Active NPI
Raymond Frank Shamos, M.D.
- Surgery Physician
- Phoenix, AZ
National Provider Identifier
1831178433
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Surgery Physician
- License
- 13612
- Practice address
- 500 W Thomas Rd
Suite 400
Phoenix, AZ 85013-4224 - Phone
- (602) 266-4493
- Fax
- (602) 264-1577
- NPI assigned
- Jan 11, 2006
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Surgery Physician | 208600000X | 13612 | AZ | Primary |
Addresses
Primary practice location
500 W Thomas Rd
Suite 400
Phoenix, AZ 85013-4224
Mailing address
500 W Thomas Rd
Suite 400
Phoenix, AZ 85013-4224
Phone (602) 266-4493
Other practice location 1
350 W Thomas Rd
Phoenix, AZ 85013-4409
Phone (602) 406-3874
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 233669-01 | Other | AHCCHS PROVIDER |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Livi Medical Services LLC | Past | Accepting new patients |
Organizations & group practices 1
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.
-
- Family Medicine Physician
- Phoenix, AZ
- NPI 1457667750
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1136937600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1563148800000",
"number": "1831178433",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "500 W THOMAS RD",
"address_2": "SUITE 400",
"city": "PHOENIX",
"state": "AZ",
"postal_code": "850134224",
"telephone_number": "602-266-4493",
"fax_number": "602-264-1577"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "500 W THOMAS RD",
"address_2": "SUITE 400",
"city": "PHOENIX",
"state": "AZ",
"postal_code": "850134224",
"telephone_number": "602-266-4493",
"fax_number": "602-264-1577"
}
],
"practiceLocations": [
{
"address_1": "350 W Thomas Rd",
"address_purpose": "LOCATION",
"city": "Phoenix",
"state": "AZ",
"postal_code": "850134409",
"country_code": "US",
"telephone_number": "602-406-3874",
"fax_number": "602-212-4768",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "SHAMOS",
"first_name": "RAYMOND",
"middle_name": "FRANK",
"name_prefix": "Dr.",
"credential": "M.D.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-01-11",
"last_updated": "2019-07-15",
"status": "A"
},
"taxonomies": [
{
"code": "208600000X",
"taxonomy_group": "",
"desc": "Surgery",
"state": "AZ",
"license": "13612",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "AHCCHS PROVIDER",
"identifier": "233669-01",
"state": null
}
],
"endpoints": [],
"other_names": []
}
Other providers in Phoenix, AZ
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 15, 2019; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.