Individual provider Active NPI

Shir Tay, MD

  • Vascular Surgery Physician
  • Mesa, AZ
National Provider Identifier
1700454170
Registry record updated Jul 11, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Vascular Surgery PhysicianTaxonomy code 2086S0129X
License
80907 Issued in AZ
Practice address
7165 E University Dr Ste 183
Mesa, AZ 85207-6415
Phone
(480) 668-5000
Fax
(480) 668-5065
NPI assigned
Jun 14, 2021
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 11, 2026

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Vascular Surgery Physician 2086S0129X 80907 AZ Primary
Vascular Surgery Physician 2086S0129X 2021021946 MO

Addresses

Primary practice location

7165 E University Dr Ste 183
Mesa, AZ 85207-6415

Mailing address

7165 E University Dr Ste 187
Mesa, AZ 85207-6415
Phone (480) 668-5000

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MO
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 1

Enrollment IDStateProvider typePAC IDDetails
I20210802002719 MO Order and Referring Only - Vascular SurgeryPractitioner - Vascular Surgery 6608270467

Care Compare profile

Medicare Care Compare
Specialty
Vascular Surgery
Education
Washington University School of Medicine, 2021
Medicare assignment
May accept Medicare assignment

Practice addresses (Care Compare)

7165 E University Dr
Suite 187
Mesa, AZ 85207-6415

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Western Vascular Institute PLLC Vascular Surgery PastSince Sep 1, 2026 Accepting new patients
Western Vascular Institute PLLC Vascular Surgery PastSince Sep 1, 2026 Accepting new patients

Interoperability endpoints

  • FHIR API: https://fhir.nextgen.com/nge/prod/fhir-api-r4/fhir/r4/

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.

NPI Registry JSON

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

{
    "created_epoch": "1623628800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1783728000000",
    "number": "1700454170",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7165 E UNIVERSITY DR STE 187",
            "city": "MESA",
            "state": "AZ",
            "postal_code": "852076415",
            "telephone_number": "480-668-5000",
            "fax_number": "480-428-8593"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7165 E UNIVERSITY DR STE 183",
            "city": "MESA",
            "state": "AZ",
            "postal_code": "852076415",
            "telephone_number": "480-668-5000",
            "fax_number": "480-668-5065"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "TAY",
        "first_name": "SHIR",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2021-06-14",
        "last_updated": "2026-07-11",
        "certification_date": "2026-07-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2086S0129X",
            "taxonomy_group": "",
            "desc": "Surgery, Vascular Surgery",
            "state": "AZ",
            "license": "80907",
            "primary": true
        },
        {
            "code": "2086S0129X",
            "taxonomy_group": "",
            "desc": "Surgery, Vascular Surgery",
            "state": "MO",
            "license": "2021021946",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Mesa, AZ

Sources for this page

Verify at the official NPI Registry.