Individual provider Active NPI

Shelley K Nakamura, MD

  • Surgery Physician
  • Phoenix, AZ
National Provider Identifier
1760463418
Registry record updated Mar 7, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Surgery PhysicianTaxonomy code 208600000X
License
30690 Issued in AZ
Practice address
4727 E Bell Rd
Ste 45-411
Phoenix, AZ 85032-2308
Phone
(602) 568-2050
Fax
(480) 588-8353
NPI assigned
Nov 9, 2005
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Mar 7, 2023

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Surgery Physician 208600000X 30690 AZ Primary

Addresses

Primary practice location

4727 E Bell Rd
Ste 45-411
Phoenix, AZ 85032-2308

Mailing address

4727 E Bell Rd
Ste 45-411
Phoenix, AZ 85032-2308
Phone (602) 568-2050

Medicare participation

Medicare enrollment files
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

Enrollment IDStateProvider typePAC IDDetails
I20080226000140 AZ Practitioner - General Surgery 1951485234 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
General Surgery
Education
Tulane University School of Medicine, 1996
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Honorhealth AmbulatoryGroup PAC ID 5991603110, 630 clinicians

Practice addresses (Care Compare)

19646 N 27TH Ave
Suite 407
Phoenix, AZ 85027-4028
Phone (602) 786-0720

Hospital & facility affiliations

  • Honorhealth Scottsdale Shea Medical Center Hospital, Scottsdale, AZ, CCN 030087
  • Banner del E. Webb Medical Center Hospital, Sun City West, AZ, CCN 030093

Procedures performed for Medicare patients

ProcedureNumber of procedures
Mastectomy15

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Arizona Center for Hematology and Oncology PLC Current Accepting new patients
Honorhealth Ambulatory CurrentSince May 27, 2022 Accepting new patients
Arizona Center for Hematology and Oncology, PLC Surgery CurrentSince Jan 1, 2017 Accepting new patients
Honorhealth Ambulatory Current Accepting new patients
Arizona Center for Hematology and Oncology, PLC CurrentSince Jan 1, 2017 Accepting new patients
Honorhealth Ambulatory CurrentSince May 27, 2022 Accepting new patients
Shelley K Nakamura MD PLLC Surgery Past Accepting new patients
Breast Care PC Surgery Past Accepting new patients
Breast Care, P.C. Past Accepting new patients
Honorhealth Ambulatory Surgery Past Accepting new patients

Locations

10320 W McDowell Rd
Ste 9030
Avondale, AZ 85392
Phone (480) 359-7384

9179 W Thunderbird Rd
Ste 103
Peoria, AZ 85381

10230 W Happy Valley Pkwy
Ste 200
Peoria, AZ 85383
Phone (480) 882-7465

14155 N 83rd Ave
Ste 127
Peoria, AZ 85381
Phone (623) 773-2873

19646 N 27th Ave
Phoenix, AZ 85027
Phone (602) 663-9371

19646 N 27th Ave
Ste 407
Phoenix, AZ 85027
Phone (602) 786-0720

19646 N 27th Ave
Ste 108
Phoenix, AZ 85027
Phone (480) 278-8300

2525 W Greenway Rd
Ste 130
Phoenix, AZ 85023
Phone (602) 942-8000

9965 N 95th St
Ste 105
Scottsdale, AZ 85258
Phone (480) 629-8390

10510 N 92nd St
Ste 200
Scottsdale, AZ 85258
Phone (480) 323-1250

9003 E Shea Blvd
Scottsdale, AZ 85260
Phone (480) 323-3383

10460 N 92nd St
Ste 101
Scottsdale, AZ 85258
Phone (480) 278-8300

Organizations & group practices 10

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.

Hospital & facility affiliations 2

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

NPI Registry JSON

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

{
    "created_epoch": "1131494400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1678147200000",
    "number": "1760463418",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4727 E BELL RD",
            "address_2": "STE 45-411",
            "city": "PHOENIX",
            "state": "AZ",
            "postal_code": "850322308",
            "telephone_number": "602-568-2050",
            "fax_number": "480-588-8353"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4727 E BELL RD",
            "address_2": "STE 45-411",
            "city": "PHOENIX",
            "state": "AZ",
            "postal_code": "850322308",
            "telephone_number": "602-568-2050",
            "fax_number": "480-588-8353"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "NAKAMURA",
        "first_name": "SHELLEY",
        "middle_name": "K",
        "credential": "MD",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2005-11-09",
        "last_updated": "2023-03-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208600000X",
            "taxonomy_group": "",
            "desc": "Surgery",
            "state": "AZ",
            "license": "30690",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Phoenix, AZ

Sources for this page

Verify at the official NPI Registry.