Individual provider Active NPI

Dithi A Shetty, MD

  • Infectious Disease Physician
  • Flagstaff, AZ
National Provider Identifier
1427037357
Registry record updated Sep 8, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Infectious Disease PhysicianTaxonomy code 207RI0200X
License
76890 Issued in AZ
Practice address
1200 N Beaver St
Flagstaff, AZ 86001-3118
Phone
(928) 773-2200
NPI assigned
Jan 10, 2006
Last updated
Sep 8, 2026By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Sep 8, 2026

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

Specialties & licenses 6

Specialty (taxonomy)CodeLicenseStatePrimary
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

IdentifierTypeStateIssuer
1427037357MedicaidNC
02547097MedicaidNY

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NY, WA, WI, CO, NC5 enrollments
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 5

Enrollment IDStateProvider typePAC IDDetails
I20040616000906 NY Practitioner - Infectious Disease 0244214286 Reassigns benefits to 1 organization
I20090423000452 WA Practitioner - Infectious Disease 0244214286 Reassigns benefits to 2 organizations
I20240411002798 WI Practitioner - Infectious Disease 0244214286 Reassigns benefits to 1 organization
I20250116001045 CO Practitioner - Infectious Disease 0244214286 Reassigns benefits to 1 organization
I20251029000352 NC Practitioner - Infectious Disease 0244214286 Reassigns benefits to 2 organizations

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
Franciscan Medical GroupGroup PAC ID 0547173866, 1,400 clinicians
Thedacare, IncorporatedGroup PAC ID 1759294887, 654 clinicians

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

LicenseStateTypeSpecialty
104989GAMDInfectious Disease Physician
2024-01959NCMDInfectious Disease Physician
2243611NYMDInfectious Disease Physician
84182WIMDInfectious Disease Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Franciscan Medical Group Current Accepting new patients
Franciscan Medical Group Family Medicine CurrentSince Jul 18, 2025 Accepting new patients
Dithi a. Shetty PC Infectious Disease CurrentSince Mar 5, 2009 Accepting new patients
Alamance Regional Medical Center, Inc. CurrentSince Sep 24, 2025 Accepting new patients
The Moses H Cone Memorial Hospital Operating Corporation Family Medicine CurrentSince Sep 24, 2025 Accepting new patients
Franciscan Medical Group Family Medicine CurrentSince Jul 18, 2025 Accepting new patients
Thedacare, Incorporated Family Medicine CurrentSince Mar 1, 2024 Accepting new patients
Alamance Regional Medical Center, Inc CurrentSince Sep 24, 2025 Accepting new patients
The Moses H Cone Memorial Hospital Operating Corporation CurrentSince Sep 24, 2025 Accepting new patients
Steven S Shayani MD PC PastSince Jan 1, 2001 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

  • Direct secure messaging: dithi.shetty.1@9622.direct.athenahealth.com
  • Direct secure messaging: 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.

Hospital & facility affiliations 10

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

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

Verify at the official NPI Registry.