NPIMap

Organization Active NPI

Hetal C. Shah, M.D., P.C.

Doing business as Arizona Women's Specialists

  • Obstetrics & Gynecology Physician
  • Phoenix, AZ
National Provider Identifier
1437189404
Registry record updated Sep 11, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Obstetrics & Gynecology PhysicianTaxonomy code 207V00000X
Legal business name
HETAL C. SHAH, M.D., P.C.
Doing business as
Arizona Women's Specialists
Practice address
4700 N 51St Ave Ste 5
Phoenix, AZ 85031-1237
Phone
(623) 846-7597
Fax
(623) 846-1826
NPI assigned
Jul 4, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 11, 2023

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

Authorized official

Name
Hetal C. Shah, M.D.NPI 1750363255
Title
Owner/Physician
Phone
(602) 430-0940

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Obstetrics & Gynecology PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 207V00000X Primary

Addresses

Primary practice location

4700 N 51St Ave Ste 5
Phoenix, AZ 85031-1237

Mailing address

4700 N 51St Ave Ste 5
Phoenix, AZ 85031-1237
Phone (623) 846-7597

Other practice location 1

18699 N 67th Ave Ste 320
Glendale, AZ 85308-7143
Phone (623) 846-7597

Other identifiers 1

IdentifierTypeStateIssuer
Z81268OtherAZMEDICARE PTAN

Other names 1

  • Arizona Women's Specialists Doing business as

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in AZ

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20040712001367 AZ Part B Supplier - Clinic/Group Practice 9739167057 Receives reassigned benefits from 7 practitioners
Practice locations: Phoenix, AZ; Glendale, AZ

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 8

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1151971200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1694390400000",
    "number": "1437189404",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4700 N 51ST AVE STE 5",
            "city": "PHOENIX",
            "state": "AZ",
            "postal_code": "850311237",
            "telephone_number": "623-846-7597",
            "fax_number": "623-846-1826"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4700 N 51ST AVE STE 5",
            "city": "PHOENIX",
            "state": "AZ",
            "postal_code": "850311237",
            "telephone_number": "623-846-7597",
            "fax_number": "623-846-1826"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "18699 N 67th Ave Ste 320",
            "address_purpose": "LOCATION",
            "city": "Glendale",
            "state": "AZ",
            "postal_code": "853087143",
            "country_code": "US",
            "telephone_number": "623-846-7597",
            "fax_number": "623-846-1826",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "HETAL C. SHAH, M.D., P.C.",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-07-04",
        "last_updated": "2023-09-11",
        "certification_date": "2023-09-11",
        "status": "A",
        "authorized_official_last_name": "SHAH",
        "authorized_official_first_name": "HETAL",
        "authorized_official_middle_name": "C.",
        "authorized_official_title_or_position": "OWNER/PHYSICIAN",
        "authorized_official_telephone_number": "602-430-0940",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "207V00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Obstetrics & Gynecology",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICARE PTAN",
            "identifier": "Z81268",
            "state": "AZ"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Arizona Women's Specialists",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Arizona Women's Specialists",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Phoenix, AZ

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 11, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.