Active NPI
Shahzad Shadmany, MD
- Endocrinology, Diabetes & Metabolism Physician
- Mesa, AZ
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Endocrinology, Diabetes & Metabolism Physician
- License
- 32204
- 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
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| 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
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 855108 | 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
- Endocrinology
- Education
- Other, 1991
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Telehealth
- Offers telehealth services
- Group practices
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
- Mercy Gilbert Medical Center
- Cobre Valley Regional Medical Center
Merit-based Incentive Payment System (MIPS)
- Final score
- 89.23 of 100
- 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
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Valley Endocrine Associates, P.C. | Endocrinology, Diabetes & Metabolism | Current | Accepting new patients |
| Major Hospital | Past | Accepting new patients | |
| Valley Anesthesiology Consultants, Inc. | Past | 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
- https://fhir4.healow.com/fhir/r4/DIAIAA/Endpoint/DIAIAA
- 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.
-
- Endocrinology, Diabetes & Metabolism Physician
- Mesa, AZ
- NPI 1316010978
-
- Anesthesiology Physician
- Phoenix, AZ
- NPI 1285660704
-
- General Acute Care Hospital
- Shelbyville, IN
- NPI 1174555692
Hospital & facility affiliations 5
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- General Acute Care Hospital
- Mesa, AZ
- NPI 1194758284
-
- Critical Access Hospital
- Globe, AZ
- NPI 1871566521
-
- General Acute Care Hospital
- Gilbert, AZ
- NPI 1992735088
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
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 11, 2007; 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.