Individual provider Active NPI

Shahed Samadi, M.D., M.P.H.

  • Family Medicine Physician
  • Tucson, AZ
National Provider Identifier
1306132477
Registry record updated Apr 25, 2017
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
49523 Issued in AZ
Practice address
4001 E Sunrise Dr
Ste. 120
Tucson, AZ 85718-4333
Phone
(250) 209-7000
Fax
(877) 674-4883
NPI assigned
Jun 27, 2011
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 25, 2017

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine Physician 207Q00000X 49523 AZ Primary
Family Medicine Physician 207Q00000X A132045 CA

Addresses

Primary practice location

4001 E Sunrise Dr
Ste. 120
Tucson, AZ 85718-4333

Mailing address

4001 E Sunrise Dr
Ste. 120
Tucson, AZ 85718-4333
Phone (250) 209-7000

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CA
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
I20171005003088 CA Practitioner - Family Practice 1557595675 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Family Practice
Education
Other, 2011
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Sharp Rees-Stealy Medical Group IncGroup PAC ID 8628972759, 872 clinicians

Practice addresses (Care Compare)

300 Fir St
San Diego, CA 92101-2327
Phone (848) 499-2600

Merit-based Incentive Payment System (MIPS)

Final score
88.67 of 100Reported as group
Quality
81.04
Promoting interoperability
99
Improvement activities
40
Cost
82.04

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
132045CAMDMarriage & Family Therapist
A132045CAMDFamily Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Sharp Rees-Stealy Medical Group, Inc Family Medicine CurrentSince Sep 25, 2017 Accepting new patients
Sharp Rees-Stealy Medical Group, Inc CurrentSince Sep 25, 2017 Accepting new patients
Oro Valley Hospital LLC Family Medicine Past Accepting new patients
Northwest Hospital LLC Past Accepting new patients
Sharp Rees-Stealy Medical Center Past Accepting new patients
North Iowa Mercy Clinics Family Medicine Past Accepting new patients
Sharp Memorial Hospital Past Accepting new patients

Locations

300 Fir St
San Diego, CA 92101
Phone (619) 446-1586

2020 Genesee Ave
San Diego, CA 92123
Phone (619) 268-9500

Interoperability endpoints

  • Direct secure messaging: ssamadi24828@sharphealthcare.direct-ci.com

Organizations & group practices 7

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": "1309132800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1493078400000",
    "number": "1306132477",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4001 E SUNRISE DR",
            "address_2": "STE. 120",
            "city": "TUCSON",
            "state": "AZ",
            "postal_code": "857184333",
            "telephone_number": "250-209-7000",
            "fax_number": "877-674-4883"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4001 E SUNRISE DR",
            "address_2": "STE. 120",
            "city": "TUCSON",
            "state": "AZ",
            "postal_code": "857184333",
            "telephone_number": "250-209-7000",
            "fax_number": "877-674-4883"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SAMADI",
        "first_name": "SHAHED",
        "name_prefix": "Dr.",
        "credential": "M.D., M.P.H.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2011-06-27",
        "last_updated": "2017-04-25",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "AZ",
            "license": "49523",
            "primary": true
        },
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "CA",
            "license": "A132045",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Tucson, AZ

Sources for this page

Verify at the official NPI Registry.