NPIMap

Individual provider Active NPI

Shashikala Ameneni, M.D.

  • Infectious Disease Physician
  • Mesa, AZ
National Provider Identifier
1346229895
Registry record updated Aug 1, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Infectious Disease PhysicianTaxonomy code 207RI0200X
License
30598 Issued in AZ
Practice address
6040 E Main St # 516
Mesa, AZ 85205-8928
Phone
(480) 648-7895
Fax
(623) 552-3320
NPI assigned
Jan 12, 2006
Last updated
Aug 1, 2025By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 1, 2025

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Infectious Disease Physician 207RI0200X 30598 AZ Primary

Addresses

Primary practice location

6040 E Main St # 516
Mesa, AZ 85205-8928

Mailing address

Lockbox Dept 880778
PO Box 29650
Phoenix, AZ 85038-9650
Phone (480) 648-7895

Other identifiers 2

IdentifierTypeStateIssuer
2996281MedicaidOH
724593MedicaidAZ

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in AZ
Eligible to order & refer
  • Part B services
  • Medical equipment
  • Home health
  • Power mobility devices
  • Hospice
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20060222000109 AZ Practitioner - Infectious Disease 4183630650 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Infectious Disease
Education
Other, 1997
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
East Valley Infectious Disease Medicine LLCGroup PAC ID 9739531518, 6 clinicians

Practice addresses (Care Compare)

1400 S Dobson Rd
Mesa, AZ 85202-4707
Phone (480) 412-3000

Hospital & facility affiliations

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
East Valley Infectious Disease Medicine LLC Infectious Disease CurrentSince Jul 25, 2023 Accepting new patients
Shashikala Ameneni PLLC PastSince Jan 22, 2007 Accepting new patients
Hospitalist Medicine Physicians of Butler County, LTD Past Accepting new patients
Trihealth Physician Institute Past Accepting new patients
Adam Internal Medicine PLLC Past Accepting new patients
Daniel Drake Center for Post-Acute Care, LLC Past Accepting new patients
Acclaimed Internal Medicine PLLC Past Accepting new patients

Locations

1800 E Florence Blvd
Casa Grande, AZ 85122
Phone (520) 381-6285

1400 S Dobson Rd
Mesa, AZ 85202
Phone (480) 412-3000

6040 E Main St
#516
Mesa, AZ 85205
Phone (480) 648-7895

6644 E Baywood Ave
Mesa, AZ 85206
Phone (480) 321-2000

6750 E Baywood Ave
Mesa, AZ 85206
Phone (480) 854-5000

37000 N Gantzel Rd
San Tan Valley, AZ 85140
Phone (480) 394-4000

7400 E Osborn Rd
Scottsdale, AZ 85251
Phone (480) 481-4000

Organizations & group practices 8

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 6

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": "1137024000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1754006400000",
    "number": "1346229895",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "LOCKBOX DEPT 880778",
            "address_2": "PO BOX 29650",
            "city": "PHOENIX",
            "state": "AZ",
            "postal_code": "850389650",
            "telephone_number": "480-648-7895",
            "fax_number": "623-552-3320"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6040 E MAIN ST # 516",
            "city": "MESA",
            "state": "AZ",
            "postal_code": "852058928",
            "telephone_number": "480-648-7895",
            "fax_number": "623-552-3320"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "AMENENI",
        "first_name": "SHASHIKALA",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-01-12",
        "last_updated": "2025-08-01",
        "certification_date": "2025-07-28",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207RI0200X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Infectious Disease",
            "state": "AZ",
            "license": "30598",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "2996281",
            "state": "OH"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "724593",
            "state": "AZ"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Mesa, AZ

Sources for this page

Verify at the official NPI Registry.