Active NPI
Pinnacle Healthcare LLC
- Diagnostic Radiology Physician
- Lake Havasu City, AZ
National Provider Identifier
1457125288
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Diagnostic Radiology Physician
- Legal business name
- PINNACLE HEALTHCARE LLC
- Practice address
- 101 Civic Center LN
Lake Havasu City, AZ 86403-5607 - Phone
- (928) 855-8151
- NPI assigned
- Nov 13, 2023
- Last updated
- Nov 13, 2023
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Dr. Bobby Shah, MD
- Title
- President
- Phone
- (219) 677-6801
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) | Code | License | State | Primary |
|---|---|---|---|---|
| Diagnostic Radiology Physician | 2085R0202X | Primary |
Addresses
Primary practice location
101 Civic Center LN
Lake Havasu City, AZ 86403-5607
Mailing address
735 Paseo Granada
Lake Havasu City, AZ 86406-7754
Phone (219) 677-6801
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in TN, TX, NY, AZ, MI, MD, IL, NV, PA, HI, CA, KY, SC, NC, UT, FL, MO
Enrollment records 17
National Provider Directory
National Provider DirectoryLocations
1840 Mesquite Ave
Ste D
Lk Havasu Cty, AZ 86403
Phone (928) 453-1003
Practitioners & affiliated clinicians
Practitioners 41
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.
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- Diagnostic Radiology Physician
- Prescott, AZ
- NPI 1548469372
-
- Diagnostic Radiology Physician
- Tucson, AZ
- NPI 1083623656
-
- Diagnostic Radiology Physician
- Pleasanton, CA
- NPI 1548363070
-
- Diagnostic Radiology Physician
- Las Vegas, NV
- NPI 1336482702
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1699833600000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1699833600000",
"number": "1457125288",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "735 PASEO GRANADA",
"city": "LAKE HAVASU CITY",
"state": "AZ",
"postal_code": "864067754",
"telephone_number": "219-677-6801"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "101 CIVIC CENTER LN",
"city": "LAKE HAVASU CITY",
"state": "AZ",
"postal_code": "864035607",
"telephone_number": "928-855-8151"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "PINNACLE HEALTHCARE LLC",
"organizational_subpart": "NO",
"enumeration_date": "2023-11-13",
"last_updated": "2023-11-13",
"certification_date": "2023-11-13",
"status": "A",
"authorized_official_last_name": "SHAH",
"authorized_official_first_name": "BOBBY",
"authorized_official_title_or_position": "PRESIDENT",
"authorized_official_telephone_number": "219-677-6801",
"authorized_official_name_prefix": "Dr.",
"authorized_official_credential": "MD"
},
"taxonomies": [
{
"code": "2085R0202X",
"taxonomy_group": "",
"desc": "Radiology, Diagnostic Radiology",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Lake Havasu City, AZ
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 13, 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.