Active NPI
Deepesh M Shah, MD
- Pain Medicine (Anesthesiology) Physician
- Glendale, AZ
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pain Medicine (Anesthesiology) Physician
- License
- 37959
- 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
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 3
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| 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
Enrollment records 1
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
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
| License | State | Type | Specialty |
|---|---|---|---|
| L-225536 | MA | MD | Anesthesiology Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Arrowhead Family Health Center PC | Current | Accepting new patients | |
| Arrowhead Family Health Center PC | Current | 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
- 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.
-
- Family Medicine Physician
- Glendale, AZ
- NPI 1932146768
-
- Durable Medical Equipment & Medical Supplies
- Surprise, AZ
- NPI 1992055396
-
- Internal Medicine Physician
- Surprise, AZ
- NPI 1417983958
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
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 13, 2024; 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.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.