Individual provider Active NPI

Neet Ashok Shah

  • Psychiatry Physician
  • Phoenix, AZ
National Provider Identifier
1205326386
Registry record updated Jan 3, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Psychiatry PhysicianTaxonomy code 2084P0800X
License
64549 Issued in AZ
Practice address
2 N Central Ave Ste 1808
Phoenix, AZ 85004-2322
Phone
(602) 833-9666
NPI assigned
May 15, 2018
Last updated
Jan 3, 2023By the provider in NPPES
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jan 3, 2023

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Student in an Organized Health Care Education/Training Program 390200000X NU
Psychiatry Physician 2084P0800X 64549 AZ Primary

Addresses

Primary practice location

2 N Central Ave Ste 1808
Phoenix, AZ 85004-2322

Mailing address

5427 W Saint John Rd
Glendale, AZ 85308-5384
Phone (602) 328-0418

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
I20230524001588 AZ Practitioner - Psychiatry 8628434297 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Psychiatry
Education
University of Arizona College of Medicine, 2018
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Uhs of Phoenix LLCGroup PAC ID 2264656701, 10 clinicians
Az Holding 4, LLCGroup PAC ID 9133511801, 15 clinicians

Practice addresses (Care Compare)

2545 W Quail Ave
Phoenix, AZ 85027-2418
Phone (602) 455-5745

9160 E Horseshoe Rd
Scottsdale, AZ 85258-4666
Phone (480) 476-7000

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
64549AZMDPsychiatry Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Az Holding 4, LLC Psychiatry CurrentSince Aug 21, 2023 Accepting new patients
Uhs of Phoenix, LLC CurrentSince Mar 2, 2023 Accepting new patients
BH Newco Hospital LLC Past Accepting new patients

Locations

2545 W Quail Ave
Phoenix, AZ 85027
Phone (602) 455-5700

9160 E Horseshoe Rd
Scottsdale, AZ 85258
Phone (480) 476-7000

Organizations & group practices 3

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.

NPI Registry JSON

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

{
    "created_epoch": "1526342400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1672704000000",
    "number": "1205326386",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5427 W SAINT JOHN RD",
            "city": "GLENDALE",
            "state": "AZ",
            "postal_code": "853085384",
            "telephone_number": "602-328-0418"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2 N CENTRAL AVE STE 1808",
            "city": "PHOENIX",
            "state": "AZ",
            "postal_code": "850042322",
            "telephone_number": "602-833-9666"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SHAH",
        "first_name": "NEET",
        "middle_name": "ASHOK",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2018-05-15",
        "last_updated": "2023-01-03",
        "certification_date": "2023-01-03",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "390200000X",
            "taxonomy_group": "",
            "desc": "Student in an Organized Health Care Education/Training Program",
            "state": "NU",
            "license": null,
            "primary": false
        },
        {
            "code": "2084P0800X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Psychiatry",
            "state": "AZ",
            "license": "64549",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Phoenix, AZ

Sources for this page

Verify at the official NPI Registry.