Individual provider Active NPI

Rehab M Shabana, M.D.

  • Obstetrics & Gynecology Physician
  • Tempe, AZ
National Provider Identifier
1457583221
Registry record updated Sep 7, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Obstetrics & Gynecology PhysicianTaxonomy code 207V00000X
License
61911 Issued in AZ
Practice address
1492 S Mill Ave Ste 201
Tempe, AZ 85281-5664
Phone
(480) 257-2777
Fax
(480) 784-5585
NPI assigned
Aug 12, 2009
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 7, 2022

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Obstetrics & Gynecology Physician 207V00000X 4301094939 MI
Obstetrics Physician 207VX0000X MD468352 PA
Obstetrics & Gynecology Physician 207V00000X 61911 AZ Primary

Addresses

Primary practice location

1492 S Mill Ave Ste 201
Tempe, AZ 85281-5664

Mailing address

1492 S Mill Ave Ste 201
Tempe, AZ 85281-5664
Phone (480) 257-2777

Other practice location 1

109 Crossroads Rd Ste 202
Scottdale, PA 15683-2458
Phone (724) 887-6960

Other practice location 2

8775 Norwin Ave Ste D
North Huntingdon, PA 15642-2718
Phone (724) 863-2660

Other practice location 3

10238 E Hampton Ave
Mesa, AZ 85209-3316
Phone (480) 632-2004

Other practice location 4

870 Weatherwood Ln Ste 4
Greensburg, PA 15601-5899
Phone (724) 539-8581

Other practice location 5

6521 Route 22
Delmont, PA 15626-2402
Phone (724) 468-8764

Other practice location 6

100 Excela Health Dr Ste 302
Latrobe, PA 15650-9001
Phone (724) 539-8581

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
I20220118002276 AZ Practitioner - Obstetrics/Gynecology 5496989899 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Obstetrics/Gynecology
Education
Wayne State University School of Medicine, 2009
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Honorhealth AmbulatoryGroup PAC ID 5991603110, 630 clinicians

Practice addresses (Care Compare)

10238 E Hampton Ave
Mesa, AZ 85209-3322

10510 N 92ND St
Scottsdale, AZ 85258-4566

1301 S Crimson Rd
Mesa, AZ 85209-3767
Phone (480) 358-6100

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
61911AZMDObstetrics & Gynecology Physician
MD468352PAMDObstetrics Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Honorhealth Ambulatory Current Accepting new patients
Honorhealth Ambulatory CurrentSince Oct 14, 2024 Accepting new patients
Physician Group of Arizona Inc CurrentSince Jul 22, 2022 Accepting new patients
Physician Group of Arizona Inc CurrentSince Jul 22, 2022 Accepting new patients
Honorhealth Ambulatory CurrentSince Oct 14, 2024 Accepting new patients
Mountain Vista Medical Center LP Past Accepting new patients
Honorhealth Ambulatory Past Accepting new patients
Excela Health Physician Practices, Inc. Obstetrics & Gynecology Past Accepting new patients
Excela Health Physician Practices, Inc Past Accepting new patients
Honorhealth Past Accepting new patients

Locations

1537 S Higley Rd
Gilbert, AZ 85296
Phone (480) 257-2698

1301 S Crismon Rd
Mesa, AZ 85209
Phone (480) 358-6300

10238 E Hampton Ave
Ste 301B
Mesa, AZ 85209
Phone (480) 257-2699

10510 N 92nd St
Ste 200
Scottsdale, AZ 85258
Phone (480) 323-1250

1492 S Mill Ave
Ste 201
Tempe, AZ 85281
Phone (480) 257-2777

Interoperability endpoints

  • Direct secure messaging: rshabana594189@direct.honorhealth.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 and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1250035200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1662508800000",
    "number": "1457583221",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1492 S MILL AVE STE 201",
            "city": "TEMPE",
            "state": "AZ",
            "postal_code": "852815664",
            "telephone_number": "480-257-2777",
            "fax_number": "480-784-5585"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1492 S MILL AVE STE 201",
            "city": "TEMPE",
            "state": "AZ",
            "postal_code": "852815664",
            "telephone_number": "480-257-2777",
            "fax_number": "480-784-5585"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "109 Crossroads Rd Ste 202",
            "address_purpose": "LOCATION",
            "city": "Scottdale",
            "state": "PA",
            "postal_code": "156832458",
            "country_code": "US",
            "telephone_number": "724-887-6960",
            "fax_number": "724-887-6962",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "8775 Norwin Ave Ste D",
            "address_purpose": "LOCATION",
            "city": "North Huntingdon",
            "state": "PA",
            "postal_code": "156422718",
            "country_code": "US",
            "telephone_number": "724-863-2660",
            "fax_number": "724-863-2668",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "10238 E Hampton Ave",
            "address_purpose": "LOCATION",
            "city": "Mesa",
            "state": "AZ",
            "postal_code": "852093316",
            "country_code": "US",
            "telephone_number": "480-632-2004",
            "fax_number": "480-889-2638",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "870 Weatherwood Ln Ste 4",
            "address_purpose": "LOCATION",
            "city": "Greensburg",
            "state": "PA",
            "postal_code": "156015899",
            "country_code": "US",
            "telephone_number": "724-539-8581",
            "fax_number": "724-539-2739",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "6521 Route 22",
            "address_purpose": "LOCATION",
            "city": "Delmont",
            "state": "PA",
            "postal_code": "156262402",
            "country_code": "US",
            "telephone_number": "724-468-8764",
            "fax_number": "724-468-8785",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "100 Excela Health Dr Ste 302",
            "address_purpose": "LOCATION",
            "city": "Latrobe",
            "state": "PA",
            "postal_code": "156509001",
            "country_code": "US",
            "telephone_number": "724-539-8581",
            "fax_number": "724-539-2739",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "SHABANA",
        "first_name": "REHAB",
        "middle_name": "M",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2009-08-12",
        "last_updated": "2022-09-07",
        "certification_date": "2022-09-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207V00000X",
            "taxonomy_group": "",
            "desc": "Obstetrics & Gynecology",
            "state": "MI",
            "license": "4301094939",
            "primary": false
        },
        {
            "code": "207VX0000X",
            "taxonomy_group": "",
            "desc": "Obstetrics & Gynecology, Obstetrics",
            "state": "PA",
            "license": "MD468352",
            "primary": false
        },
        {
            "code": "207V00000X",
            "taxonomy_group": "",
            "desc": "Obstetrics & Gynecology",
            "state": "AZ",
            "license": "61911",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Tempe, AZ

Sources for this page

Verify at the official NPI Registry.