Individual provider Active NPI

Shabnam Sood, M.D.

  • Psychiatry Physician
  • Phoenix, AZ
National Provider Identifier
1326212408
Registry record updated Apr 18, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Psychiatry PhysicianTaxonomy code 2084P0800X
License
37681 Issued in AZ
Practice address
4129 E Van Buren St Ste 150
Phoenix, AZ 85008-6939
Phone
(602) 797-8312
NPI assigned
Apr 18, 2008
Last updated
Apr 18, 2008By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 18, 2008

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Psychiatry Physician 2084P0800X 37681 AZ Primary

Addresses

Primary practice location

4129 E Van Buren St Ste 150
Phoenix, AZ 85008-6939

Mailing address

3429 E Norcroft Cir
Mesa, AZ 85213-1751
Phone (480) 218-7780

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
I20081009000274 AZ Practitioner - Psychiatry 5799853370 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Psychiatry
Education
Other, 1996
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Circle the CityGroup PAC ID 3971824442, 63 clinicians
District Medical Group IncGroup PAC ID 7315086691, 454 clinicians

Practice addresses (Care Compare)

210 S 12TH Ave
Phoenix, AZ 85007-3101
Phone (602) 254-4282

220 S 12TH Ave
Phoenix, AZ 85007-3101
Phone (602) 258-8282

3141 N 3Rd Ave
Phoenix, AZ 85013-4360
Phone (602) 914-1520

570 W Brown Rd
Mesa, AZ 85201-3227
Phone (480) 344-2000

Merit-based Incentive Payment System (MIPS)

Final score
95.59 of 100Reported as group
Quality
81.55
Promoting interoperability
100
Improvement activities
40
Cost
79.5

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
37681AZMDPsychiatry Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Circle the City CurrentSince Jan 16, 2025 Accepting new patients
District Medical Group, Inc Current Accepting new patients
Circle the City Family Medicine Current Accepting new patients
District Medical Group, Inc CurrentSince Jan 1, 2010 Accepting new patients
Circle the City CurrentSince Jan 16, 2025 Accepting new patients
Maricopa County Special Health Care District Past Accepting new patients

Locations

570 W Brown Rd
Mesa, AZ 85201
Phone (480) 344-2000

2601 E Roosevelt St
Phoenix, AZ 85008
Phone (602) 220-0298

2929 E Thomas Rd
Phoenix, AZ 85016
Phone (602) 470-5043

3141 N 3rd Ave
Phoenix, AZ 85013
Phone (602) 914-1520

3141 N 3rd Ave
Ste 100
Phoenix, AZ 85013
Phone (602) 914-1520

333 W Indian School Rd
Phoenix, AZ 85013
Phone (602) 776-9000

3522 N 3rd Ave
Phoenix, AZ 85013
Phone (602) 776-7676

Interoperability endpoints

  • Direct secure messaging: shabnam.sood.1@11818.direct.athenahealth.com
  • Direct secure messaging: ssood5257@direct.valleywisehealth.org

Organizations & group practices 6

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.

NPI Registry JSON

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

{
    "created_epoch": "1208476800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1208476800000",
    "number": "1326212408",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3429 E NORCROFT CIR",
            "city": "MESA",
            "state": "AZ",
            "postal_code": "852131751",
            "telephone_number": "480-218-7780"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4129 E VAN BUREN ST STE 150",
            "city": "PHOENIX",
            "state": "AZ",
            "postal_code": "850086939",
            "telephone_number": "602-797-8312"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SOOD",
        "first_name": "SHABNAM",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2008-04-18",
        "last_updated": "2008-04-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2084P0800X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Psychiatry",
            "state": "AZ",
            "license": "37681",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Phoenix, AZ

Sources for this page

Verify at the official NPI Registry.