Phoenician Pain & Rehabilitation Center

Primary specialty

Pain Medicine (Physical Medicine & Rehabilitation) PhysicianTaxonomy code 2081P2900X

License

36671 Issued in AZ

Legal business name

PHOENICIAN PAIN & REHABILITATION CENTER

Practice address

963 N McQueen Rd
Chandler, AZ 85225-8149

Phone

(480) 398-1940

Fax

(480) 782-1453

NPI assigned

Dec 9, 2009

Last updated

May 8, 2015By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Shimul B. Sahai, M.D,NPI 1376761577

Title

MD.

Phone

(480) 398-1940

Specialties & licenses 3

Addresses

Medicare fee-for-service enrollment

Enrolled in AZ2 enrollments

Enrollment records 2

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

Practitioners 3

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Shimul Bansal Sahai, M.D.

  • Pain Medicine (Physical Medicine & Rehabilitation) Physician
  • Chandler, AZ
  • NPI 1376761577
  Medicare reassignment Care Compare group Authorized official
• Jessica Ann Kappes, MPAS, PA-C

  • Physician Assistant
  • Chandler, AZ
  • NPI 1679701163
  Medicare reassignment Care Compare group
• Trevor Patience, PA-C

  • Medical Physician Assistant
  • Phoenix, AZ
  • NPI 1093265183
  Medicare reassignment

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

{
    "created_epoch": "1260316800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1431043200000",
    "number": "1780913483",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "963 N MCQUEEN RD",
            "city": "CHANDLER",
            "state": "AZ",
            "postal_code": "852258149",
            "telephone_number": "480-398-1940",
            "fax_number": "480-782-1453"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "963 N MCQUEEN RD",
            "city": "CHANDLER",
            "state": "AZ",
            "postal_code": "852258149",
            "telephone_number": "480-398-1940",
            "fax_number": "480-782-1453"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PHOENICIAN PAIN & REHABILITATION CENTER",
        "organizational_subpart": "NO",
        "enumeration_date": "2009-12-09",
        "last_updated": "2015-05-08",
        "status": "A",
        "authorized_official_last_name": "SAHAI",
        "authorized_official_first_name": "SHIMUL",
        "authorized_official_middle_name": "B.",
        "authorized_official_title_or_position": "MD.",
        "authorized_official_telephone_number": "480-398-1940",
        "authorized_official_credential": "M.D,"
    },
    "taxonomies": [
        {
            "code": "363AM0700X",
            "taxonomy_group": "",
            "desc": "Physician Assistant, Medical",
            "state": "AZ",
            "license": "4954",
            "primary": false
        },
        {
            "code": "2081P2900X",
            "taxonomy_group": "",
            "desc": "Physical Medicine & Rehabilitation, Pain Medicine",
            "state": "NU",
            "license": null,
            "primary": false
        },
        {
            "code": "2081P2900X",
            "taxonomy_group": "",
            "desc": "Physical Medicine & Rehabilitation, Pain Medicine",
            "state": "AZ",
            "license": "36671",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Phoenix Diagnostic Imaging Inc
• Phoenix ER and Medical Hospital, LLC (Phoenix ER & Medical Hospital)
• Phoenix Internal Medicine Associates LLC
• Phoenix Neurological Institute Inc (Phoenician Behavioral Health)
• Phoenix Neurological Institute, Inc (Phoenician Behavioral Health)

• Pain Medicine (Physical Medicine & Rehabilitation) Physician in Chandler, AZ
• Providers in Chandler, AZ by specialty
• Pain Medicine (Physical Medicine & Rehabilitation) Physician in Arizona

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 8, 2015; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• 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.