Individual provider Active NPI

Shilpa Neil Atodaria, M.D.

  • Internal Medicine Physician
  • Phoenix, AZ
National Provider Identifier
1831362581
Registry record updated Oct 28, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
License
40865 Issued in AZ
Practice address
4800 N 22ND St
Phoenix, AZ 85016-4701
Phone
(602) 508-4843
Fax
(602) 508-4830
NPI assigned
Apr 2, 2008
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 28, 2014

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine Physician 207R00000X 40865 AZ Primary

Addresses

Primary practice location

4800 N 22ND St
Phoenix, AZ 85016-4701

Mailing address

4800 N 22ND St
Phoenix, AZ 85016-4701
Phone (602) 508-4843

Other identifiers 1

IdentifierTypeStateIssuer
365703MedicaidAZ

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
I20080923000220 AZ Practitioner - Internal Medicine 1557438272 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Internal Medicine
Education
Other, 2003
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Barnet Dulaney Perkins Eye Center, PCGroup PAC ID 0749288298, 104 clinicians

Practice addresses (Care Compare)

520 S Hill St
Globe, AZ 85501-2291
Phone (928) 425-8989

Merit-based Incentive Payment System (MIPS)

Final score
83.86 of 100Reported as group
Quality
81.82
Promoting interoperability
100
Improvement activities
40
Cost
64.4

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
40865AZMDInternal Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Barnet Dulaney Perkins Eye Center, PC CurrentSince Oct 1, 2014 Accepting new patients
Barnet Dulaney Perkins Eye Center, PC Current Accepting new patients
Southwestern Eye Center, LTD CurrentSince Mar 1, 2020 Accepting new patients
Southwestern Eye Center LTD CurrentSince Mar 1, 2020 Accepting new patients
Barnet Dulaney Perkins Eye Center, PC CurrentSince Oct 1, 2014 Accepting new patients
Barnet Dulaney Perkins Eye Center, PC Past Accepting new patients

Locations

3003 Highway 95
Ste 63
Bullhead City, AZ 86442
Phone (928) 763-7555

855 S Dobson Rd
Ste 1
Chandler, AZ 85224

270 S Candy Ln
Cottonwood, AZ 86326
Phone (928) 634-4202

520 S Hill St
Globe, AZ 85501
Phone (928) 425-8989

1151 S La Canada Dr
Ste 200
Green Valley, AZ 85614
Phone (520) 625-8562

8435 E Baseline Rd
Mesa, AZ 85209
Phone (480) 373-0860

5250 E Southern Ave
Mesa, AZ 85206
Phone (480) 420-1005

1121 S Gilbert Rd
Ste 103
Mesa, AZ 85204
Phone (480) 459-8500

7435 E Main St
Ste 101
Mesa, AZ 85207
Phone (480) 634-3777

4760 E Falcon Dr
Ste 101
Mesa, AZ 85215
Phone (480) 985-7400

4800 N 22nd St
Phoenix, AZ 85016
Phone (602) 508-4843

4800 N 22nd St
Ste 120
Phoenix, AZ 85016

825 S 20th Ave
Safford, AZ 85546
Phone (928) 428-6930

2370 W State Route 89A
Ste 16A17A18
Sedona, AZ 86336
Phone (928) 282-1231

14820 N Del Webb Blvd
Sun City, AZ 85351

14239 W Bell Rd
Ste 216
Surprise, AZ 85374

5632 E 5th St
Tucson, AZ 85711
Phone (520) 584-8888

698 E Wetmore Rd
Ste 100
Tucson, AZ 85705
Phone (520) 690-5707

2149 W 24th St
Yuma, AZ 85364
Phone (928) 726-1100

Interoperability endpoints

  • Direct secure messaging: shilpa.atodaria.p11@direct.avp.nextgenshare.com

Organizations & group practices 6

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.

NPI Registry JSON

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

{
    "created_epoch": "1207094400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1414454400000",
    "number": "1831362581",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4800 N 22ND ST",
            "city": "PHOENIX",
            "state": "AZ",
            "postal_code": "850164701",
            "telephone_number": "602-508-4843",
            "fax_number": "602-508-4830"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4800 N 22ND ST",
            "city": "PHOENIX",
            "state": "AZ",
            "postal_code": "850164701",
            "telephone_number": "602-508-4843",
            "fax_number": "602-508-4830"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ATODARIA",
        "first_name": "SHILPA",
        "middle_name": "NEIL",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2008-04-02",
        "last_updated": "2014-10-28",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "AZ",
            "license": "40865",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "365703",
            "state": "AZ"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Phoenix, AZ

Sources for this page

Verify at the official NPI Registry.