Nimisha Darshak Shah, M.D.

Primary specialty

Family Medicine PhysicianTaxonomy code 207Q00000X

License

34447 Issued in AZ

Practice address

21681 N 77TH Ave
Ste. 1410
Peoria, AZ 85382-2132

Phone

(623) 312-2265

Fax

(623) 312-2266

NPI assigned

Oct 31, 2005

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other identifiers 1

Other names 1

• Nimisha Narendra Patel Other name

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

Other, 2002

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Telehealth

Offers telehealth services

Group practices

Honorhealth Medical Group, LLCGroup PAC ID 1557274057, 338 clinicians

Practice addresses (Care Compare)

Hospital & facility affiliations

• Banner Home Care-Arizona Home health agency, Mesa, AZ, CCN 037015
• Honor Health John C. Lincoln Medical Center Hospital, Phoenix, AZ, CCN 030014
• Honorhealth Deer Valley Medical Center Hospital, Phoenix, AZ, CCN 030092

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

Practice roles

Locations

Interoperability endpoints

• Direct secure messaging: nshah25999@direct.honorhealth.com

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.

• Honorhealth Medical Group, LLC

  • Primary Care Clinic/Center
  • Peoria, AZ
  • NPI 1043851793
  Medicare reassignment Care Compare group NPD
• Honorhealth Medical Group, LLC

  • Family Medicine Physician
  • Scottsdale, AZ
  • NPI 1285338343
  NPD
• Honorhealth Medical Group, LLC

  dba Del Lago Family Medicine

  • Family Medicine Physician
  • Peoria, AZ
  • NPI 1285933820
  NPD
• Banner Desert Sky Medical Clinic

  • Multi-Specialty Clinic/Center
  • Phoenix, AZ
  • NPI 1194964825
  NPD (past)
• Vicki D Copeland MD PC

  dba Desert Sky Family Physicians

  • Family Medicine Physician
  • Phoenix, AZ
  • NPI 1407073737
  NPD (past)

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

• Banner Home Care-Arizona

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

  dba HonorHealth Deer Valley Medical Center

  • General Acute Care Hospital
  • Phoenix, AZ
  • NPI 1528169125
  Care Compare affiliation
• Honorhealth

  dba HonorHealth John C. Lincoln Medical Center

  • General Acute Care Hospital
  • Phoenix, AZ
  • NPI 1770690695
  Care Compare affiliation

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

{
    "created_epoch": "1130716800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1379980800000",
    "number": "1215928254",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2500 W UTOPIA RD",
            "address_2": "STE. 100",
            "city": "PHOENIX",
            "state": "AZ",
            "postal_code": "850274171",
            "telephone_number": "602-214-6148",
            "fax_number": "602-214-6149"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "21681 N 77TH AVE",
            "address_2": "STE. 1410",
            "city": "PEORIA",
            "state": "AZ",
            "postal_code": "853822132",
            "telephone_number": "623-312-2265",
            "fax_number": "623-312-2266"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SHAH",
        "first_name": "NIMISHA",
        "middle_name": "DARSHAK",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2005-10-31",
        "last_updated": "2013-09-24",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "AZ",
            "license": "34447",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "969636",
            "state": "AZ"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "NIMISHA",
            "last_name": "PATEL",
            "middle_name": "NARENDRA",
            "credential": "M.D.",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

• Akshay Vijay Shah, M.D.
• Chetna H Shah, PT
• Deepa K Shah, MD
• Kinjal Shah
• Neeshi Shah, PHARMD
• Rupal R Shah, B. PHARM
• Gobran Shahla
• Pourya Shahnaz, DMD
• Norman R. Shaia, M.D.
• Shane Moore DPM PC

• Family Medicine Physician in Peoria, AZ
• Providers in Peoria, AZ by specialty
• Family Medicine Physician in Arizona

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 24, 2013; 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.