Individual provider Active NPI

Shirley H. Chow, M.D.

  • Diagnostic Radiology Physician
  • Mesa, AZ
National Provider Identifier
1487643102
Registry record updated Mar 1, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
Diagnostic Radiology PhysicianTaxonomy code 2085R0202X
License
26564 Issued in AZ
Practice address
1125 E Southern Ave
Suite 300
Mesa, AZ 85204-5045
Phone
(480) 545-8119
Fax
(480) 892-6805
NPI assigned
Oct 14, 2005
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 1, 2011

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Diagnostic Radiology Physician 2085R0202X 26564 AZ Primary

Addresses

Primary practice location

1125 E Southern Ave
Suite 300
Mesa, AZ 85204-5045

Mailing address

1125 E Southern Ave
Suite 300
Mesa, AZ 85204-5045
Phone (480) 545-8119

Other identifiers 1

IdentifierTypeStateIssuer
428624MedicaidAZ

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Desert Valley Radiology, PLC Diagnostic Radiology Past Accepting new patients
Desert Open MRI LLC Past Accepting new patients
Paradise Valley Family Medicine, PC PastSince Jan 1, 2001 Accepting new patients
Associated Radiologists LTD PastSince Jan 1, 1991 Accepting new patients
East Valley Diagnostic Imaging LLC Past Accepting new patients

Interoperability endpoints

  • FHIR API: https://fhir4.healow.com/fhir/r4/GBCHBA

Organizations & group practices 5

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": "1129248000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1298937600000",
    "number": "1487643102",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1125 E SOUTHERN AVE",
            "address_2": "SUITE 300",
            "city": "MESA",
            "state": "AZ",
            "postal_code": "852045045",
            "telephone_number": "480-545-8119",
            "fax_number": "480-892-6805"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1125 E SOUTHERN AVE",
            "address_2": "SUITE 300",
            "city": "MESA",
            "state": "AZ",
            "postal_code": "852045045",
            "telephone_number": "480-545-8119",
            "fax_number": "480-892-6805"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CHOW",
        "first_name": "SHIRLEY",
        "middle_name": "H.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2005-10-14",
        "last_updated": "2011-03-01",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2085R0202X",
            "taxonomy_group": "",
            "desc": "Radiology, Diagnostic Radiology",
            "state": "AZ",
            "license": "26564",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "428624",
            "state": "AZ"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Mesa, AZ

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 1, 2011; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.