NPIMap

Individual provider Active NPI

Shahbaz Qureshi, MD

  • Gastroenterology Physician
  • Mesa, AZ
National Provider Identifier
1548370109
Registry record updated Jan 5, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Gastroenterology PhysicianTaxonomy code 207RG0100X
License
40783 Issued in AZ
Practice address
5555 E Baseline Rd
Mesa, AZ 85206-4709
Phone
(480) 393-0575
Fax
(480) 704-4019
NPI assigned
Aug 30, 2006
Last updated
Jan 5, 2021By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 5, 2021

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Gastroenterology Physician 207RG0100X 40783 AZ Primary

Addresses

Primary practice location

5555 E Baseline Rd
Mesa, AZ 85206-4709

Mailing address

5555 E Baseline Rd
Mesa, AZ 85206-4709
Phone (480) 393-0575

Other identifiers 1

IdentifierTypeStateIssuer
375234MedicaidAZ

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in AZ
Eligible to order & refer
  • Part B services
  • Medical equipment
  • Home health
  • Power mobility devices
  • Hospice
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20081215000326 AZ Practitioner - Gastroenterology 0840210571 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Gastroenterology
Education
Other, 1995
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Reddy Gi AssociatesGroup PAC ID 1557407459, 18 clinicians

Practice addresses (Care Compare)

5555 E Baseline Rd
Mesa, AZ 85206-4709
Phone (480) 393-0575

Hospital & facility affiliations

Procedures performed for Medicare patients

ProcedureNumber of procedures
Colonoscopy144
Upper gastrointestinal (GI) endoscopy for acid reflux367

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Reddy Gi Associates Gastroenterology CurrentSince Jan 4, 2017 Accepting new patients
Reddy Gi Associates CurrentSince Jan 10, 2021 Accepting new patients
Clinical Associates in Internal Medicine, LTD Past Accepting new patients
Central Arizona Gi & Liver Institute LLC PastSince Jun 15, 2025 Accepting new patients

Locations

2050 W Southern Ave
Apache Junction, AZ 85120
Phone (480) 237-3200

1405 S Alma School Rd
Chandler, AZ 85286
Phone (480) 256-7000

1955 W Frye Rd
Chandler, AZ 85224
Phone (480) 507-2961

595 N Dobson Rd
Ste 15
Chandler, AZ 85224

604 W Warner Rd
Ste D1
Chandler, AZ 85225
Phone (480) 393-5075

1900 N Higley Rd
Gilbert, AZ 85234
Phone (480) 543-2000

3555 S Val Vista Dr
Gilbert, AZ 85297
Phone (480) 434-4356

4001 E Baseline Rd
#102103
Gilbert, AZ 85234

4001 E Baseline Rd
Ste 102103
Gilbert, AZ 85234

1301 S Crismon Rd
Mesa, AZ 85209
Phone (480) 358-6300

1400 S Dobson Rd
Mesa, AZ 85202
Phone (480) 412-3000

1810 S Crismon Rd
Ste 191
Mesa, AZ 85209
Phone (480) 621-5891

5555 E Baseline Rd
Mesa, AZ 85206
Phone (480) 393-5075

6644 E Baywood Ave
Mesa, AZ 85206
Phone (480) 321-2000

9130 E Elliot Rd
Mesa, AZ 85212
Phone (480) 410-4500

6707 N 19th Ave
Ste 200
Phoenix, AZ 85015
Phone (602) 249-4750

37000 N Gantzel Rd
San Tan Valley, AZ 85140
Phone (480) 394-4000

Organizations & group practices 4

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.

Hospital & facility affiliations 13

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

View all 13

NPI Registry JSON

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

{
    "created_epoch": "1156896000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1609804800000",
    "number": "1548370109",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5555 E BASELINE RD",
            "city": "MESA",
            "state": "AZ",
            "postal_code": "852064709",
            "telephone_number": "480-393-0575",
            "fax_number": "480-704-4019"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5555 E BASELINE RD",
            "city": "MESA",
            "state": "AZ",
            "postal_code": "852064709",
            "telephone_number": "480-393-0575",
            "fax_number": "480-704-4019"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "QURESHI",
        "first_name": "SHAHBAZ",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-08-30",
        "last_updated": "2021-01-05",
        "certification_date": "2021-01-05",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207RG0100X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Gastroenterology",
            "state": "AZ",
            "license": "40783",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "375234",
            "state": "AZ"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Mesa, AZ

Sources for this page

Verify at the official NPI Registry.