Individual provider Active NPI

Ramin Jamshidi, M.D.

  • Pediatric Surgery Physician
  • Phoenix, AZ
National Provider Identifier
1720190408
Registry record updated Aug 31, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pediatric Surgery PhysicianTaxonomy code 2086S0120X
License
46745 Issued in AZ
Practice address
1920 E Cambridge Ave
Ste 201
Phoenix, AZ 85006-1459
Phone
(602) 254-5561
NPI assigned
Aug 31, 2006
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Aug 31, 2016

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Pediatric Surgery Physician 2086S0120X 46745 AZ Primary

Addresses

Primary practice location

1920 E Cambridge Ave
Ste 201
Phoenix, AZ 85006-1459

Mailing address

1920 E Cambridge Ave
Ste 201
Phoenix, AZ 85006-1459
Phone (602) 254-5561

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in AZ, MT2 enrollments
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 2

Enrollment IDStateProvider typePAC IDDetails
I20130103000164 AZ Practitioner - General SurgeryPractitioner - Other (Physician) 4486655792 Reassigns benefits to 1 organization
I20200910000673 MT Practitioner - General Surgery 4486655792 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
General Surgery
Education
University of Colorado School of Medicine, Denver, 2003
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Phoenix Children'S HospitalGroup PAC ID 0446278584, 431 clinicians

Practice addresses (Care Compare)

1919 E Thomas Rd
Phoenix, AZ 85016-7710
Phone (602) 933-0930

Procedures performed for Medicare patients

ProcedureNumber of procedures
Removal of skin lesions1-10

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Phoenix Children'S Medical Group CurrentSince Jan 1, 2017 Accepting new patients
Kalispell Regional Medical Center Inc CurrentSince Sep 5, 2020 Accepting new patients
Phoenix Children'S Hospital Current Accepting new patients
Kalispell Regional Medical Center, Inc CurrentSince Sep 5, 2020 Accepting new patients
Kalispell Regional Medical Center, Inc Surgery Past Accepting new patients
Phoenix Children'S Hospital Past Accepting new patients
District Medical Group, Inc Surgery Past Accepting new patients

Locations

1919 E Thomas Rd
Phoenix, AZ 85016
Phone (602) 933-0777

2601 E Roosevelt St
Phoenix, AZ 85008
Phone (602) 220-0298

1920 E Cambridge Ave
Ste 201
Phoenix, AZ 85006
Phone (602) 254-5561

3200 E Camelback Rd
Ste 250
Phoenix, AZ 85018
Phone (602) 933-1814

2525 E Roosevelt St
Fl 2
Phoenix, AZ 85008

1610 Ellis St
Ste 1B
Bozeman, MT 59715
Phone (317) 845-5974

2012 14th St SW
Ste B
Great Falls, MT 59404
Phone (406) 758-7490

350 Heritage Way
Ste 2100
Kalispell, MT 59901
Phone (406) 257-8992

310 Sunnyview Ln
Kalispell, MT 59901
Phone (406) 751-5310

1821 South Ave W
Ste 202
Missoula, MT 59801
Phone (406) 543-9200

106 Ridgewater Dr
Ste A
Polson, MT 59860
Phone (406) 883-3200

106 Ridgewater Dr
Ste B
Polson, MT 59860
Phone (406) 883-1911

Interoperability endpoints

  • Direct secure messaging: rjamshidi50533@direct.valleywisehealth.org

Organizations & group practices 8

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": "1156982400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1472601600000",
    "number": "1720190408",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1920 E CAMBRIDGE AVE",
            "address_2": "STE 201",
            "city": "PHOENIX",
            "state": "AZ",
            "postal_code": "850061459",
            "telephone_number": "602-254-5561"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1920 E CAMBRIDGE AVE",
            "address_2": "STE 201",
            "city": "PHOENIX",
            "state": "AZ",
            "postal_code": "850061459",
            "telephone_number": "602-254-5561"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "JAMSHIDI",
        "first_name": "RAMIN",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-08-31",
        "last_updated": "2016-08-31",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2086S0120X",
            "taxonomy_group": "",
            "desc": "Surgery, Pediatric Surgery",
            "state": "AZ",
            "license": "46745",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Phoenix, AZ

Sources for this page

Verify at the official NPI Registry.