Individual provider Active NPI

Shyam Narayanan Colattur, M.D.

  • Nephrology Physician
  • Glendale, AZ
National Provider Identifier
1497758015
Registry record updated Jul 21, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Nephrology PhysicianTaxonomy code 207RN0300X
License
28898 Issued in AZ
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

Updated by the provider on Jul 21, 2022

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
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

IdentifierTypeStateIssuer
559198MedicaidAZ

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
I20040804001362 AZ Practitioner - NephrologyPractitioner - Internal Medicine 9436050903 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
NephrologyAlso: Internal Medicine
Education
Other, 1992
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Akdhc LLCGroup PAC ID 8123912136, 125 clinicians

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) Dialysis facility, Glendale, AZ, CCN 032521
  • Banner Thunderbird Medical Center Hospital, Glendale, AZ, CCN 030089
  • Honorhealth Deer Valley Medical Center Hospital, Phoenix, AZ, CCN 030092
  • Honor Health John C. Lincoln Medical Center Hospital, Phoenix, AZ, CCN 030014
  • Abrazo Arrowhead Hospital Hospital, Glendale, AZ, CCN 030094
  • Honorhealth Sonoran Crossing Medical Center Hospital, Phoenix, AZ, CCN 030146

Merit-based Incentive Payment System (MIPS)

Final score
88.2 of 100Reported as group
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

OrganizationSpecialtyStatusNew patients
Akdhc, LLC Nephrology Current Accepting new patients
Akdhc Surgery Center, LLC Nephrology Current Accepting new patients
Akdhc, LLC Nephrology CurrentSince Jun 1, 2007 Accepting new patients
Akdhc, LLC Nephrology Current Accepting new patients
Akdhc,LLC Nephrology CurrentSince Jun 1, 2007 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 PastSince Nov 1, 2008 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

  • Direct secure messaging: 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.

Hospital & facility affiliations 7

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

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

Verify at the official NPI Registry.