Active NPI
Shahed Samadi, M.D., M.P.H.
- Family Medicine Physician
- Tucson, AZ
National Provider Identifier
1306132477
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Medicine Physician
- License
- 49523
- 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
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| 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
Enrollment records 1
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
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 100
- 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
| License | State | Type | Specialty |
|---|---|---|---|
| 132045 | CA | MD | Marriage & Family Therapist |
| A132045 | CA | MD | Family Medicine Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Sharp Rees-Stealy Medical Group, Inc | Family Medicine | Current | Accepting new patients |
| Sharp Rees-Stealy Medical Group, Inc | Current | 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
- 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.
-
- Internal Medicine Physician
- San Diego, CA
- NPI 1285616177
Family Medicine
-
- Optometrist
- San Diego, CA
- NPI 1063172351
-
- General Acute Care Hospital
- Tucson, AZ
- NPI 1487607784
-
- Family Medicine Physician
- Mason City, IA
- NPI 1922118918
-
- Rehabilitation Hospital Unit
- San Diego, CA
- NPI 1114901352
-
- Physical Therapist
- Chula Vista, CA
- NPI 1407096589
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
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 25, 2017; 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.