Organization Active NPI

Dr Sheba Jilani

  • Pain Medicine (Physical Medicine & Rehabilitation) Physician
  • Tempe, AZ
National Provider Identifier
1760815237
Registry record updated Aug 19, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pain Medicine (Physical Medicine & Rehabilitation) PhysicianTaxonomy code 2081P2900X
License
47193 Issued in AZ
Legal business name
DR SHEBA JILANI
Practice address
4515 S McClintock Dr Ste 118
Tempe, AZ 85282-7381
Phone
(480) 413-0586
Fax
(480) 730-0487
NPI assigned
Aug 19, 2013
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 19, 2013

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

Authorized official

Name
Dr. Sheba Jilani, M.D
Title
Owner
Phone
(949) 307-0808

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Pain Medicine (Physical Medicine & Rehabilitation) PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 2081P2900X 47193 AZ Primary

Addresses

Primary practice location

4515 S McClintock Dr Ste 118
Tempe, AZ 85282-7381

Mailing address

4515 S McClintock Dr Ste 118
Tempe, AZ 85282-7381
Phone (480) 413-0586

Other identifiers 1

IdentifierTypeStateIssuer
822504MedicaidAZ

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1376870400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1376870400000",
    "number": "1760815237",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4515 S MCCLINTOCK DR STE 118",
            "city": "TEMPE",
            "state": "AZ",
            "postal_code": "852827381",
            "telephone_number": "480-413-0586",
            "fax_number": "480-730-0487"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4515 S MCCLINTOCK DR STE 118",
            "city": "TEMPE",
            "state": "AZ",
            "postal_code": "852827381",
            "telephone_number": "480-413-0586",
            "fax_number": "480-730-0487"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DR SHEBA JILANI",
        "organizational_subpart": "NO",
        "enumeration_date": "2013-08-19",
        "last_updated": "2013-08-19",
        "status": "A",
        "authorized_official_last_name": "JILANI",
        "authorized_official_first_name": "SHEBA",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "949-307-0808",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D"
    },
    "taxonomies": [
        {
            "code": "2081P2900X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Physical Medicine & Rehabilitation, Pain Medicine",
            "state": "AZ",
            "license": "47193",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "822504",
            "state": "AZ"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Tempe, AZ

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 19, 2013; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.