Individual provider Active NPI

Shashank Jain, MD

  • Interventional Cardiology Physician
  • Mesa, AZ
National Provider Identifier
1588824007
Registry record updated Sep 13, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Interventional Cardiology PhysicianTaxonomy code 207RI0011X
License
63803 Issued in AZ
Practice address
6750 E Baywood Ave Ste 301
Mesa, AZ 85206-1749
Phone
(480) 835-6100
Fax
(480) 461-4243
NPI assigned
Jun 10, 2008
Last updated
Sep 13, 2022By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 13, 2022

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Cardiovascular Disease Physician 207RC0000X MD443397 PA
Interventional Cardiology Physician 207RI0011X 63803 AZ Primary

Addresses

Primary practice location

6750 E Baywood Ave Ste 301
Mesa, AZ 85206-1749

Mailing address

6343 E Main St Ste 12
Mesa, AZ 85205-8955
Phone (480) 835-6100

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in PA, 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
I20111007000186 PA Practitioner - Cardiovascular Disease (Cardiology)Practitioner - Internal Medicine 2264604685 Reassigns benefits to 4 organizations
I20210826002528 AZ Practitioner - Interventional CardiologyPractitioner - Cardiovascular Disease (Cardiology) 2264604685 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Interventional CardiologyAlso: Cardiovascular Disease (Cardiology)
Education
Other, 2006
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices

Practice addresses (Care Compare)

6750 E Baywood Ave
Suite 301
Mesa, AZ 85206-1749
Phone (480) 835-6100

Hospital & facility affiliations

Procedures performed for Medicare patients

ProcedureNumber of procedures
Coronary angioplasty and stenting43
Pacemaker insertion or repair1-10

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
University of Penn - Medical Group Cardiovascular Disease CurrentSince Jul 18, 2017 Accepting new patients
Tri-City Cardiology Consultants, PC Cardiovascular Disease CurrentSince Aug 1, 2022 Accepting new patients
Clinical Health Care Associates of New Jersey, PC Current Accepting new patients
Tower Health Medical Group Internal Medicine Current Accepting new patients
Clinical Care Associates of the University of Pennsylvania Health CurrentSince Jul 18, 2017 Accepting new patients
Tri-City Cardiology Consultants, PC CurrentSince Aug 1, 2022 Accepting new patients
Tower Health Medical Group CurrentSince Jul 12, 2011 Accepting new patients
University of Penn-Medical Group CurrentSince Jul 18, 2017 Accepting new patients
VHS Outpatient Clinics, Inc. CurrentSince Mar 28, 2022 Accepting new patients
Clinical Health Care Associates of New Jersey, PC Cardiovascular Disease CurrentSince Apr 10, 2017 Accepting new patients
VHS Outpatient Clinics, Inc. Internal Medicine CurrentSince Mar 28, 2022 Accepting new patients
Tower Health Medical Group CurrentSince Jul 12, 2011 Accepting new patients
Clinical Care Associates of the University of Pennsylvania Health Internal Medicine CurrentSince Jul 18, 2017 Accepting new patients
Cardiovascular Consultants LTD Past Accepting new patients

Locations

333 N Dobson Rd
Ste 11
Chandler, AZ 85224
Phone (480) 899-2020

1580 N Fiesta Blvd
Ste 100
Gilbert, AZ 85233

1760 E Pecos Rd
Ste 420
Gilbert, AZ 85295

3530 S Val Vista Dr
Ste 103
Gilbert, AZ 85297

1325 N Litchfield Rd
Ste 125
Goodyear, AZ 85395
Phone (480) 420-0749

1325 N Litchfield Rd
Ste 130
Goodyear, AZ 85395
Phone (602) 249-8577

5130 W Baseline Rd
Ste 102
Laveen, AZ 85339
Phone (602) 237-0039

143 S 63rd St
Ste 100
Mesa, AZ 85206
Phone (480) 416-6140

1520 S Dobson Rd
Ste 209
Mesa, AZ 85202
Phone (602) 835-6100

6343 E Main St
Ste 12
Mesa, AZ 85205

6402 E Superstition Springs Blvd
Ste 114
Mesa, AZ 85206
Phone (928) 985-1810

6750 E Baywood Ave
Mesa, AZ 85206
Phone (480) 854-5000

6750 E Baywood Ave
Ste 301
Mesa, AZ 85206
Phone (480) 834-6100

33 E Chestnut Hill Ave
Philadelphia, PA 19118
Phone (215) 247-0900

51 N 39th St
Fl 2
Philadelphia, PA 19104
Phone (215) 662-9010

51 N 39th St
Fl 4
Philadelphia, PA 19104
Phone (215) 662-9189

7133 Roosevelt Blvd
Philadelphia, PA 19149
Phone (215) 333-3311

301 S 7th Ave
Ste 130
West Reading, PA 19611
Phone (610) 988-4630

2610 Keiser Blvd
Wyomissing, PA 19610
Phone (484) 628-9127

777 Township Line Rd
Ste 200
Yardley, PA 19067
Phone (215) 860-0775

Interoperability endpoints

  • FHIR API: https://fhir.nextgen.com/nge/prod/fhir-api-r4/fhir/r4/
  • Direct secure messaging: shashank.jain.p1@direct.tcc.nextgenshare.com

Organizations & group practices 14

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.

View all 14

Hospital & facility affiliations 5

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

NPI Registry JSON

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

{
    "created_epoch": "1213056000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1663027200000",
    "number": "1588824007",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6343 E MAIN ST STE 12",
            "city": "MESA",
            "state": "AZ",
            "postal_code": "852058955",
            "telephone_number": "480-835-6100"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6750 E BAYWOOD AVE STE 301",
            "city": "MESA",
            "state": "AZ",
            "postal_code": "852061749",
            "telephone_number": "480-835-6100",
            "fax_number": "480-461-4243"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "JAIN",
        "first_name": "SHASHANK",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2008-06-10",
        "last_updated": "2022-09-13",
        "certification_date": "2022-09-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207RC0000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Cardiovascular Disease",
            "state": "PA",
            "license": "MD443397",
            "primary": false
        },
        {
            "code": "207RI0011X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Interventional Cardiology",
            "state": "AZ",
            "license": "63803",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Mesa, AZ

Sources for this page

Verify at the official NPI Registry.