Individual provider Active NPI

Bilal F Shanti, M.D.

  • Specialist
  • Scottsdale, AZ
National Provider Identifier
1568415792
Registry record updated Oct 27, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
SpecialistTaxonomy code 174400000X
License
28663 Issued in AZ
Practice address
4400 N Scottsdale Road
#9717
Scottsdale, AZ 85251
Phone
(480) 473-7246
Fax
(480) 473-4942
NPI assigned
May 18, 2006
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Oct 27, 2015

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Specialist 174400000X 28663 AZ Primary
Specialist 174400000X 32282 TN

Addresses

Primary practice location

4400 N Scottsdale Road
#9717
Scottsdale, AZ 85251

Mailing address

4400 N Scottsdale Road
#9717
Scottsdale, AZ 85251
Phone (480) 473-7246

Medicare participation

Medicare enrollment files
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 Nov 1, 2023 through Nov 1, 2027

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
32282TNMDPharmacist

Practice roles

OrganizationSpecialtyStatusNew patients
Integrative Pain and Wellness Medicine, PLLC Current Accepting new patients
Shanti Auto Injury and Accident, PLLC CurrentSince Jun 1, 2020 Accepting new patients

Locations

5051 E Thomas Rd
Phoenix, AZ 85018
Phone (480) 473-7246

4400 N Scottsdale Rd
#9717
Scottsdale, AZ 85251
Phone (480) 473-7246

1695 W 24th St
Ste C
Yuma, AZ 85364
Phone (480) 630-7837

Organizations & group practices 2

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": "1147910400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1445904000000",
    "number": "1568415792",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4400 N SCOTTSDALE ROAD",
            "address_2": "#9717",
            "city": "SCOTTSDALE",
            "state": "AZ",
            "postal_code": "85251",
            "telephone_number": "480-473-7246",
            "fax_number": "480-473-4942"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4400 N SCOTTSDALE ROAD",
            "address_2": "#9717",
            "city": "SCOTTSDALE",
            "state": "AZ",
            "postal_code": "85251",
            "telephone_number": "480-473-7246",
            "fax_number": "480-473-4942"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SHANTI",
        "first_name": "BILAL",
        "middle_name": "F",
        "name_prefix": "Mr.",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-05-18",
        "last_updated": "2015-10-27",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "174400000X",
            "taxonomy_group": "",
            "desc": "Specialist",
            "state": "AZ",
            "license": "28663",
            "primary": true
        },
        {
            "code": "174400000X",
            "taxonomy_group": "",
            "desc": "Specialist",
            "state": "TN",
            "license": "32282",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Scottsdale, AZ

Sources for this page

Verify at the official NPI Registry.