Individual provider Active NPI

Nadeem Shabbir, MD

  • Neurology with Special Qualifications in Child Neurology Physician
  • Mesa, AZ
National Provider Identifier
1538124391
Registry record updated Oct 16, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Neurology with Special Qualifications in Child Neurology PhysicianTaxonomy code 2084N0402X
License
60361 Issued in AZ
Practice address
1432 S Dobson Rd Ste 403
Mesa, AZ 85202-4777
Phone
(480) 412-7473
Fax
(480) 412-7500
NPI assigned
Apr 17, 2006
Last updated
Oct 16, 2025By the provider in NPPES
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Oct 16, 2025

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Pediatrics Physician 208000000X 194359 NY
Neurology with Special Qualifications in Child Neurology Physician 2084N0402X 60361 AZ Primary

Addresses

Primary practice location

1432 S Dobson Rd Ste 403
Mesa, AZ 85202-4777

Mailing address

1432 S Dobson Rd Ste 403
Mesa, AZ 85202-4777
Phone (480) 412-7473

Other identifiers 2

IdentifierTypeStateIssuer
080553MedicaidAZ
01498553MedicaidNY

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NY, AZ2 enrollments
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 2

Enrollment IDStateProvider typePAC IDDetails
I20040715001123 NY Practitioner - Pediatric MedicinePractitioner - Neurology 5092794834 Reassigns benefits to 1 organization
I20200903000363 AZ Practitioner - NeurologyPractitioner - Pediatric Medicine 5092794834 Reassigns benefits to 1 organization

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
60361AZMDNeurology with Special Qualifications in Child Neurology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Nassau Health Care Corporation Single Specialty CurrentSince Aug 9, 2017 Accepting new patients
Banner Physician Super Specialists Arizona LLC Single Specialty CurrentSince Aug 25, 2020 Accepting new patients
Banner Physician Super Specialists Arizona LLC Single Specialty CurrentSince Aug 25, 2020 Accepting new patients
Nassau Health Care Corporation Single Specialty CurrentSince Aug 9, 2017 Accepting new patients
Banner Physician Super Specialists Arizona LLC Single Specialty Current Accepting new patients
Nassau Health Care Corporation Single Specialty Current Accepting new patients
Samaritan Emergency Medical Services, PC Single Specialty Past Accepting new patients

Locations

1432 S Dobson Rd
Ste 301
Mesa, AZ 85202
Phone (480) 412-7120

1432 S Dobson Rd
Ste 403
Mesa, AZ 85202
Phone (480) 412-7473

37100 N Gantzel Rd
Ste 214
San Tan Valley, AZ 85140
Phone (480) 321-8267

2201 Hempstead Tpke
East Meadow, NY 11554
Phone (516) 486-6862

2201 Hempstead Tpke
Rm 24
East Meadow, NY 11554
Phone (516) 542-0038

2201 Hempstead Tpke
Rm 2448
East Meadow, NY 11554
Phone (516) 572-1234

Organizations & group practices 7

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.

NPI Registry JSON

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

{
    "created_epoch": "1145232000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1760572800000",
    "number": "1538124391",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1432 S DOBSON RD STE 403",
            "city": "MESA",
            "state": "AZ",
            "postal_code": "852024777",
            "telephone_number": "480-412-7473",
            "fax_number": "480-412-7500"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1432 S DOBSON RD STE 403",
            "city": "MESA",
            "state": "AZ",
            "postal_code": "852024777",
            "telephone_number": "480-412-7473",
            "fax_number": "480-412-7500"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SHABBIR",
        "first_name": "NADEEM",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-04-17",
        "last_updated": "2025-10-16",
        "certification_date": "2025-10-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208000000X",
            "taxonomy_group": "",
            "desc": "Pediatrics",
            "state": "NY",
            "license": "194359",
            "primary": false
        },
        {
            "code": "2084N0402X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Neurology with Special Qualifications in Child Neurology",
            "state": "AZ",
            "license": "60361",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "080553",
            "state": "AZ"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "01498553",
            "state": "NY"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Mesa, AZ

Sources for this page

Verify at the official NPI Registry.