Individual provider Active NPI

Sammya Shahla, MD

  • Family Medicine Physician
  • Phoenix, AZ
National Provider Identifier
1407175284
Registry record updated May 8, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
53949 Issued in AZ
Practice address
11209 N Tatum Blvd Ste 180
Phoenix, AZ 85028-6060
Phone
(602) 494-5155
Fax
(602) 494-5115
NPI assigned
May 19, 2010
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 8, 2026

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine Physician 207Q00000X 53949 AZ Primary

Addresses

Primary practice location

11209 N Tatum Blvd Ste 180
Phoenix, AZ 85028-6060

Mailing address

11209 N Tatum Blvd Ste 180
Phoenix, AZ 85028-6060
Phone (602) 494-5155

Other practice location 1

10705 W Peoria Ave
Sun City, AZ 85351-4061
Phone (623) 259-6749

Other practice location 2

1 Tech Park Dr
Suite 1150
Johnstown, PA 15901-2515
Phone (814) 475-8700

Other practice location 3

11209 N Tatum Blvd Ste 180
Phoenix, AZ 85028-6060
Phone (623) 330-5240

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
I20190925002435 AZ Practitioner - Family Practice 1951538347 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Family Practice
Education
Other, 2003
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Summit Medical Group Arizona LLCGroup PAC ID 3173872835, 152 clinicians

Practice addresses (Care Compare)

5620 W Thunderbird Rd
Suite F1
Glendale, AZ 85306-4652
Phone (888) 698-6727

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Paradise Valley Family Medicine, PC Family Medicine CurrentSince Sep 2, 2019 Accepting new patients
Summit Medical Group Arizona LLC Family Medicine CurrentSince Aug 1, 2022 Accepting new patients
Desert Valley Radiology, PLC PastSince Sep 2, 2019 Accepting new patients
Windber Hospital, Inc. Past Accepting new patients
Oak Street Health Physicians Group of Arizona PLLC Family Medicine PastSince Apr 15, 2024 Accepting new patients

Locations

5620 W Thunderbird Rd
Ste F1
Glendale, AZ 85306
Phone (602) 938-6960

18275 N 59th Ave
Ste 162K
Glendale, AZ 85308
Phone (602) 547-8184

14541 W Indian School Rd
#600
Goodyear, AZ 85395
Phone (623) 535-5599

18433 N 19th Ave
Phoenix, AZ 85023
Phone (623) 582-9894

11209 N Tatum Blvd
Ste 180
Phoenix, AZ 85028
Phone (602) 494-5155

3003 N Central Ave
Ste 1175
Phoenix, AZ 85012
Phone (346) 980-2701

18435 N 19th Ave
Phoenix, AZ 85023

Interoperability endpoints

  • FHIR API: https://fhir4.healow.com/fhir/r4/GBCHBA
  • Direct secure messaging: sammya.shahla.1@19654.direct.athenahealth.com

Organizations & group practices 5

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": "1274227200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1778198400000",
    "number": "1407175284",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "11209 N TATUM BLVD STE 180",
            "city": "PHOENIX",
            "state": "AZ",
            "postal_code": "850286060",
            "telephone_number": "602-494-5155",
            "fax_number": "602-494-5115"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "11209 N TATUM BLVD STE 180",
            "city": "PHOENIX",
            "state": "AZ",
            "postal_code": "850286060",
            "telephone_number": "602-494-5155",
            "fax_number": "602-494-5115"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "10705 W Peoria Ave",
            "address_purpose": "LOCATION",
            "city": "Sun City",
            "state": "AZ",
            "postal_code": "853514061",
            "country_code": "US",
            "telephone_number": "623-259-6749",
            "fax_number": "602-930-4975",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "1 Tech Park Dr",
            "address_2": "Suite 1150",
            "address_purpose": "LOCATION",
            "city": "Johnstown",
            "state": "PA",
            "postal_code": "159012515",
            "country_code": "US",
            "telephone_number": "814-475-8700",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "11209 N Tatum Blvd Ste 180",
            "address_purpose": "LOCATION",
            "city": "Phoenix",
            "state": "AZ",
            "postal_code": "850286060",
            "country_code": "US",
            "telephone_number": "623-330-5240",
            "fax_number": "602-494-5115",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "SHAHLA",
        "first_name": "SAMMYA",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2010-05-19",
        "last_updated": "2026-05-08",
        "certification_date": "2026-05-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "AZ",
            "license": "53949",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Phoenix, AZ

Sources for this page

Verify at the official NPI Registry.