Individual provider Active NPI

Jinesh Shah, M.D.

  • Plastic and Reconstructive Surgery Physician
  • Scottsdale, AZ
National Provider Identifier
1801243472
Registry record updated Jul 8, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Plastic and Reconstructive Surgery PhysicianTaxonomy code 2086S0122X
License
70488 Issued in AZ
Practice address
8900 E Raintree Dr Ste 200
Scottsdale, AZ 85260-7307
Phone
(480) 752-7874
Fax
(888) 732-7060
NPI assigned
May 24, 2016
Last updated
Jul 8, 2026By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 8, 2026

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Surgery Physician 208600000X 70412 CT
Plastic and Reconstructive Surgery Physician 2086S0122X 70488 AZ Primary

Addresses

Primary practice location

8900 E Raintree Dr Ste 200
Scottsdale, AZ 85260-7307

Mailing address

8900 E Raintree Dr Ste 200
Scottsdale, AZ 85260-7307
Phone (480) 752-7874

Other identifiers 1

IdentifierTypeStateIssuer
207718MedicaidAZ

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
I20231005001273 AZ Practitioner - Plastic and Reconstructive Surgery 0446590335 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Plastic and Reconstructive Surgery
Education
Harvard Medical School, 2016
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

9250 N 3Rd St
Suite 1003
Phoenix, AZ 85020-2402
Phone (602) 331-7811

Hospital & facility affiliations

Procedures performed for Medicare patients

ProcedureNumber of procedures
Melanoma (skin cancer) excision17

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
70488AZMDPlastic and Reconstructive Surgery Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Scottsdale Facial Aesthetics PLLC Plastic and Reconstructive Surgery Current Accepting new patients
Yale University Surgery CurrentSince Sep 6, 2022 Accepting new patients
Regenerative Institute PLLC Plastic and Reconstructive Surgery CurrentSince Sep 20, 2023 Accepting new patients
Yale University CurrentSince Sep 6, 2022 Accepting new patients

Locations

9250 N 3rd St
Ste 1003
Phoenix, AZ 85020
Phone (602) 331-7800

8900 E Raintree Dr
Ste 200
Scottsdale, AZ 85260
Phone (480) 752-7874

330 Cedar St
New Haven, CT 06510
Phone (203) 785-2385

50 Division St
New Haven, CT 06511
Phone (203) 785-2140

800 Howard Ave
New Haven, CT 06519
Phone (203) 785-2140

Organizations & group practices 4

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 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": "1464048000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1783468800000",
    "number": "1801243472",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8900 E RAINTREE DR STE 200",
            "city": "SCOTTSDALE",
            "state": "AZ",
            "postal_code": "852607307",
            "telephone_number": "480-752-7874",
            "fax_number": "888-732-7060"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8900 E RAINTREE DR STE 200",
            "city": "SCOTTSDALE",
            "state": "AZ",
            "postal_code": "852607307",
            "telephone_number": "480-752-7874",
            "fax_number": "888-732-7060"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SHAH",
        "first_name": "JINESH",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2016-05-24",
        "last_updated": "2026-07-08",
        "certification_date": "2026-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208600000X",
            "taxonomy_group": "",
            "desc": "Surgery",
            "state": "CT",
            "license": "70412",
            "primary": false
        },
        {
            "code": "2086S0122X",
            "taxonomy_group": "",
            "desc": "Surgery, Plastic and Reconstructive Surgery",
            "state": "AZ",
            "license": "70488",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "207718",
            "state": "AZ"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Scottsdale, AZ

Sources for this page

Verify at the official NPI Registry.