Active NPI
Shashank Jain, MD
- Interventional Cardiology Physician
- Mesa, AZ
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Interventional Cardiology Physician
- License
- 63803
- 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, 2022
- 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 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| 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, AZ
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
Enrollment records 2
Care Compare profile
Medicare Care Compare- Specialty
- Interventional 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
- Banner Heart Hospital
- Banner Baywood Medical Center
- Chandler Regional Medical Center
- Mercy Gilbert Medical Center
- Banner Desert Medical Center
Procedures performed for Medicare patients
| Procedure | Number of procedures |
|---|---|
| Coronary angioplasty and stenting | 43 |
| Pacemaker insertion or repair | 1-10 |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| University of Penn - Medical Group | Cardiovascular Disease | Current | Accepting new patients |
| Tri-City Cardiology Consultants, PC | Cardiovascular Disease | Current | 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 | Current | Accepting new patients | |
| Tri-City Cardiology Consultants, PC | Current | Accepting new patients | |
| Tower Health Medical Group | Current | Accepting new patients | |
| University of Penn-Medical Group | Current | Accepting new patients | |
| VHS Outpatient Clinics, Inc. | Current | Accepting new patients | |
| Clinical Health Care Associates of New Jersey, PC | Cardiovascular Disease | Current | Accepting new patients |
| VHS Outpatient Clinics, Inc. | Internal Medicine | Current | Accepting new patients |
| Tower Health Medical Group | Current | Accepting new patients | |
| Clinical Care Associates of the University of Pennsylvania Health | Internal Medicine | Current | 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
- https://fhir.nextgen.com/nge/prod/fhir-api-r4/fhir/r4/
- 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.
-
- Cardiovascular Disease Physician
- Mesa, AZ
- NPI 1144288416
-
dba Abrazo Medical Group
- Multi-Specialty Clinic/Center
- Goodyear, AZ
- NPI 1912979964
Internal Medicine
-
- Internal Medicine Physician
- Radnor, PA
- NPI 1972682995
-
- Obstetrics & Gynecology Nurse Practitioner
- Langhorne, PA
- NPI 1538728357
-
dba Internal Medicine - Tower Health Medical Group
- Internal Medicine Physician
- Birdsboro, PA
- NPI 1609291350
-
- Cardiovascular Disease Physician
- Philadelphia, PA
- NPI 1093725145
-
- Cardiac Rehabilitation Registered Nurse
- Mesa, AZ
- NPI 1689417636
-
dba Arizona Sports Medicine Center (ASMC)
- Durable Medical Equipment & Medical Supplies
- Scottsdale, AZ
- NPI 1891302790
-
- Psychologist
- West Chester, PA
- NPI 1649940107
-
- Cardiovascular Disease Physician
- Philadelphia, PA
- NPI 1902844806
-
dba Breast Health Center Wyomissing Tower Health Medical Group
- Surgery Physician
- Wyomissing, PA
- NPI 1831954353
-
dba Pediatric Inpatient - Tower Health Medical Group
- Pediatrics Physician
- West Reading, PA
- NPI 1922176163
Hospital & facility affiliations 5
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- General Acute Care Hospital
- Mesa, AZ
- NPI 1194758284
-
- General Acute Care Hospital
- Mesa, AZ
- NPI 1720011810
-
- Special Hospital
- Mesa, AZ
- NPI 1215961248
-
dba Chandler Regional Medical Center
- General Acute Care Hospital
- Chandler, AZ
- NPI 1700910189
-
dba Mercy Gilbert Medical Center
- General Acute Care Hospital
- Gilbert, AZ
- NPI 1992735088
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
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 13, 2022; 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.