Individual provider Active NPI

Humaira Shafi, M.D.

  • Infectious Disease Physician
  • Phoenix, AZ
National Provider Identifier
1356576334
Registry record updated Oct 19, 2009
On this page

Key facts

NPPES NPI Registry
Primary specialty
Infectious Disease PhysicianTaxonomy code 207RI0200X
License
41398 Issued in AZ
Practice address
4225 W Glendale Ave
Suite B 200
Phoenix, AZ 85051-8194
Phone
(623) 934-5600
Fax
(623) 934-5603
NPI assigned
May 20, 2009
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Oct 19, 2009

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 41398 AZ Primary

Addresses

Primary practice location

4225 W Glendale Ave
Suite B 200
Phoenix, AZ 85051-8194

Mailing address

4225 W Glendale Ave
Suite B 200
Phoenix, AZ 85051-8194
Phone (623) 934-5600

Other identifiers 1

IdentifierTypeStateIssuer
CK3166OtherAZRAIL ROAD MEDICARE

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
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

Practice roles

OrganizationSpecialtyStatusNew patients
Arizona Grand Medical Center PLLC Past Accepting new patients
Mikrut Physical Therapy LLC Past Accepting new patients
Surprise Health Center, PLLC PastSince Dec 1, 2016 Accepting new patients

Organizations & group practices 3

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.

NPI Registry JSON

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

{
    "created_epoch": "1242777600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1255910400000",
    "number": "1356576334",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4225 W GLENDALE AVE",
            "address_2": "SUITE B 200",
            "city": "PHOENIX",
            "state": "AZ",
            "postal_code": "850518194",
            "telephone_number": "623-934-5600",
            "fax_number": "623-934-5603"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4225 W GLENDALE AVE",
            "address_2": "SUITE B 200",
            "city": "PHOENIX",
            "state": "AZ",
            "postal_code": "850518194",
            "telephone_number": "623-934-5600",
            "fax_number": "623-934-5603"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SHAFI",
        "first_name": "HUMAIRA",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2009-05-20",
        "last_updated": "2009-10-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207RI0200X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Infectious Disease",
            "state": "AZ",
            "license": "41398",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "RAIL ROAD MEDICARE",
            "identifier": "CK3166",
            "state": "AZ"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Phoenix, AZ

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 19, 2009; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.