Individual provider Active NPI

Deepesh M Shah, MD

  • Pain Medicine (Anesthesiology) Physician
  • Glendale, AZ
National Provider Identifier
1558548735
Registry record updated Sep 13, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pain Medicine (Anesthesiology) PhysicianTaxonomy code 207LP2900X
License
37959 Issued in AZ
Practice address
16390 N 59TH Ave Ste 200
Glendale, AZ 85306
Phone
(623) 334-4000
Fax
(623) 334-4400
NPI assigned
Jan 30, 2008
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 13, 2024

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Anesthesiology Physician 207L00000X L-225536 MA
Pain Medicine (Anesthesiology) Physician 207LP2900X 37959 AZ Primary
Specialist 174400000X 37959

Addresses

Primary practice location

16390 N 59TH Ave Ste 200
Glendale, AZ 85306

Mailing address

16390 N 59TH Ave Ste 200
Glendale, AZ 85306-1711
Phone (623) 334-4000

Other practice location 1

17061 N Avenue Of The Arts Ste 100
Surprise, AZ 85378-6996
Phone (623) 334-4000

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
I20090713000615 AZ Practitioner - Interventional Pain Management 5698827236 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Interventional Pain Management
Education
Creighton University School of Medicine, 2004
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Arrowhead Family Health Center PCGroup PAC ID 7113816521, 14 clinicians

Practice addresses (Care Compare)

16390 N 59TH Ave
Suite 200
Glendale, AZ 85306-1711
Phone (623) 334-4000

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
L-225536MAMDAnesthesiology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Arrowhead Family Health Center PC CurrentSince Nov 12, 2012 Accepting new patients
Arrowhead Family Health Center PC CurrentSince Nov 12, 2012 Accepting new patients
Multi Specialty Physicians Inc Past Accepting new patients

Locations

16222 N 59th Ave
Ste A100
Glendale, AZ 85306
Phone 62333440007036

16390 N 59th Ave
Ste 200
Glendale, AZ 85306
Phone 62333440007337

16390 N 59th Ave
Ste 100
Glendale, AZ 85306
Phone (623) 298-1820

5845 E Still Cir
Ste 104
Mesa, AZ 85206
Phone (623) 298-1805

13430 N Scottsdale Rd
Ste 200
Scottsdale, AZ 85254
Phone (833) 500-1753

2629 N Scottsdale Rd
Ste 200
Scottsdale, AZ 85257
Phone (623) 277-5552

17061 N Avenue of the Arts
Ste 100
Surprise, AZ 85378
Phone (623) 277-5552

Interoperability endpoints

  • Direct secure messaging: deepesh.shah@rdhmsc.eclinicaldirectplus.com

Organizations & group practices 3

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.

NPI Registry JSON

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

{
    "created_epoch": "1201651200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1726185600000",
    "number": "1558548735",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "16390 N 59TH AVE STE 200",
            "city": "GLENDALE",
            "state": "AZ",
            "postal_code": "853061711",
            "telephone_number": "623-334-4000",
            "fax_number": "623-334-4400"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "16390 N 59TH AVE STE 200",
            "city": "GLENDALE",
            "state": "AZ",
            "postal_code": "85306",
            "telephone_number": "623-334-4000",
            "fax_number": "623-334-4400"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "17061 N Avenue Of The Arts Ste 100",
            "address_purpose": "LOCATION",
            "city": "Surprise",
            "state": "AZ",
            "postal_code": "853786996",
            "country_code": "US",
            "telephone_number": "623-334-4000",
            "fax_number": "623-334-4400",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "SHAH",
        "first_name": "DEEPESH",
        "middle_name": "M",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2008-01-30",
        "last_updated": "2024-09-13",
        "certification_date": "2024-09-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207L00000X",
            "taxonomy_group": "",
            "desc": "Anesthesiology",
            "state": "MA",
            "license": "L-225536",
            "primary": false
        },
        {
            "code": "207LP2900X",
            "taxonomy_group": "",
            "desc": "Anesthesiology, Pain Medicine",
            "state": "AZ",
            "license": "37959",
            "primary": true
        },
        {
            "code": "174400000X",
            "taxonomy_group": "",
            "desc": "Specialist",
            "state": null,
            "license": "37959",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Glendale, AZ

Sources for this page

Verify at the official NPI Registry.