Individual provider Active NPI

Richard L. Shindell, M.D.

  • Orthopaedic Surgery of the Spine Physician
  • Phoenix, AZ
National Provider Identifier
1437123619
Registry record updated Jul 29, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
Orthopaedic Surgery of the Spine PhysicianTaxonomy code 207XS0117X
License
18762 Issued in AZ
Practice address
333 E Osborn Rd
#255
Phoenix, AZ 85012-2360
Phone
(602) 604-8941
Fax
(602) 604-0499
NPI assigned
Feb 15, 2006
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jul 29, 2014

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Orthopaedic Surgery of the Spine Physician 207XS0117X 18762 AZ Primary

Addresses

Primary practice location

333 E Osborn Rd
#255
Phoenix, AZ 85012-2360

Mailing address

333 E Osborn Rd
#255
Phoenix, AZ 85012-2360
Phone (602) 604-8941

Other identifiers 2

IdentifierTypeStateIssuer
287038MedicaidAZ
3Z3984OtherHEALTHNET ID

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
I20040929000592 AZ Practitioner - Orthopedic Surgery 5294704979 Reassigns benefits to 1 organization

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
District Medical Group, Inc CurrentSince May 11, 2013 Accepting new patients
District Medical Group, Inc CurrentSince May 11, 2013 Accepting new patients
Orthopedic Specialists of North America, PLLC Past Accepting new patients

Locations

2929 E Thomas Rd
Phoenix, AZ 85016
Phone (602) 470-5043

3141 N 3rd Ave
Phoenix, AZ 85013
Phone (602) 914-1520

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1139961600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1406592000000",
    "number": "1437123619",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "333 E OSBORN RD",
            "address_2": "#255",
            "city": "PHOENIX",
            "state": "AZ",
            "postal_code": "850122360",
            "telephone_number": "602-604-8941",
            "fax_number": "602-604-0499"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "333 E OSBORN RD",
            "address_2": "#255",
            "city": "PHOENIX",
            "state": "AZ",
            "postal_code": "850122360",
            "telephone_number": "602-604-8941",
            "fax_number": "602-604-0499"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SHINDELL",
        "first_name": "RICHARD",
        "middle_name": "L.",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-02-15",
        "last_updated": "2014-07-29",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207XS0117X",
            "taxonomy_group": "",
            "desc": "Orthopaedic Surgery, Orthopaedic Surgery of the Spine",
            "state": "AZ",
            "license": "18762",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "287038",
            "state": "AZ"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "HEALTHNET ID",
            "identifier": "3Z3984",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Phoenix, AZ

Sources for this page

Verify at the official NPI Registry.