Individual provider Active NPI

Paragi R Shah, DO

  • Gynecology Physician
  • Phoenix, AZ
National Provider Identifier
1215927892
Registry record updated Dec 27, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Gynecology PhysicianTaxonomy code 207VG0400X
License
3279 Issued in AZ
Practice address
19646 N 27TH Ave
Ste 403
Phoenix, AZ 85027-4017
Phone
(623) 587-4868
Fax
(623) 582-5300
NPI assigned
Oct 25, 2005
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Dec 27, 2016

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Gynecology Physician 207VG0400X 3279 AZ Primary

Addresses

Primary practice location

19646 N 27TH Ave
Ste 403
Phoenix, AZ 85027-4017

Mailing address

1760 E River Rd
Ste. 350
Tucson, AZ 85718-5877
Phone (520) 519-7775

Other identifiers 1

IdentifierTypeStateIssuer
399875MedicaidAZ

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
I20070124000597 AZ Practitioner - Obstetrics/Gynecology 1355342916

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
3279AZMDMedical Physician Assistant

Practice roles

OrganizationSpecialtyStatusNew patients
Fifth Avenue Gynecologists LTD CurrentSince Nov 1, 2017 Accepting new patients
Obstetrix Medical Group of Phoenix PC CurrentSince Dec 9, 2017 Accepting new patients
Obstetrix Medical Group of Phoenix PC Past Accepting new patients

Locations

250 E Dunlap Ave
Phoenix, AZ 85020
Phone (480) 331-6721

1331 N 7th St
Ste 2
Phoenix, AZ 85006
Phone (602) 257-8118

3033 W Bell Rd
Ste 100
Phoenix, AZ 85053
Phone (602) 588-0316

19829 N 27th Ave
Phoenix, AZ 85027
Phone (602) 879-5720

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 and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1130198400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1482796800000",
    "number": "1215927892",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1760 E RIVER RD",
            "address_2": "STE. 350",
            "city": "TUCSON",
            "state": "AZ",
            "postal_code": "857185877",
            "telephone_number": "520-519-7775",
            "fax_number": "520-519-7910"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "19646 N 27TH AVE",
            "address_2": "STE 403",
            "city": "PHOENIX",
            "state": "AZ",
            "postal_code": "850274017",
            "telephone_number": "623-587-4868",
            "fax_number": "623-582-5300"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SHAH",
        "first_name": "PARAGI",
        "middle_name": "R",
        "name_prefix": "Mrs.",
        "credential": "DO",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2005-10-25",
        "last_updated": "2016-12-27",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207VG0400X",
            "taxonomy_group": "",
            "desc": "Obstetrics & Gynecology, Gynecology",
            "state": "AZ",
            "license": "3279",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "399875",
            "state": "AZ"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Phoenix, AZ

Sources for this page

Verify at the official NPI Registry.