Rekha Shah, MD

Primary specialty

Gastroenterology PhysicianTaxonomy code 207RG0100X

License

13939 Issued in AZ

Practice address

2055 E Southern Ave Ste B
Tempe, AZ 85282-7507

Phone

(480) 704-3446

Fax

(480) 345-7248

NPI assigned

Feb 15, 2006

Last updated

Dec 26, 2016By the provider in NPPES

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

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.

Opted out of Medicare

Yes, effective Jul 18, 2016 through Jul 18, 2028

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

Practice roles

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Rekha Shah MD PC

  • Gastroenterology Physician
  • Chandler, AZ
  • NPI 1972587863
  NPD (past) Authorized official

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

{
    "created_epoch": "1139961600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1482710400000",
    "number": "1508830431",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1726 E KNOX RD",
            "city": "TEMPE",
            "state": "AZ",
            "postal_code": "852843330",
            "telephone_number": "602-692-5150",
            "fax_number": "480-345-7248"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2055 E SOUTHERN AVE STE B",
            "city": "TEMPE",
            "state": "AZ",
            "postal_code": "852827507",
            "telephone_number": "480-704-3446",
            "fax_number": "480-345-7248"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SHAH",
        "first_name": "REKHA",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-02-15",
        "last_updated": "2016-12-26",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207RG0100X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Gastroenterology",
            "state": "AZ",
            "license": "13939",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "231366",
            "state": "AZ"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Erik Ray Shaffer, BS LISAC
• Jaxinta Silvia Shaffer, LCSW
• Amit Ramesh Shah, PHARMD
• Dhaval Mahesh Shah, M.D.
• Mehul P Shah, M.D.
• Zaheer Ahmed Shah, MD
• Shalimar Family Dentistry
• Shalom Heritage Behavioral Health Services
• Shalom Heritage, LLC
• Wesley Anne Shamblen

• Gastroenterology Physician in Tempe, AZ
• Providers in Tempe, AZ by specialty
• Gastroenterology Physician in Arizona

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 26, 2016; 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; Opt Out Affidavits.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.