Individual provider Active NPI

Dhaval Mahesh Shah, M.D.

  • Interventional Cardiology Physician
  • Tempe, AZ
National Provider Identifier
1588975643
Registry record updated Jul 17, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Interventional Cardiology PhysicianTaxonomy code 207RI0011X
License
54078 Issued in AZ
Practice address
2149 E Baseline Rd Ste 103
Tempe, AZ 85283-1539
Phone
(480) 345-0034
Fax
(480) 345-4033
NPI assigned
Jun 23, 2010
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jul 17, 2020

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine Physician 207R00000X 258477 MA
Cardiovascular Disease Physician 207RC0000X 54078 AZ
Interventional Cardiology Physician 207RI0011X 54078 AZ Primary

Addresses

Primary practice location

2149 E Baseline Rd Ste 103
Tempe, AZ 85283-1539

Mailing address

2149 E Baseline Rd Ste 103
Tempe, AZ 85283-1539
Phone (480) 345-0034

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in AZ, TX2 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
I20170705003237 AZ Practitioner - Interventional Cardiology 6800112350 Reassigns benefits to 1 organization
I20260603001066 TX Practitioner - Cardiovascular Disease (Cardiology) 6800112350 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Interventional Cardiology
Education
Other, 2009
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Pioneer Cardiovascular Consultants, P.C.Group PAC ID 1456254200, 4 clinicians

Practice addresses (Care Compare)

2149 E Baseline Rd
Suite 103
Tempe, AZ 85283-1539
Phone (480) 345-0034

Hospital & facility affiliations

  • Chandler Regional Medical Center Hospital, Chandler, AZ, CCN 030036
  • Mercy Gilbert Medical Center Hospital, Gilbert, AZ, CCN 030119
  • Dignity Health Arizona General Hospital Hospital, Mesa, AZ, CCN 030139
  • Banner Desert Medical Center Hospital, Mesa, AZ, CCN 030065

Merit-based Incentive Payment System (MIPS)

Final score
88.44 of 100Reported as group
Quality
84.06
Promoting interoperability
97
Improvement activities
40
Cost
79.9

Procedures performed for Medicare patients

ProcedureNumber of procedures
Coronary angioplasty and stenting1-10
Pacemaker insertion or repair1-10
Leg revascularization (restoring blood flow)1-10

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
258477MAMDInternal Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Pioneer Cardiovascular Consultants, P.C. CurrentSince Jul 15, 2020 Accepting new patients
Desert Kidney Associates PLC Past Accepting new patients
Cedars Heart Clinic, LLC Interventional Cardiology Past Accepting new patients

Locations

1900 W Frye Rd
Ste 3
Chandler, AZ 85224
Phone (480) 336-1901

1955 W Frye Rd
Chandler, AZ 85224
Phone (480) 507-2961

77 S Dobson Rd
Ste 2
Chandler, AZ 85224
Phone (480) 444-7491

1110 S Dobson Rd
Ste 7
Chandler, AZ 85286
Phone (480) 855-3229

3555 S Val Vista Dr
Gilbert, AZ 85297
Phone (480) 434-4356

4530 E Muirwood Dr
Ste 105
Phoenix, AZ 85048
Phone (480) 961-2303

10450 E Riggs Rd
Ste 103
Sun Lakes, AZ 85248
Phone (480) 895-2047

10440 E Riggs Rd
Ste 220
Sun Lakes, AZ 85248

2149 E Baseline Rd
Ste 103
Tempe, AZ 85283

Interoperability endpoints

  • FHIR API: https://fhir4.healow.com/fhir/r4/HHACDA
  • Direct secure messaging: dhaval.shah@pcvc.eclinicaldirectplus.com

Organizations & group practices 4

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.

Hospital & facility affiliations 12

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": "1277251200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1594944000000",
    "number": "1588975643",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2149 E BASELINE RD STE 103",
            "city": "TEMPE",
            "state": "AZ",
            "postal_code": "852831539",
            "telephone_number": "480-345-0034",
            "fax_number": "480-345-4033"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2149 E BASELINE RD STE 103",
            "city": "TEMPE",
            "state": "AZ",
            "postal_code": "852831539",
            "telephone_number": "480-345-0034",
            "fax_number": "480-345-4033"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SHAH",
        "first_name": "DHAVAL",
        "middle_name": "MAHESH",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2010-06-23",
        "last_updated": "2020-07-17",
        "certification_date": "2020-07-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "MA",
            "license": "258477",
            "primary": false
        },
        {
            "code": "207RC0000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Cardiovascular Disease",
            "state": "AZ",
            "license": "54078",
            "primary": false
        },
        {
            "code": "207RI0011X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Interventional Cardiology",
            "state": "AZ",
            "license": "54078",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Tempe, AZ

Sources for this page

Verify at the official NPI Registry.