Active NPI
Shirazali G Sunderji, M.D.
- Maternal & Fetal Medicine Physician
- Phoenix, AZ
National Provider Identifier
1720084403
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Maternal & Fetal Medicine Physician
- License
- 35080258
- Practice address
- 500 W Thomas Rd
Phoenix, AZ 85013-4224 - Phone
- (602) 406-7048
- Fax
- (602) 406-7650
- NPI assigned
- Jun 27, 2005
- 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 |
|---|---|---|---|---|
| Maternal & Fetal Medicine Physician | 207VM0101X | 35080258 | OH | Primary |
Addresses
Primary practice location
500 W Thomas Rd
Phoenix, AZ 85013-4224
Mailing address
500 W Thomas Rd
Suite 700
Phoenix, AZ 85013-4224
Phone (602) 406-7048
Other identifiers 15
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 0614026003 | Other | OH | CIGNA |
| 142083 | Other | OH | CARE CHOICES |
| 344428256 | Other | OH | FRONTPATH |
| 344428256044 | Other | OH | CARESOURCES |
| 344428256 | Other | CA | BEECH STREET |
| 000000212142 | Other | OH | ANTHEM COMMERICAL |
| 000000212142 | Other | OH | ANTHEM MEDICAID |
| 2283309 | Medicaid | OH | |
| C59127 | Other | MI | HEALTH ALLICANCE PLAN |
| 4360620 | Medicaid | MI | |
| 344428256 | Other | OH | FIRST HEALTH |
| 4200779 | Other | OH | AETNA |
| 04105 | Other | OH | PARAMOUNT |
| 344428256 | Other | OH | EMERALD |
| OC92768 | Other | OH | NATIONWIDE |
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 |
|---|---|---|---|
| Lima Memorial Joint Operating Company | Past | Accepting new patients | |
| Obstetrix Medical Group of Phoenix PC | Past | Accepting new patients |
Interoperability endpoints
- shirazali.sunderji@cernerdirect.coxhealth.com
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.
-
- Pediatric Cardiology Physician
- Phoenix, AZ
- NPI 1346269594
-
- General Acute Care Hospital
- Lima, OH
- NPI 1336144732
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1119830400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1459123200000",
"number": "1720084403",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "500 W THOMAS RD",
"address_2": "SUITE 700",
"city": "PHOENIX",
"state": "AZ",
"postal_code": "850134224",
"telephone_number": "602-406-7048",
"fax_number": "602-406-7650"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "500 W THOMAS RD",
"city": "PHOENIX",
"state": "AZ",
"postal_code": "850134224",
"telephone_number": "602-406-7048",
"fax_number": "602-406-7650"
}
],
"practiceLocations": [],
"basic": {
"last_name": "SUNDERJI",
"first_name": "SHIRAZALI",
"middle_name": "G",
"credential": "M.D.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2005-06-27",
"last_updated": "2016-03-28",
"status": "A"
},
"taxonomies": [
{
"code": "207VM0101X",
"taxonomy_group": "",
"desc": "Obstetrics & Gynecology, Maternal & Fetal Medicine",
"state": "OH",
"license": "35080258",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "CIGNA",
"identifier": "0614026003",
"state": "OH"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "CARE CHOICES",
"identifier": "142083",
"state": "OH"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "FRONTPATH",
"identifier": "344428256",
"state": "OH"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "CARESOURCES",
"identifier": "344428256044",
"state": "OH"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BEECH STREET",
"identifier": "344428256",
"state": "CA"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "ANTHEM COMMERICAL",
"identifier": "000000212142",
"state": "OH"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "ANTHEM MEDICAID",
"identifier": "000000212142",
"state": "OH"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "2283309",
"state": "OH"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "HEALTH ALLICANCE PLAN",
"identifier": "C59127",
"state": "MI"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "4360620",
"state": "MI"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "FIRST HEALTH",
"identifier": "344428256",
"state": "OH"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "AETNA",
"identifier": "4200779",
"state": "OH"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "PARAMOUNT",
"identifier": "04105",
"state": "OH"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "EMERALD",
"identifier": "344428256",
"state": "OH"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "NATIONWIDE",
"identifier": "OC92768",
"state": "OH"
}
],
"endpoints": [],
"other_names": []
}Other providers in Phoenix, AZ
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 28, 2016; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.