Mikhail I Shtivelband, MD

Primary specialty

Hematology & Oncology PhysicianTaxonomy code 207RH0003X

License

32733 Issued in AZ

Practice address

685 S Dobson Rd
Chandler, AZ 85224-5665

Phone

(480) 821-2838

Fax

(480) 821-9444

NPI assigned

Feb 17, 2006

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Enrolled in AZ

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

Specialty

Hematology/Oncology

Education

Other, 1991

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Ironwood Physicians PCGroup PAC ID 3577454842, 115 clinicians

Practice addresses (Care Compare)

Hospital & facility affiliations

• Chandler Regional Medical Center Hospital, Chandler, AZ, CCN 030036
• Mercy Gilbert Medical Center Hospital, Gilbert, AZ, CCN 030119

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

Practice roles

Locations

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.

• Ironwood Physicians, PC

  dba Ironwood Cancer & Research Centers, PC

  • Hematology & Oncology Physician
  • Chandler, AZ
  • NPI 1740269299
  Medicare reassignment Care Compare group NPD
• Ironwood Physicians, PC

  • Hematology & Oncology Physician
  • Goodyear, AZ
  • NPI 1598514408
  NPD

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

• Dignity Community Care

  dba Chandler Regional Medical Center

  • General Acute Care Hospital
  • Chandler, AZ
  • NPI 1700910189
  Care Compare affiliation
• Dignity Health

  dba Mercy Gilbert Medical Center

  • General Acute Care Hospital
  • Gilbert, AZ
  • NPI 1992735088
  Care Compare affiliation

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

{
    "created_epoch": "1140134400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1668643200000",
    "number": "1740254473",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 6423",
            "city": "CHANDLER",
            "state": "AZ",
            "postal_code": "852466423"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "685 S DOBSON RD",
            "city": "CHANDLER",
            "state": "AZ",
            "postal_code": "852245665",
            "telephone_number": "480-821-2838",
            "fax_number": "480-821-9444"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "695 S Dobson Rd",
            "address_purpose": "LOCATION",
            "city": "Chandler",
            "state": "AZ",
            "postal_code": "852245665",
            "country_code": "US",
            "telephone_number": "480-821-2838",
            "fax_number": "480-821-9444",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "SHTIVELBAND",
        "first_name": "MIKHAIL",
        "middle_name": "I",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-02-17",
        "last_updated": "2022-11-17",
        "certification_date": "2022-11-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207RH0003X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Hematology & Oncology",
            "state": "AZ",
            "license": "32733",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "AHCCCS",
            "identifier": "860339",
            "state": "AZ"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Mark Alfred Shousha, D.D.S.
• Nickolena Showers
• Muath Shqeirat, PHARMD
• Shreya Health of Arizona, Inc
• Lindsay Ann Shroyer, AUD
• Christina Marie Shuker, RN, CRNP
• Himanshu Harshadray Shukla, MD
• Sydney Paige Shultz
• Erica Shumaker
• Larynn Shumaker

• Hematology & Oncology Physician in Chandler, AZ
• Providers in Chandler, AZ by specialty
• Hematology & Oncology Physician in Arizona

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 17, 2022; 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.

Verify at the official NPI Registry.