Individual provider Active NPI

Amish M Shah, M.D.

  • Emergency Medicine Physician
  • Scottsdale, AZ
National Provider Identifier
1780892943
Registry record updated Aug 29, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Emergency Medicine PhysicianTaxonomy code 207P00000X
License
45864 Issued in AZ
Practice address
13400 E Shea Blvd
Scottsdale, AZ 85259-5452
Phone
(480) 301-8000
NPI assigned
May 20, 2007
Last updated
Aug 29, 2022By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 29, 2022

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Emergency Medicine Physician 207P00000X 60-239727 NY
Emergency Medicine Physician 207P00000X 45864 AZ Primary
Sports Medicine (Emergency Medicine) Physician 207PS0010X 60-239727 NY

Addresses

Primary practice location

13400 E Shea Blvd
Scottsdale, AZ 85259-5452

Mailing address

13400 E Shea Blvd
Scottsdale, AZ 85259-5452
Phone (480) 301-8000

Other practice location 1

345 E 93rd St Apt 18F
New York, NY 10128-5521
Phone (212) 241-6500

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address ashah492213@ehrdirect.mayoclinicmsg.org

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
I20120709000006 AZ Practitioner - Emergency Medicine 2668572066 Reassigns benefits to 5 organizations

Care Compare profile

Medicare Care Compare
Specialty
Emergency Medicine
Education
Northwestern University Feinberg Medical School, 2001
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Tec Emergency Physicians of Arizona, LLCGroup PAC ID 6204256084, 155 clinicians

Practice addresses (Care Compare)

1833 N Power Rd
Mesa, AZ 85205-3799
Phone (888) 732-3317

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
86.47 of 100Reported as group
Quality
78.27
Promoting interoperability
100
Improvement activities
40
Cost
76.62

Procedures performed for Medicare patients

ProcedureNumber of procedures
Removal of nail tissue1-10

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
60-239727NYMDEmergency Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Tempe Emergency Physicians, LTD Emergency Medicine CurrentSince Dec 1, 2013 Accepting new patients
Emergency Group of Arizona Professional Corporation Emergency Medicine CurrentSince Jul 1, 2015 Accepting new patients
Tec Emergency Physicians of Arizona, LLC CurrentSince Aug 14, 2020 Accepting new patients
Tempe Emergency Physicians, LTD Emergency Medicine CurrentSince Dec 1, 2013 Accepting new patients
Mayo Clinic Arizona CurrentSince Jun 25, 2022 Accepting new patients
Mayo Clinic Arizona CurrentSince Jun 25, 2022 Accepting new patients
Usacs Emergency Medicine of Arizona, LLC Emergency Medicine CurrentSince Aug 2, 2025 Accepting new patients
Madison Avenue Emergency Medicine PC Emergency Medicine Past Accepting new patients
Mount Sinai School of Medicine Emergency Medicine Past Accepting new patients

Locations

2735 Silver Creek Rd
Bullhead City, AZ 86442
Phone (520) 763-2273

4545 N Hunt Hwy
Florence, AZ 85132
Phone (480) 258-6100

13677 W McDowell Rd
Goodyear, AZ 85395
Phone (623) 536-4200

7171 S 51st Ave
Laveen, AZ 85339
Phone (623) 584-5100

1301 S Crismon Rd
Mesa, AZ 85209
Phone (480) 358-6300

1833 N Power Rd
Mesa, AZ 85205
Phone (480) 398-7340

1800 E Van Buren St
Phoenix, AZ 85006
Phone (602) 251-8100

1930 E Thomas Rd
Phoenix, AZ 85016
Phone (602) 532-1000

1419 W Hunt Hwy
San Tan Vly, AZ 85143
Phone (480) 245-4300

13400 E Shea Blvd
Scottsdale, AZ 85259

1500 S Mill Ave
Tempe, AZ 85281
Phone (480) 784-5500

5125 S Rural Rd
Tempe, AZ 85282
Phone (480) 306-8780

Interoperability endpoints

  • Direct secure messaging: ashah492213@ehrdirect.mayoclinicmsg.org

Organizations & group practices 9

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

Hospital & facility affiliations 1

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": "1179619200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1661731200000",
    "number": "1780892943",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "13400 E SHEA BLVD",
            "city": "SCOTTSDALE",
            "state": "AZ",
            "postal_code": "852595452",
            "telephone_number": "480-301-8000"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "13400 E SHEA BLVD",
            "city": "SCOTTSDALE",
            "state": "AZ",
            "postal_code": "852595452",
            "telephone_number": "480-301-8000"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "345 E 93rd St Apt 18F",
            "address_purpose": "LOCATION",
            "city": "New York",
            "state": "NY",
            "postal_code": "101285521",
            "country_code": "US",
            "telephone_number": "212-241-6500",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "SHAH",
        "first_name": "AMISH",
        "middle_name": "M",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2007-05-20",
        "last_updated": "2022-08-29",
        "certification_date": "2022-08-29",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207P00000X",
            "taxonomy_group": "",
            "desc": "Emergency Medicine",
            "state": "NY",
            "license": "60-239727",
            "primary": false
        },
        {
            "code": "207P00000X",
            "taxonomy_group": "",
            "desc": "Emergency Medicine",
            "state": "AZ",
            "license": "45864",
            "primary": true
        },
        {
            "code": "207PS0010X",
            "taxonomy_group": "",
            "desc": "Emergency Medicine, Sports Medicine",
            "state": "NY",
            "license": "60-239727",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "ashah492213@ehrdirect.mayoclinicmsg.org",
            "affiliation": "N",
            "address_1": "13400 E Shea Blvd",
            "city": "Scottsdale",
            "state": "AZ",
            "country_code": "US",
            "postal_code": "852595452",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Scottsdale, AZ

Sources for this page

Verify at the official NPI Registry.