Active NPI
Shir Tay, MD
- Vascular Surgery Physician
- Mesa, AZ
National Provider Identifier
1700454170
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Vascular Surgery Physician
- License
- 80907
- 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
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 |
|---|---|---|---|---|
| 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
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20210802002719 | MO | Order and Referring Only - 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
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Western Vascular Institute PLLC | Vascular Surgery | Past | Accepting new patients |
| Western Vascular Institute PLLC | Vascular Surgery | Past | Accepting new patients |
Interoperability endpoints
- 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.
-
- Vascular Surgery Physician
- Mesa, AZ
- NPI 1265521181
-
- Vascular Surgery Physician
- Mesa, AZ
- NPI 1760426001
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
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 11, 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.
- 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.