Active NPI
Shafia Saba Memon, MD
- Pediatrics Physician
- Tucson, AZ
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pediatrics Physician
- License
- 68977
- Practice address
- 2222 N Craycroft Rd Ste 150
Tucson, AZ 85712-2816 - Phone
- (520) 202-3488
- Fax
- (520) 202-3486
- NPI assigned
- May 2, 2007
- Sex
- Female
- 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 |
|---|---|---|---|---|
| Pediatrics Physician | 208000000X | 54144 | CT | |
| Pediatrics Physician | 208000000X | MD448143 | PA | |
| Pediatrics Physician | 208000000X | 68977 | AZ | Primary |
Addresses
Primary practice location
2222 N Craycroft Rd Ste 150
Tucson, AZ 85712-2816
Mailing address
4801 E Broadway Blvd Ste 251
Tucson, AZ 85711-2700
Phone (520) 327-0460
Other identifiers 2
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1028248590001 | Medicaid | PA | |
| 1522266 | Medicaid | TN |
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
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 68977 | AZ | MD | Pediatrics Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Arizona Community Physician PC | Current | Accepting new patients | |
| Arizona Community Physicians PC | Pediatrics | Current | Accepting new patients |
| Centennial Pediatrics PC | Pediatrics | Past | Accepting new patients |
Locations
2222 N Craycroft Rd
Ste 150
Tucson, AZ 85712
Phone (520) 202-3488
2055 W Hospital Dr
Tucson, AZ 85704
Phone (520) 547-5725
5055 E Broadway Blvd
Ste A100
Tucson, AZ 85711
Phone (520) 327-0460
2222 N Craycroft Rd
Tucson, AZ 85712
Phone (520) 202-3488
Interoperability endpoints
- ssabamemon20455@azacp.direct-ci.com
- shafia.memon.1@1108.direct.athenahealth.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.
-
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- NPI 1922141902
-
- Pediatrics Physician
- Nashville, TN
- NPI 1477588523
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1178064000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1781740800000",
"number": "1609097773",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "4801 E BROADWAY BLVD STE 251",
"city": "TUCSON",
"state": "AZ",
"postal_code": "857112700",
"telephone_number": "520-327-0460",
"fax_number": "520-547-5797"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2222 N CRAYCROFT RD STE 150",
"city": "TUCSON",
"state": "AZ",
"postal_code": "857122816",
"telephone_number": "520-202-3488",
"fax_number": "520-202-3486"
}
],
"practiceLocations": [],
"basic": {
"last_name": "MEMON",
"first_name": "SHAFIA",
"middle_name": "SABA",
"credential": "MD",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2007-05-02",
"last_updated": "2026-06-18",
"certification_date": "2026-06-18",
"status": "A"
},
"taxonomies": [
{
"code": "208000000X",
"taxonomy_group": "",
"desc": "Pediatrics",
"state": "CT",
"license": "54144",
"primary": false
},
{
"code": "208000000X",
"taxonomy_group": "",
"desc": "Pediatrics",
"state": "PA",
"license": "MD448143",
"primary": false
},
{
"code": "208000000X",
"taxonomy_group": "",
"desc": "Pediatrics",
"state": "AZ",
"license": "68977",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "1028248590001",
"state": "PA"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "1522266",
"state": "TN"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Tucson, AZ
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 18, 2026; 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.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.