Individual provider Active NPI

Tasneem Manish Shah, MD

  • Internal Medicine Physician
  • Tucson, AZ
National Provider Identifier
1790098242
Registry record updated Aug 13, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
License
47560 Issued in AZ
Practice address
7383 E Tanque Verde Rd
Tucson, AZ 85715-3475
Phone
(520) 318-3434
Fax
(520) 318-3435
NPI assigned
Jul 26, 2010
Last updated
Aug 13, 2022By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Aug 13, 2022

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine Physician 207R00000X MT196457 PA
Internal Medicine Physician 207R00000X 47560 AZ Primary
Internal Medicine Physician 207R00000X 27732 MS

Addresses

Primary practice location

7383 E Tanque Verde Rd
Tucson, AZ 85715-3475

Mailing address

PO Box 43130
Tucson, AZ 85733-3130
Phone (520) 722-3777

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in AZ, TX2 enrollments
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 2

Enrollment IDStateProvider typePAC IDDetails
I20130826000704 AZ Practitioner - Internal Medicine 3476796335 Reassigns benefits to 7 organizations
I20200106002065 TX Practitioner - Internal Medicine 3476796335 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Internal Medicine
Education
Other, 2005
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Banner-University Medical GroupGroup PAC ID 7719899871, 1,066 clinicians
FHMC ClinicGroup PAC ID 8729497706, 19 clinicians

Practice addresses (Care Compare)

1625 N Campbell Ave
Tucson, AZ 85719-4330
Phone (520) 694-0111

2800 E Ajo Way
Tucson, AZ 85713-6204

9700 N Saguaro Blvd
Suite 100
Fountain Hills, AZ 85268-6242
Phone (602) 671-7981

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
23.64 of 100Reported as group
Quality
27.81
Improvement activities
0

Merit-based Incentive Payment System (MIPS)

Final score
93.34 of 100Reported as apm
Quality
74.56
Promoting interoperability
99
Improvement activities
40

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
MT196457PAMDInternal Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
FHMC Clinic Internal Medicine CurrentSince Aug 1, 2022 Accepting new patients
Synergy Physicians PLLC Family Medicine CurrentSince Mar 1, 2024 Accepting new patients
Arizona Inpatient Medicine Associates LLC Internal Medicine CurrentSince Jun 1, 2017 Accepting new patients
San Carlos Apache Healthcare Corporation Current Accepting new patients
FHMC Operating PC Internal Medicine CurrentSince Feb 8, 2025 Accepting new patients
Benson Hospital Corporation CurrentSince Sep 1, 2018 Accepting new patients
Northwest HBP Medical Services LLC Hospitalist CurrentSince Aug 15, 2018 Accepting new patients
San Carlos Apache Healthcare Corporation CurrentSince Oct 14, 2019 Accepting new patients
Benson Hospital Corporation CurrentSince Sep 1, 2018 Accepting new patients
Banner-University Medical Group Family Medicine CurrentSince Jul 13, 2013 Accepting new patients
FHMC LLC CurrentSince Aug 1, 2022 Accepting new patients
Banner-University Medical Group CurrentSince Jul 13, 2013 Accepting new patients
Banner - University Medical Center Tucson Campus LLC Past Accepting new patients
Dr Manish Shah Internal Medicine, LLC Internal Medicine Past Accepting new patients

Locations

450 S Ocotillo St
Benson, AZ 85602
Phone (520) 586-2261

9700 N Saguaro Blvd
Ste 100
Fountain Hls, AZ 85268
Phone (602) 671-7981

1551 E Tangerine Rd
Oro Valley, AZ 85755
Phone (520) 901-3500

103 Medicine Way Rd
Peridot, AZ 85542
Phone (928) 475-1200

16635 N 43rd Ave
Phoenix, AZ 85053
Phone (602) 843-7900

9070 E Desert Cove Ave
Ste 102
Scottsdale, AZ 85260
Phone (480) 553-6168

1625 N Campbell Ave
Tucson, AZ 85719

2800 E Ajo Way
Tucson, AZ 85713
Phone (520) 294-4471

3838 N Campbell Ave
Bldg 2
Tucson, AZ 85719

535 N Wilmot Rd
Ste 101
Tucson, AZ 85711
Phone (520) 694-9988

6200 N La Cholla Blvd
Tucson, AZ 85741
Phone (520) 229-2657

7383 E Tanque Verde Rd
Tucson, AZ 85715
Phone (520) 318-3434

Interoperability endpoints

  • FHIR API: https://api.platform.athenahealth.com/20314/brand/1/csg/1/fhir/r4
  • Direct secure messaging: tasneem.shah.1@18129.direct.athenahealth.com
  • Direct secure messaging: tshah156693@ummc.direct-ci.com

Organizations & group practices 15

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.

View all 15

Hospital & facility affiliations 4

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": "1280102400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1660348800000",
    "number": "1790098242",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 43130",
            "city": "TUCSON",
            "state": "AZ",
            "postal_code": "857333130",
            "telephone_number": "520-722-3777",
            "fax_number": "520-296-6224"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7383 E TANQUE VERDE RD",
            "city": "TUCSON",
            "state": "AZ",
            "postal_code": "857153475",
            "telephone_number": "520-318-3434",
            "fax_number": "520-318-3435"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SHAH",
        "first_name": "TASNEEM",
        "middle_name": "MANISH",
        "credential": "MD",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2010-07-26",
        "last_updated": "2022-08-13",
        "certification_date": "2022-08-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "PA",
            "license": "MT196457",
            "primary": false
        },
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "AZ",
            "license": "47560",
            "primary": true
        },
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "MS",
            "license": "27732",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Tucson, AZ

Sources for this page

Verify at the official NPI Registry.