Gautam Motllal Shah, M.D.

Primary specialty

Pulmonary Disease PhysicianTaxonomy code 207RP1001X

License

10116 Issued in AZ

Practice address

10192 W. Coggins Drive
Sun City, AZ 85351-3405

Phone

(623) 974-2434

Fax

(623) 974-4925

NPI assigned

May 19, 2006

Sex

Male

Sole proprietor

No

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

Specialties & licenses 2

Addresses

Other identifiers 1

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

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

Practice roles

Locations

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

• Clinic for Chest Diseases PLLC

  • Internal Medicine Physician
  • Sun City, AZ
  • NPI 1740232180
  NPD Authorized official
• Sun Health MRI Center

  • Magnetic Resonance Imaging (MRI) Clinic/Center
  • Sun City West, AZ
  • NPI 1427001379
  NPD (past)

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

{
    "created_epoch": "1147996800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1299110400000",
    "number": "1831143676",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "10192 W. COGGINS DRIVE",
            "city": "SUN CITY",
            "state": "AZ",
            "postal_code": "853513405",
            "telephone_number": "623-974-2434",
            "fax_number": "623-974-4925"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "10192 W. COGGINS DRIVE",
            "city": "SUN CITY",
            "state": "AZ",
            "postal_code": "853513405",
            "telephone_number": "623-974-2434",
            "fax_number": "623-974-4925"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SHAH",
        "first_name": "GAUTAM",
        "middle_name": "MOTLLAL",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-05-19",
        "last_updated": "2011-03-03",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "AZ",
            "license": "10116",
            "primary": false
        },
        {
            "code": "207RP1001X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Pulmonary Disease",
            "state": "AZ",
            "license": "10116",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "208745",
            "state": "AZ"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Kathleen Ann Senters
• Juan A Serrano Salcedo, PSYD
• Kristin Leigh Serrato, FNP-C
• Gentry Shaffer, PTA
• Ashish Shah, MD
• Jatin Shah, MD
• Rabea Shaheen, M.D.
• Shantilal D Patel MD PLLC
• Amar Parkash Sharma, MD
• Janelle R Shaw, AUD

• Pulmonary Disease Physician in Sun City, AZ
• Providers in Sun City, AZ by specialty
• Pulmonary Disease Physician in Arizona

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 3, 2011; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.