Individual provider Active NPI

Jatin Shah, MD

  • Neurology Physician
  • Sun City, AZ
National Provider Identifier
1447221544
Registry record updated Sep 6, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Neurology PhysicianTaxonomy code 2084N0400X
License
28642 Issued in AZ
Practice address
10474 W Thunderbird Blvd
Ste 200
Sun City, AZ 85351-3015
Phone
(855) 506-3876
Fax
(855) 523-0513
NPI assigned
Jan 28, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 6, 2026

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Specialist 174400000X 28642 AZ
Neurology Physician 2084N0400X 28642 AZ Primary
Psychiatry Physician 2084P0800X 28642 AZ

Addresses

Primary practice location

10474 W Thunderbird Blvd
Ste 200
Sun City, AZ 85351-3015

Mailing address

PO Box 2099
Sun City, AZ 85372-2099
Phone (855) 506-3876

Other identifiers 1

IdentifierTypeStateIssuer
549818MedicaidAZ

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
I20040308000061 AZ Practitioner - Neurology 0840188348 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare

Merit-based Incentive Payment System (MIPS)

Final score
0 of 100Reported as individual
Quality
0
Improvement activities
0
Cost
0

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
28642AZMDPsychiatry Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Arizona Neurology Associates PLLC Neurology CurrentSince Mar 1, 2016 Accepting new patients
Sun Health MRI Center Past Accepting new patients

Locations

2010 Injo Dr
Lk Havasu Cty, AZ 86403
Phone (623) 227-1000

9401 W Thunderbird Rd
Ste 155
Peoria, AZ 85381
Phone (480) 659-7147

10474 W Thunderbird Blvd
Sun City, AZ 85351
Phone (623) 219-4475

10474 W Thunderbird Blvd
Ste 200
Sun City, AZ 85351
Phone (623) 219-4475

10474 W Thunderbird Blvd
Ste 201
Sun City, AZ 85351
Phone (623) 377-7410

14418 W Meeker Blvd
Ste 110
Sun City West, AZ 85375
Phone (623) 377-7410

14420 W Meeker Blvd
Ste A105
Sun City West, AZ 85375

Organizations & group practices 2

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": "1138406400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1788652800000",
    "number": "1447221544",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 2099",
            "city": "SUN CITY",
            "state": "AZ",
            "postal_code": "853722099",
            "telephone_number": "855-506-3876",
            "fax_number": "855-523-0513"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "10474 W THUNDERBIRD BLVD",
            "address_2": "STE 200",
            "city": "SUN CITY",
            "state": "AZ",
            "postal_code": "853513015",
            "telephone_number": "855-506-3876",
            "fax_number": "855-523-0513"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SHAH",
        "first_name": "JATIN",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-01-28",
        "last_updated": "2026-09-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "174400000X",
            "taxonomy_group": "",
            "desc": "Specialist",
            "state": "AZ",
            "license": "28642",
            "primary": false
        },
        {
            "code": "2084N0400X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Neurology",
            "state": "AZ",
            "license": "28642",
            "primary": true
        },
        {
            "code": "2084P0800X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Psychiatry",
            "state": "AZ",
            "license": "28642",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "549818",
            "state": "AZ"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Sun City, AZ

Sources for this page

Verify at the official NPI Registry.