Mazen H Shaheen, MD

Primary specialty

Interventional Cardiology PhysicianTaxonomy code 207RI0011X

License

53216 Issued in AZ

Practice address

4729 E Camp Lowell Dr
Tucson, AZ 85712-1256

Phone

(520) 321-4800

Fax

(520) 318-0104

NPI assigned

Apr 25, 2007

Sex

Male

Sole proprietor

No

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

Specialties & licenses 5

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Enrolled in AL

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

Medicare enrollment (NPD)

Not enrolled

HHS exclusion list flag

Flagged The directory lists this NPI on an HHS exclusion list. The OIG exclusions file (LEIE) holds no record for this NPI, and the directory does not say which list the flag comes from. How exclusions are shown Confirm with the OIG exclusions search.

Credentials

Doctor of Medicine

State licenses

Practice roles

Locations

Interoperability endpoints

• FHIR API: https://api.platform.athenahealth.com/19364/brand/1/csg/21/fhir/r4
• FHIR API: https://api.platform.athenahealth.com/14272/brand/70/csg/1/fhir/r4
• FHIR API: https://api.platform.athenahealth.com/10383/brand/1/csg/1/fhir/r4

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.

• Shoals Primary Care, LLC

  • Family Medicine Physician
  • Sheffield, AL
  • NPI 1326373861
  Medicare reassignment NPD
• Vaughan Physician Practices, LLC

  • Orthopaedic Surgery Physician
  • Selma, AL
  • NPI 1467599621
  Medicare reassignment NPD
• Vaughan Physician Practices LLC

  • Obstetrics & Gynecology Physician
  • Selma, AL
  • NPI 1063908325
  NPD
• Vaughan Physician Practices LLC

  • Surgery Physician
  • Selma, AL
  • NPI 1881980589
  NPD
• Ascension Via Christi Hospitals Wichita Inc.

  • Family Medicine Physician
  • Wichita, KS
  • NPI 1871589333
  NPD (past)
• Cookeville Regional Medical Group, Inc

  • Multi-Specialty Clinic/Center
  • Cookeville, TN
  • NPI 1649202102
  NPD (past)
• Hospital Medicine Associates LLC

  • Hospitalist Physician
  • Baton Rouge, LA
  • NPI 1093758781

  Family Medicine

  NPD (past)
• Prism Medical Group, PLC

  • Emergency Medicine Physician
  • Memphis, TN
  • NPI 1679760953
  NPD (past)
• Tennessee Emergency Physicians, PLLC

  • Emergency Medicine Physician
  • Memphis, TN
  • NPI 1790919041
  NPD (past)
• Vaughan Physician Practices LLC

  • Cardiovascular Disease Physician
  • Selma, AL
  • NPI 1346679248

  Internal Medicine

  NPD (past)
• Vaughan Physician Practices LLC

  • Surgery Physician
  • Selma, AL
  • NPI 1407277460
  NPD (past)
• Williamson Emergency Physicians LLC

  • Emergency Medicine Physician
  • South Williamson, KY
  • NPI 1740492644
  NPD (past)

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

{
    "created_epoch": "1177459200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1519257600000",
    "number": "1346469657",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3709 N CAMPBELL AVE",
            "address_2": "STE 201",
            "city": "TUCSON",
            "state": "AZ",
            "postal_code": "857191563",
            "telephone_number": "520-320-3918"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4729 E CAMP LOWELL DR",
            "city": "TUCSON",
            "state": "AZ",
            "postal_code": "857121256",
            "telephone_number": "520-321-4800",
            "fax_number": "520-318-0104"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SHAHEEN",
        "first_name": "MAZEN",
        "middle_name": "H",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2007-04-25",
        "last_updated": "2018-02-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207P00000X",
            "taxonomy_group": "",
            "desc": "Emergency Medicine",
            "state": "OH",
            "license": "35.088199",
            "primary": false
        },
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "KS",
            "license": "04-33535",
            "primary": false
        },
        {
            "code": "207RC0000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Cardiovascular Disease",
            "state": "KS",
            "license": "04-33535",
            "primary": false
        },
        {
            "code": "207RI0011X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Interventional Cardiology",
            "state": "KS",
            "license": "04-33535",
            "primary": false
        },
        {
            "code": "207RI0011X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Interventional Cardiology",
            "state": "AZ",
            "license": "53216",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "242258",
            "state": "AZ"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Sagar Nilesh Shah, DO
• Sapna Shah, MD
• Saroj J Shah, M.D.
• Tasneem Manish Shah, MD
• Sara Shahdoost Moghadam, PHARMD
• Milanpreet Shahi
• Ahmad Shahin, MD
• Shahla Ighani MD PLLC
• David H Shahnooshi, PHARMD
• Yashika Shaju

• Interventional Cardiology Physician in Tucson, AZ
• Providers in Tucson, AZ by specialty
• Interventional Cardiology Physician in Arizona

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 22, 2018; 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.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.