Active NPI
Keith B Shelman, MD
- Adolescent Medicine (Internal Medicine) Physician
- Tucson, AZ
National Provider Identifier
1609972678
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Adolescent Medicine (Internal Medicine) Physician
- License
- 18710
- Practice address
- 7901 E 22ND St
Tucson, AZ 85710-8509 - Phone
- (520) 684-8400
- Fax
- (520) 684-8424
- NPI assigned
- Sep 16, 2006
- 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 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Adolescent Medicine (Internal Medicine) Physician | 207RA0000X | 18710 | AZ | Primary |
Addresses
Primary practice location
7901 E 22ND St
Tucson, AZ 85710-8509
Mailing address
655 E River Rd
Tucson, AZ 85704-5840
Phone (520) 694-2700
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 285123 | Medicaid | AZ |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Banner Pharmacy Services LLC | Past | Accepting new patients | |
| Banner -- University Medical Center Tucson Campus LLC | Past | Accepting new patients |
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.
-
- Durable Medical Equipment & Medical Supplies
- Tucson, AZ
- NPI 1306908355
-
- Community/Retail Pharmacy
- Tucson, AZ
- NPI 1154384899
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1158364800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1429833600000",
"number": "1609972678",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "655 E RIVER RD",
"city": "TUCSON",
"state": "AZ",
"postal_code": "857045840",
"telephone_number": "520-694-2700"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "7901 E 22ND ST",
"city": "TUCSON",
"state": "AZ",
"postal_code": "857108509",
"telephone_number": "520-684-8400",
"fax_number": "520-684-8424"
}
],
"practiceLocations": [],
"basic": {
"last_name": "SHELMAN",
"first_name": "KEITH",
"middle_name": "B",
"credential": "MD",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-09-16",
"last_updated": "2015-04-24",
"status": "A"
},
"taxonomies": [
{
"code": "207RA0000X",
"taxonomy_group": "",
"desc": "Internal Medicine, Adolescent Medicine",
"state": "AZ",
"license": "18710",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "285123",
"state": "AZ"
}
],
"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 Apr 24, 2015; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.