Active NPI
Dithi A Shetty, MD
- Infectious Disease Physician
- Flagstaff, AZ
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Infectious Disease Physician
- License
- 76890
- Practice address
- 1200 N Beaver St
Flagstaff, AZ 86001-3118 - Phone
- (928) 773-2200
- NPI assigned
- Jan 10, 2006
- Last updated
- Sep 8, 2026
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 6
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Infectious Disease Physician | 207RI0200X | 2024-01959 | NC | |
| Infectious Disease Physician | 207RI0200X | 2243611 | NY | |
| Infectious Disease Physician | 207RI0200X | 104989 | GA | |
| Infectious Disease Physician | 207RI0200X | 76890 | AZ | Primary |
| Infectious Disease Physician | 207RI0200X | 01089055A | IN | |
| Infectious Disease Physician | 207RI0200X | 84182 | WI |
Addresses
Primary practice location
1200 N Beaver St
Flagstaff, AZ 86001-3118
Mailing address
110 Coachman Place West
Syosset, NY 11791
Phone (631) 271-9151
Other practice location 1
3500 Franciscan Way
400
Michigan City, IN 46360-0021
Phone (516) 965-1826
Other practice location 2
1818 N Meade St
Appleton, WI 54911-3454
Phone (920) 831-1841
Other practice location 3
110 coachman place west
syosset, NY 11791
Phone (631) 271-9151
Other practice location 4
1200 N Elm St
Greensboro, NC 27401-1004
Phone (336) 832-7000
Other practice location 5
450 Northside Cherokee Blvd
Canton, GA 30115-8015
Phone (770) 224-1000
Other practice location 6
3920 St Francis Way Ste 220
Lafayette, IN 47905-4922
Phone (765) 428-5950
Other identifiers 2
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1427037357 | Medicaid | NC | |
| 02547097 | Medicaid | NY |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in NY, WA, WI, CO, NC
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
Enrollment records 5
Care Compare profile
Medicare Care Compare- Specialty
- Infectious Disease
- Education
- Other, 1993
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Telehealth
- Offers telehealth services
- Group practices
Practice addresses (Care Compare)
Pueblo, CO 81004
Phone (516) 965-1826
1200 N Elm St
Greensboro, NC 27401-1004
Phone (336) 574-7771
1708 Yakima Ave
Suite 310
Tacoma, WA 98405-5309
Phone (253) 274-4545
1818 N Meade St
Appleton, WI 54911-3454
Phone (920) 735-7645
270 Park Ave
Huntington, NY 11743-2787
Phone (516) 965-1826
4811 Snowmountain Rd
Yakima, WA 98908-2848
Phone (516) 965-1826
Hospital & facility affiliations
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 104989 | GA | MD | Infectious Disease Physician |
| 2024-01959 | NC | MD | Infectious Disease Physician |
| 2243611 | NY | MD | Infectious Disease Physician |
| 84182 | WI | MD | Infectious Disease Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Franciscan Medical Group | Current | Accepting new patients | |
| Franciscan Medical Group | Family Medicine | Current | Accepting new patients |
| Dithi a. Shetty PC | Infectious Disease | Current | Accepting new patients |
| Alamance Regional Medical Center, Inc. | Current | Accepting new patients | |
| The Moses H Cone Memorial Hospital Operating Corporation | Family Medicine | Current | Accepting new patients |
| Franciscan Medical Group | Family Medicine | Current | Accepting new patients |
| Thedacare, Incorporated | Family Medicine | Current | Accepting new patients |
| Alamance Regional Medical Center, Inc | Current | Accepting new patients | |
| The Moses H Cone Memorial Hospital Operating Corporation | Current | Accepting new patients | |
| Steven S Shayani MD PC | Past | Accepting new patients |
Locations
1008 Minnequa Ave
Pueblo, CO 81004
Phone (719) 557-5656
1240 Huffman Mill Rd
Burlington, NC 27215
Phone (336) 538-7000
1200 N Elm St
Greensboro, NC 27401
Phone (336) 574-7000
10201 66th Rd
Forest Hills, NY 11375
Phone (718) 830-4091
270 Park Ave
Huntington, NY 11743
Phone (631) 351-2308
16045 1st Ave S
Fl 2
Burien, WA 98148
Phone (206) 965-4200
34503 9th Ave S
Ste 130
Federal Way, WA 98003
Phone (253) 835-5340
1708 Yakima Ave
Ste 310
Tacoma, WA 98405
Phone (253) 207-4200
1812 S J St
Ste 120
Tacoma, WA 98405
Phone (253) 428-2200
502 W 4th Ave
Toppenish, WA 98948
Phone (509) 575-5000
1818 N Meade St
Appleton, WI 54911
Phone (920) 731-4101
4480 W Spencer St
Appleton, WI 54914
Phone (920) 738-4800
225 Memorial Dr
Berlin, WI 54923
Phone (920) 361-1313
3 Neenah Ctr
Neenah, WI 54956
Phone (920) 454-4229
600 N Westhaven Dr
Oshkosh, WI 54904
Phone (920) 237-5000
Interoperability endpoints
- dithi.shetty.1@9622.direct.athenahealth.com
- dithi.shetty.p1@direct.mmc.nextgenshare.com
Organizations & group practices 10
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
-
dba Franciscan Orthopedics-Silverdale
- Orthopaedic Surgery Physician
- Silverdale, WA
- NPI 1093165334
-
- Internal Medicine Physician
- Greensboro, NC
- NPI 1356372064
Family Medicine
-
dba ThedaCare Physicians
- Family Medicine Physician
- New London, WI
- NPI 1376656959
-
- General Acute Care Hospital
- Burlington, NC
- NPI 1326010273
-
dba ARMC Health Care Employee Pharmacy
- Pharmacy
- Burlington, NC
- NPI 1851681993
-
dba Harrison HealthPartners, A Part of the Franciscan Medical Group
- Internal Medicine Physician
- Bremerton, WA
- NPI 1154564649
Family Medicine
-
- Family Medicine Physician
- Tacoma, WA
- NPI 1366539421
-
dba Cone Health Community Pharmacy at Eden
- Community/Retail Pharmacy
- Eden, NC
- NPI 1861222507
-
dba Long Island Heart Associates
- Cardiovascular Disease Physician
- Mineola, NY
- NPI 1972531564
Hospital & facility affiliations 10
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
dba Guardian Medical Transport
- Land Ambulance
- Flagstaff, AZ
- NPI 1518143205
Hospital
-
dba FMC Behavioral Health Services
- Psychiatric Hospital Unit
- Flagstaff, AZ
- NPI 1649370875
-
- General Acute Care Hospital
- Flagstaff, AZ
- NPI 1780635078
-
dba St Joseph Lab PAC LAB
- Clinical Medical Laboratory
- Tacoma, WA
- NPI 1659585370
Hospital
-
dba St Joseph Medical Center
- General Acute Care Hospital
- Tacoma, WA
- NPI 1952309098
-
dba St Joseph Medical Center
- General Acute Care Hospital
- Tacoma, WA
- NPI 1124291117
-
- General Acute Care Hospital
- New Hyde Park, NY
- NPI 1285641514
-
dba Astria Sunnyside Hospital
- Critical Access Hospital
- Sunnyside, WA
- NPI 1225033814
-
- General Acute Care Hospital
- Greensboro, NC
- NPI 1477591055
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1136851200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1788825600000",
"number": "1427037357",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "110 COACHMAN PLACE WEST",
"city": "SYOSSET",
"state": "NY",
"postal_code": "11791",
"telephone_number": "631-271-9151",
"fax_number": "631-271-9155"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1200 N BEAVER ST",
"city": "FLAGSTAFF",
"state": "AZ",
"postal_code": "860013118",
"telephone_number": "928-773-2200"
}
],
"practiceLocations": [
{
"address_1": "3500 Franciscan Way",
"address_2": "400",
"address_purpose": "LOCATION",
"city": "Michigan City",
"state": "IN",
"postal_code": "463600021",
"country_code": "US",
"telephone_number": "516-965-1826",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "1818 N Meade St",
"address_purpose": "LOCATION",
"city": "Appleton",
"state": "WI",
"postal_code": "549113454",
"country_code": "US",
"telephone_number": "920-831-1841",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "110 coachman place west",
"address_purpose": "LOCATION",
"city": "syosset",
"state": "NY",
"postal_code": "11791",
"country_code": "US",
"telephone_number": "631-271-9151",
"fax_number": "631-271-9155",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "1200 N Elm St",
"address_purpose": "LOCATION",
"city": "Greensboro",
"state": "NC",
"postal_code": "274011004",
"country_code": "US",
"telephone_number": "336-832-7000",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "450 Northside Cherokee Blvd",
"address_purpose": "LOCATION",
"city": "Canton",
"state": "GA",
"postal_code": "301158015",
"country_code": "US",
"telephone_number": "770-224-1000",
"fax_number": "770-224-2451",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "3920 St Francis Way Ste 220",
"address_purpose": "LOCATION",
"city": "Lafayette",
"state": "IN",
"postal_code": "479054922",
"country_code": "US",
"telephone_number": "765-428-5950",
"fax_number": "765-428-5951",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "SHETTY",
"first_name": "DITHI",
"middle_name": "A",
"credential": "MD",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2006-01-10",
"last_updated": "2026-09-08",
"certification_date": "2026-09-08",
"status": "A"
},
"taxonomies": [
{
"code": "207RI0200X",
"taxonomy_group": "",
"desc": "Internal Medicine, Infectious Disease",
"state": "NC",
"license": "2024-01959",
"primary": false
},
{
"code": "207RI0200X",
"taxonomy_group": "",
"desc": "Internal Medicine, Infectious Disease",
"state": "NY",
"license": "2243611",
"primary": false
},
{
"code": "207RI0200X",
"taxonomy_group": "",
"desc": "Internal Medicine, Infectious Disease",
"state": "GA",
"license": "104989",
"primary": false
},
{
"code": "207RI0200X",
"taxonomy_group": "",
"desc": "Internal Medicine, Infectious Disease",
"state": "AZ",
"license": "76890",
"primary": true
},
{
"code": "207RI0200X",
"taxonomy_group": "",
"desc": "Internal Medicine, Infectious Disease",
"state": "IN",
"license": "01089055A",
"primary": false
},
{
"code": "207RI0200X",
"taxonomy_group": "",
"desc": "Internal Medicine, Infectious Disease",
"state": "WI",
"license": "84182",
"primary": false
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "1427037357",
"state": "NC"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "02547097",
"state": "NY"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Flagstaff, AZ
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 8, 2026; 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.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.