Individual provider Active NPI

Shimul Bansal Sahai, M.D.

  • Pain Medicine (Physical Medicine & Rehabilitation) Physician
  • Chandler, AZ
National Provider Identifier
1376761577
Registry record updated Dec 17, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pain Medicine (Physical Medicine & Rehabilitation) PhysicianTaxonomy code 2081P2900X
License
36671 Issued in AZ
Practice address
963 N McQueen Road
Chandler, AZ 85225-8149
Phone
(480) 398-1940
Fax
(480) 782-1453
NPI assigned
Apr 23, 2007
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Dec 17, 2014

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Pain Medicine (Physical Medicine & Rehabilitation) Physician 2081P2900X 36671 AZ Primary

Addresses

Primary practice location

963 N McQueen Road
Chandler, AZ 85225-8149

Mailing address

963 N McQueen Road
Chandler, AZ 85225-8149
Phone (480) 398-1940

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
I20070807000069 AZ Practitioner - Physical Medicine and RehabilitationPractitioner - Interventional Pain Management 1254422108 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Physical Medicine and RehabilitationAlso: Interventional Pain Management
Education
Northeastern Ohio University College of Medicine, 2002
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Phoenician Pain and Rehabilitation CenterGroup PAC ID 1951443068, 2 clinicians

Practice addresses (Care Compare)

963 N McQueen Rd
Chandler, AZ 85225-8149
Phone (480) 398-1940

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
36671AZMDPain Medicine (Physical Medicine & Rehabilitation) Physician

Organizations & group practices 1

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": "1177286400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1418774400000",
    "number": "1376761577",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "963 N MCQUEEN ROAD",
            "city": "CHANDLER",
            "state": "AZ",
            "postal_code": "852258149",
            "telephone_number": "480-398-1940",
            "fax_number": "480-782-1453"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "963 N MCQUEEN ROAD",
            "city": "CHANDLER",
            "state": "AZ",
            "postal_code": "852258149",
            "telephone_number": "480-398-1940",
            "fax_number": "480-782-1453"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SAHAI",
        "first_name": "SHIMUL",
        "middle_name": "BANSAL",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-04-23",
        "last_updated": "2014-12-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2081P2900X",
            "taxonomy_group": "",
            "desc": "Physical Medicine & Rehabilitation, Pain Medicine",
            "state": "AZ",
            "license": "36671",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Chandler, AZ

Sources for this page

Verify at the official NPI Registry.