Organization Active NPI

Primacare Inc

  • Internal Medicine Physician
  • Tempe, AZ
National Provider Identifier
1841354487
Registry record updated Sep 30, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
Legal business name
PRIMACARE INC
Practice address
2163 E Baseline Rd Ste 101
Tempe, AZ 85283-1541
Phone
(480) 646-8123
Fax
(480) 646-8125
NPI assigned
Dec 20, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 30, 2021

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

Authorized official

Name
Dr. Zaheer A Shah, MDNPI 1962592410
Title
President
Phone
(480) 646-8123

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 207R00000X Primary

Addresses

Primary practice location

2163 E Baseline Rd Ste 101
Tempe, AZ 85283-1541

Mailing address

2163 E Baseline Rd Ste 101
Tempe, AZ 85283-1541
Phone (480) 646-8123

Other identifiers 2

IdentifierTypeStateIssuer
1841354487OtherGROUP NPI
Z174978OtherAZPTAN

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in RI, AZ2 enrollments

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
O20070409000370 RI Part B Supplier - Clinic/Group Practice 6002701190 Receives reassigned benefits from 1 practitioner
Practice locations: North Smithfield, RI
O20150608000189 AZ Part B Supplier - Clinic/Group Practice 6002701190 Receives reassigned benefits from 7 practitioners
Practice locations: Tempe, AZ

Laboratory certificates & supplier records

Derived by NPIMap

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

CLIA numberLaboratoryCertificateExpires
03D2134057Primacare, Inc2163 E Baseline Rd Ste 101, Tempe, AZ 85283Certificate of waiverJul 24, 2027

National Provider Directory

National Provider Directory

Locations

73 Eddie Dowling Hwy
North Smithfield, RI 02896
Phone (401) 225-4766

117 Eddie Dowling Hwy
North Smithfield, RI 02896
Phone (401) 213-9881

Practitioners & affiliated clinicians

Practitioners 8

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1166572800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1632960000000",
    "number": "1841354487",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2163 E BASELINE RD STE 101",
            "city": "TEMPE",
            "state": "AZ",
            "postal_code": "852831541",
            "telephone_number": "480-646-8123",
            "fax_number": "480-646-8125"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2163 E BASELINE RD STE 101",
            "city": "TEMPE",
            "state": "AZ",
            "postal_code": "852831541",
            "telephone_number": "480-646-8123",
            "fax_number": "480-646-8125"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PRIMACARE INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-12-20",
        "last_updated": "2021-09-30",
        "certification_date": "2021-09-30",
        "status": "A",
        "authorized_official_last_name": "SHAH",
        "authorized_official_first_name": "ZAHEER",
        "authorized_official_middle_name": "A",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "480-646-8123",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Internal Medicine",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "GROUP NPI",
            "identifier": "1841354487",
            "state": null
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "PTAN",
            "identifier": "Z174978",
            "state": "AZ"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Tempe, AZ

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 30, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.