NPIMap

Individual provider Active NPI

Ahtisham Shakoor, MD

  • Cardiovascular Disease Physician
  • Chandler, AZ
National Provider Identifier
1356426316
Registry record updated Aug 30, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Cardiovascular Disease PhysicianTaxonomy code 207RC0000X
License
27556 Issued in AZ
Practice address
1850 W Frye Rd Ste 101
Chandler, AZ 85224-6232
Phone
(480) 782-0101
Fax
(480) 782-1251
NPI assigned
Oct 26, 2006
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Aug 30, 2024

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Cardiovascular Disease Physician 207RC0000X 27556 AZ Primary

Addresses

Primary practice location

1850 W Frye Rd Ste 101
Chandler, AZ 85224-6232

Mailing address

1850 W Frye Rd Ste 101
Chandler, AZ 85224-6232
Phone (480) 782-0101

Other identifiers 1

IdentifierTypeStateIssuer
468646MedicaidAZ

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
I20040329000673 AZ Practitioner - Cardiovascular Disease (Cardiology)Practitioner - Internal Medicine 3476445917 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Cardiovascular Disease (Cardiology)Also: Internal Medicine
Education
Other, 1984
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Livwell Health LLCGroup PAC ID 1052738440, 9 clinicians

Practice addresses (Care Compare)

1850 W Frye Rd
Suite 101
Chandler, AZ 85224-6232
Phone (480) 782-0101

Hospital & facility affiliations

  • Chandler Regional Medical Center Hospital, Chandler, AZ, CCN 030036
  • Mercy Gilbert Medical Center Hospital, Gilbert, AZ, CCN 030119
  • Banner - University Medical Center Phoenix Hospital, Phoenix, AZ, CCN 030002
  • Dignity Health Arizona General Hospital Hospital, Mesa, AZ, CCN 030139
  • Banner Baywood Medical Center Hospital, Mesa, AZ, CCN 030088

Procedures performed for Medicare patients

ProcedureNumber of procedures
Coronary angioplasty and stenting1-10

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Chandler Pediatrics LLC Current Accepting new patients
Livwell Health LLC CurrentSince Aug 1, 2024 Accepting new patients
Chandler Cardiology Associates LLC CurrentSince Jul 2, 1999 Accepting new patients
Cardiac Imaging Inc CurrentSince May 25, 2022 Accepting new patients
Eyenet Triage, PLC Past Accepting new patients
Retinal Consultants of Arizona LTD Past Accepting new patients

Locations

485 S Dobson Rd
Ste 209
Chandler, AZ 85224
Phone (480) 728-7564

1850 W Frye Rd
Ste 101
Chandler, AZ 85224
Phone (480) 782-0101

1955 W Frye Rd
Chandler, AZ 85224
Phone (480) 507-2961

8541 E Anderson Dr
Ste 104
Scottsdale, AZ 85255
Phone (323) 351-4233

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 and National Provider Directory roles.

Hospital & facility affiliations 13

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

View all 13

NPI Registry JSON

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

{
    "created_epoch": "1161820800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1724976000000",
    "number": "1356426316",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1850 W FRYE RD STE 101",
            "city": "CHANDLER",
            "state": "AZ",
            "postal_code": "852246232",
            "telephone_number": "480-782-0101",
            "fax_number": "480-782-1251"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1850 W FRYE RD STE 101",
            "city": "CHANDLER",
            "state": "AZ",
            "postal_code": "852246232",
            "telephone_number": "480-782-0101",
            "fax_number": "480-782-1251"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SHAKOOR",
        "first_name": "AHTISHAM",
        "credential": "MD",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-10-26",
        "last_updated": "2024-08-30",
        "certification_date": "2024-08-30",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207RC0000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Cardiovascular Disease",
            "state": "AZ",
            "license": "27556",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "468646",
            "state": "AZ"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Chandler, AZ

Sources for this page

Verify at the official NPI Registry.