Active NPI
Shyam Narayanan Colattur, M.D.
- Nephrology Physician
- Glendale, AZ
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Nephrology Physician
- License
- 28898
- Practice address
- 5750 W Thunderbird Rd
Ste G790
Glendale, AZ 85306-4660 - Phone
- (602) 843-7171
- Fax
- (602) 843-5909
- NPI assigned
- May 27, 2005
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Nephrology Physician | 207RN0300X | 28898 | AZ | Primary |
Addresses
Primary practice location
5750 W Thunderbird Rd
Ste G790
Glendale, AZ 85306-4660
Mailing address
3333 E Camelback Rd
Suite 180
Phoenix, AZ 85018-2322
Phone (602) 997-0484
Other practice location 1
3320 N 2nd St
Phoenix, AZ 85012-2319
Phone (602) 351-3186
Other practice location 2
3330 N 2nd St Ste 206
Phoenix, AZ 85012-2353
Phone (602) 351-3042
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 559198 | Medicaid | AZ |
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
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Nephrology
- Education
- Other, 1992
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
5750 W Thunderbird Rd
Stes G750/G790
Glendale, AZ 85306-4660
Phone (602) 843-7171
Hospital & facility affiliations
- 032521 Dialysis Center of Glendale (FMC)
- Banner Thunderbird Medical Center
- Honorhealth Deer Valley Medical Center
- Honor Health John C. Lincoln Medical Center
- Abrazo Arrowhead Hospital
- Honorhealth Sonoran Crossing Medical Center
Merit-based Incentive Payment System (MIPS)
- Final score
- 88.2 of 100
- Quality
- 67.68
- Promoting interoperability
- 100
- Improvement activities
- 40
- Cost
- 76.33
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Akdhc, LLC | Nephrology | Current | Accepting new patients |
| Akdhc Surgery Center, LLC | Nephrology | Current | Accepting new patients |
| Akdhc, LLC | Nephrology | Current | Accepting new patients |
| Akdhc, LLC | Nephrology | Current | Accepting new patients |
| Akdhc,LLC | Nephrology | Current | Accepting new patients |
| Akdhc, LLC | Nephrology | Past | Accepting new patients |
| Northwest Tucson Dialysis LLC | Past | Accepting new patients | |
| Evac LLC | Nephrology | Past | Accepting new patients |
| Arizona Oncology Associates PC | Internal Medicine | Past | Accepting new patients |
| City of Hope Medical Group of Arizona LLC | Internal Medicine | Past | Accepting new patients |
Locations (25 of 81)
10750 W McDowell Rd
Ste F600
Avondale, AZ 85392
Phone (623) 547-4668
525 S Watson Rd
Ste 205
Buckeye, AZ 85326
Phone (623) 344-0498
213 E Monroe Ave
Buckeye, AZ 85326
Phone (623) 233-1330
2771 Silver Creek Rd
Ste 100
Bullhead City, AZ 86442
Phone (928) 704-7011
1225 Hancock Rd
Ste 203
Bullhead City, AZ 86442
Phone (928) 763-1200
2771 Silver Creek Rd
Ste 120
Bullhead City, AZ 86442
Phone (928) 763-7722
1120 S Dobson Rd
Ste 115
Chandler, AZ 85286
Phone (480) 857-2381
2121 E Pecos Rd
Ste 1
Chandler, AZ 85225
Phone (480) 846-0607
451 S Calvary Way
Cottonwood, AZ 86326
Phone (928) 649-7997
100 E 5th St
Douglas, AZ 85607
Phone (520) 364-7659
77 W Forest Ave
Ste 302
Flagstaff, AZ 86001
Phone (928) 213-9460
2201 N Vickey St
Ste 110
Flagstaff, AZ 86004
Phone (928) 213-9460
13620 N Saguaro Blvd
Ste 90
Fountain Hills, AZ 85268
Phone (480) 473-7800
5750 W Thunderbird Rd
Ste F680
Glendale, AZ 85306
Phone (602) 843-7171
6622 N 91st Ave
Ste 200
Glendale, AZ 85305
Phone (623) 547-4668
6622 N 91st Ave
Ste 100
Glendale, AZ 85305
Phone (623) 547-4668
5750 W Thunderbird Rd
Ste G790
Glendale, AZ 85306
Phone (602) 395-3354
18699 N 67th Ave
Ste 280
Glendale, AZ 85308
Phone (623) 240-4277
5750 W Thunderbird Rd
#G750G790
Glendale, AZ 85306
Phone (602) 843-7171
13657 W McDowell Rd
Ste 210
Goodyear, AZ 85395
Phone (623) 243-6538
1739 E Beverly Ave
Ste 216
Kingman, AZ 86409
Phone (928) 681-2772
2501 N Stockton Hill Rd
Ste 102
Kingman, AZ 86401
Phone (928) 681-2772
300 W White Mountain Blvd
Ste D
Lakeside, AZ 85929
Phone (928) 367-2642
1851 Mesquite Ave
Ste 216
Lk Havasu Cty, AZ 86403
Phone (928) 854-5358
1720 Mesquite Ave
Ste 202
Lk Havasu Cty, AZ 86403
Phone (928) 854-5358
Interoperability endpoints
- shyam.colattur.1@11625.direct.athenahealth.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.
-
- Nephrology Physician
- Phoenix, AZ
- NPI 1316902208
-
- Nephrology Physician
- Tucson, AZ
- NPI 1073840922
-
- Nephrology Physician
- Bullhead City, AZ
- NPI 1487140539
-
- Nephrology Physician
- Kingman, AZ
- NPI 1104013101
-
- Nephrology Physician
- Mesa, AZ
- NPI 1205274735
-
- Medical Oncology Physician
- Goodyear, AZ
- NPI 1609026806
Internal Medicine
-
- Nephrology Physician
- Chandler, AZ
- NPI 1073772588
-
- End-Stage Renal Disease (ESRD) Treatment Clinic/Center
- Tucson, AZ
- NPI 1972791424
Hospital & facility affiliations 7
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- End-Stage Renal Disease (ESRD) Treatment Clinic/Center
- Glendale, AZ
- NPI 1851403752
Dialysis facility
-
- General Acute Care Hospital
- Glendale, AZ
- NPI 1154355188
-
- General Acute Care Hospital
- Phoenix, AZ
- NPI 1265063010
-
- General Acute Care Hospital
- Phoenix, AZ
- NPI 1528169125
-
- General Acute Care Hospital
- Phoenix, AZ
- NPI 1770690695
-
- General Acute Care Hospital
- Glendale, AZ
- NPI 1326022765
-
- General Acute Care Hospital
- Peoria, AZ
- NPI 1801340781
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1117152000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1658361600000",
"number": "1497758015",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "3333 E CAMELBACK RD",
"address_2": "SUITE 180",
"city": "PHOENIX",
"state": "AZ",
"postal_code": "850182322",
"telephone_number": "602-997-0484",
"fax_number": "602-224-3315"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "5750 W THUNDERBIRD RD",
"address_2": "STE G790",
"city": "GLENDALE",
"state": "AZ",
"postal_code": "853064660",
"telephone_number": "602-843-7171",
"fax_number": "602-843-5909"
}
],
"practiceLocations": [
{
"address_1": "3320 N 2nd St",
"address_purpose": "LOCATION",
"city": "Phoenix",
"state": "AZ",
"postal_code": "850122319",
"country_code": "US",
"telephone_number": "602-351-3186",
"fax_number": "602-265-4373",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "3330 N 2nd St Ste 206",
"address_purpose": "LOCATION",
"city": "Phoenix",
"state": "AZ",
"postal_code": "850122353",
"country_code": "US",
"telephone_number": "602-351-3042",
"fax_number": "602-279-8063",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "COLATTUR",
"first_name": "SHYAM",
"middle_name": "NARAYANAN",
"name_prefix": "Dr.",
"credential": "M.D.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2005-05-27",
"last_updated": "2022-07-21",
"status": "A"
},
"taxonomies": [
{
"code": "207RN0300X",
"taxonomy_group": "",
"desc": "Internal Medicine, Nephrology",
"state": "AZ",
"license": "28898",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "559198",
"state": "AZ"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Glendale, AZ
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 21, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.