Acute Care Hospital
- Phoenix, AZ
- NPI 1770690695
-
dba HonorHealth Scottsdale Osborn Medical Center
- General Acute Care Hospital
- Scottsdale, AZ
- NPI 1811951429
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1205884800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1602201600000",
"number": "1154592061",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 13507",
"city": "SCOTTSDALE",
"state": "AZ",
"postal_code": "852673507",
"telephone_number": "480-718-5072",
"fax_number": "480-718-5074"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "16427 N SCOTTSDALE RD",
"address_2": "SUITE 100",
"city": "SCOTTSDALE",
"state": "AZ",
"postal_code": "852548197",
"telephone_number": "480-718-5072",
"fax_number": "480-718-5074"
}
],
"practiceLocations": [
{
"address_1": "7373 N Scottsdale Rd Ste B100",
"address_purpose": "LOCATION",
"city": "Scottsdale",
"state": "AZ",
"postal_code": "85253",
"country_code": "US",
"telephone_number": "480-718-5072",
"fax_number": "480-718-5074",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "SHAH",
"first_name": "MAULIK",
"middle_name": "GAUTAM",
"name_prefix": "Dr.",
"credential": "M.D.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2008-03-19",
"last_updated": "2020-10-09",
"certification_date": "2020-10-09",
"status": "A"
},
"taxonomies": [
{
"code": "207RC0000X",
"taxonomy_group": "",
"desc": "Internal Medicine, Cardiovascular Disease",
"state": "CA",
"license": "A80105",
"primary": false
},
{
"code": "207RI0011X",
"taxonomy_group": "",
"desc": "Internal Medicine, Interventional Cardiology",
"state": "AZ",
"license": "41574",
"primary": false
},
{
"code": "207UN0901X",
"taxonomy_group": "",
"desc": "Nuclear Medicine, Nuclear Cardiology",
"state": "AZ",
"license": "41754",
"primary": false
},
{
"code": "207RC0000X",
"taxonomy_group": "",
"desc": "Internal Medicine, Cardiovascular Disease",
"state": "AZ",
"license": "41574",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "447809",
"state": "AZ"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Scottsdale, AZ
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 9, 2020; 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.