Individual provider Active NPI

Shahzad Shadmany, MD

  • Endocrinology, Diabetes & Metabolism Physician
  • Mesa, AZ
National Provider Identifier
1285600783
Registry record updated Oct 11, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Endocrinology, Diabetes & Metabolism PhysicianTaxonomy code 207RE0101X
License
32204 Issued in AZ
Practice address
217 S 63Rd St
Suite 105
Mesa, AZ 85206-6105
Phone
(480) 981-8088
Fax
(480) 981-3883
NPI assigned
Feb 24, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 11, 2007

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Endocrinology, Diabetes & Metabolism Physician 207RE0101X 32204 AZ Primary

Addresses

Primary practice location

217 S 63Rd St
Suite 105
Mesa, AZ 85206-6105

Mailing address

217 S 63Rd St
Suite 105
Mesa, AZ 85206-6105
Phone (480) 981-8088

Other identifiers 1

IdentifierTypeStateIssuer
855108MedicaidAZ

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
I20040419000497 AZ Practitioner - EndocrinologyPractitioner - Internal Medicine 9436144474 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Endocrinology
Education
Other, 1991
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Valley Endocrine Associates, P.C.Group PAC ID 7315931870, 3 clinicians

Practice addresses (Care Compare)

217 S 63Rd St
Suite 105
Mesa, AZ 85206-6106
Phone (480) 981-8088

Hospital & facility affiliations

  • Banner Baywood Medical Center Hospital, Mesa, AZ, CCN 030088
  • Mercy Gilbert Medical Center Hospital, Gilbert, AZ, CCN 030119
  • Cobre Valley Regional Medical Center Hospital, Globe, AZ, CCN 031314

Merit-based Incentive Payment System (MIPS)

Final score
89.23 of 100Reported as group
Quality
95.44
Promoting interoperability
92
Improvement activities
40
Cost
75.32

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Valley Endocrine Associates, P.C. Endocrinology, Diabetes & Metabolism CurrentSince Jun 4, 2015 Accepting new patients
Major Hospital Past Accepting new patients
Valley Anesthesiology Consultants, Inc. PastSince Jun 1, 2017 Accepting new patients

Locations

3483 S Mercy Rd
Ste 102
Gilbert, AZ 85297
Phone (480) 464-5754

217 S 63rd St
Ste 105
Mesa, AZ 85206
Phone (480) 981-8088

6335 E Main St
Ste C1
Mesa, AZ 85205
Phone (480) 668-2060

1842 E Baseline Rd
Ste B1
Tempe, AZ 85283
Phone (310) 722-9094

Interoperability endpoints

  • FHIR API: https://fhir4.healow.com/fhir/r4/DIAIAA/Endpoint/DIAIAA
  • FHIR API: https://fhir4.healow.com/fhir/r4/DIAIAA

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.

Hospital & facility affiliations 5

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

NPI Registry JSON

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

{
    "created_epoch": "1140739200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1192060800000",
    "number": "1285600783",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "217 S 63RD ST",
            "address_2": "SUITE 105",
            "city": "MESA",
            "state": "AZ",
            "postal_code": "852066105",
            "telephone_number": "480-981-8088",
            "fax_number": "480-981-3883"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "217 S 63RD ST",
            "address_2": "SUITE 105",
            "city": "MESA",
            "state": "AZ",
            "postal_code": "852066105",
            "telephone_number": "480-981-8088",
            "fax_number": "480-981-3883"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SHADMANY",
        "first_name": "SHAHZAD",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-02-24",
        "last_updated": "2007-10-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207RE0101X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Endocrinology, Diabetes & Metabolism",
            "state": "AZ",
            "license": "32204",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "855108",
            "state": "AZ"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Mesa, AZ

Sources for this page

Verify at the official NPI Registry.