Active NPI
Shelley K Nakamura, MD
- Surgery Physician
- Phoenix, AZ
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Surgery Physician
- License
- 30690
- 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
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 |
|---|---|---|---|---|
| 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
Enrollment records 1
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
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
- Banner del E. Webb Medical Center
Procedures performed for Medicare patients
| Procedure | Number of procedures |
|---|---|
| Mastectomy | 15 |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Arizona Center for Hematology and Oncology PLC | Current | Accepting new patients | |
| Honorhealth Ambulatory | Current | Accepting new patients | |
| Arizona Center for Hematology and Oncology, PLC | Surgery | Current | Accepting new patients |
| Honorhealth Ambulatory | Current | Accepting new patients | |
| Arizona Center for Hematology and Oncology, PLC | Current | Accepting new patients | |
| Honorhealth Ambulatory | Current | 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.
-
- Hematology & Oncology Physician
- Scottsdale, AZ
- NPI 1407050917
-
- Hematology & Oncology Physician
- Scottsdale, AZ
- NPI 1841243722
-
- Surgery Physician
- Peoria, AZ
- NPI 1083007165
-
- Nuclear Radiology Physician
- Glendale, AZ
- NPI 1417216607
-
- Emergency Medicine Physician
- Mesa, AZ
- NPI 1891518130
-
- Cardiovascular Disease Physician
- Scottsdale, AZ
- NPI 1952906661
-
- Surgery Physician
- Phoenix, AZ
- NPI 1154366029
-
- Preferred Provider Organization
- Phoenix, AZ
- NPI 1245396811
-
- Surgery Physician
- Phoenix, AZ
- NPI 1992982102
Hospital & facility affiliations 2
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- General Acute Care Hospital
- Sun City West, AZ
- NPI 1588823553
-
- General Acute Care Hospital
- Scottsdale, AZ
- NPI 1386608859
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
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 7, 2023; 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.