Individual provider Active NPI

Pina Shah, MD

  • Internal Medicine Physician
  • Chandler, AZ
National Provider Identifier
1336110584
Registry record updated Dec 24, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
License
26920 Issued in AZ
Practice address
2905 W Warner Rd Ste 12
Chandler, AZ 85224-1674
Phone
(480) 831-8457
NPI assigned
Jan 27, 2006
Last updated
Dec 24, 2025By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Dec 24, 2025

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine Physician 207R00000X 26920 AZ Primary

Addresses

Primary practice location

2905 W Warner Rd Ste 12
Chandler, AZ 85224-1674

Mailing address

PO Box 35380
Las Vegas, NV 89133-5380
Phone (702) 579-3203

Other practice location 1

1900 W Frye Rd
Suite # 3
Chandler, AZ 85224-6235
Phone (480) 786-9084

Other identifiers 1

IdentifierTypeStateIssuer
515059MedicaidAZ

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
I20071128000508 AZ Practitioner - Internal Medicine 5193814184 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Internal Medicine
Education
Other, 1993
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices

Practice addresses (Care Compare)

5830 N 19TH Ave
Phoenix, AZ 85015-2494
Phone (602) 336-1966

Hospital & facility affiliations

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
4C Medical Group PLC Internal Medicine CurrentSince Aug 1, 2022 Accepting new patients
4C Medical Group PLC CurrentSince Aug 1, 2022 Accepting new patients
Greater Phoenix Collaborative Care PC CurrentSince Oct 15, 2023 Accepting new patients
Greater Phoenix Collaborative Care PC CurrentSince Oct 15, 2023 Accepting new patients

Locations

30845 N Cave Creek Rd
Ste 101
Cave Creek, AZ 85331
Phone (480) 342-9547

2905 W Warner Rd
Ste 12
Chandler, AZ 85224
Phone (480) 831-8457

600 S Dobson Rd
Ste D27
Chandler, AZ 85224
Phone (480) 496-0000

2001 N 4th St
Flagstaff, AZ 86004
Phone (928) 526-5020

5830 N 19th Ave
Phoenix, AZ 85015
Phone (602) 249-0115

9590 E Ironwood Square Dr
Ste 125
Scottsdale, AZ 85258
Phone (480) 272-6400

1460 W Valencia Rd
Tucson, AZ 85746
Phone (520) 573-0966

2716 N Tenaya Way
Las Vegas, NV 89128
Phone (702) 240-8934

Interoperability endpoints

  • FHIR API: https://fhir4.healow.com/fhir/r4/CECEAA/Endpoint/CECEAA
  • Direct secure messaging: pshah114442@westdirect.optum.com

Organizations & group practices 4

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.

Hospital & facility affiliations 1

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": "1138320000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1766534400000",
    "number": "1336110584",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 35380",
            "city": "LAS VEGAS",
            "state": "NV",
            "postal_code": "891335380",
            "telephone_number": "702-579-3203"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2905 W WARNER RD STE 12",
            "city": "CHANDLER",
            "state": "AZ",
            "postal_code": "852241674",
            "telephone_number": "480-831-8457"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1900 W Frye Rd",
            "address_2": "SUITE # 3",
            "address_purpose": "LOCATION",
            "city": "Chandler",
            "state": "AZ",
            "postal_code": "852246235",
            "country_code": "US",
            "telephone_number": "480-786-9084",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "SHAH",
        "first_name": "PINA",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-01-27",
        "last_updated": "2025-12-24",
        "certification_date": "2025-12-24",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "AZ",
            "license": "26920",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "515059",
            "state": "AZ"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Chandler, AZ

Sources for this page

Verify at the official NPI Registry.