Individual provider Active NPI

Sumbul Shakoor, M.D.

  • Pediatrics Physician
  • Chandler, AZ
National Provider Identifier
1851362602
Registry record updated Aug 30, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pediatrics PhysicianTaxonomy code 208000000X
License
27805 Issued in AZ
Practice address
1850 W Frye Rd Ste 102
Chandler, AZ 85224-6232
Phone
(480) 782-5575
Fax
(480) 782-5576
NPI assigned
Jan 30, 2006
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Aug 30, 2022

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Pediatrics Physician 208000000X 27805 AZ Primary

Addresses

Primary practice location

1850 W Frye Rd Ste 102
Chandler, AZ 85224-6232

Mailing address

1850 W Frye Rd Ste 102
Chandler, AZ 85224-6232
Phone (480) 782-5575

Other identifiers 1

IdentifierTypeStateIssuer
486010MedicaidAZ

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)
Not enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
27805AZMDPediatrics Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Chandler Pediatrics LLC CurrentSince Sep 1, 2024 Accepting new patients
Chandler Cardiology Associates LLC PastSince Mar 31, 2013 Accepting new patients

Locations

1850 W Frye Rd
Ste 102
Chandler, AZ 85224
Phone (480) 782-5575

Interoperability endpoints

  • Direct secure messaging: sshakoor@chandlerpediatrics.ssdirect.aprima.com

Organizations & group practices 2

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": "1138579200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1661817600000",
    "number": "1851362602",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1850 W FRYE RD STE 102",
            "city": "CHANDLER",
            "state": "AZ",
            "postal_code": "852246232",
            "telephone_number": "480-782-5575",
            "fax_number": "480-782-5576"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1850 W FRYE RD STE 102",
            "city": "CHANDLER",
            "state": "AZ",
            "postal_code": "852246232",
            "telephone_number": "480-782-5575",
            "fax_number": "480-782-5576"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SHAKOOR",
        "first_name": "SUMBUL",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2006-01-30",
        "last_updated": "2022-08-30",
        "certification_date": "2022-08-30",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208000000X",
            "taxonomy_group": "",
            "desc": "Pediatrics",
            "state": "AZ",
            "license": "27805",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "486010",
            "state": "AZ"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Chandler, AZ

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 30, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.