Individual provider Active NPI

Sheba Shah, M.D.

  • Interventional Pain Medicine Physician
  • Chandler, AZ
National Provider Identifier
1861613267
Registry record updated Feb 28, 2017
On this page

Key facts

NPPES NPI Registry
Primary specialty
Interventional Pain Medicine PhysicianTaxonomy code 208VP0014X
License
47193 Issued in AZ
Practice address
604 W Warner Rd
B-3
Chandler, AZ 85225-2906
Phone
(480) 526-5300
Fax
(480) 550-8938
NPI assigned
May 1, 2007
Last updated
Feb 28, 2017By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Feb 28, 2017

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Interventional Pain Medicine Physician 208VP0014X 47193 AZ Primary

Addresses

Primary practice location

604 W Warner Rd
B-3
Chandler, AZ 85225-2906

Mailing address

604 W Warner Rd
B-3
Chandler, AZ 85225-2906
Phone (480) 526-5300

Other names 1

  • Dr. Sheba Jilani Former name

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
I20131023002025 AZ Practitioner - Pain ManagementPractitioner - Physical Medicine and Rehabilitation 7517154966 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Pain ManagementAlso: Physical Medicine and Rehabilitation
Education
Other, 2005
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Orange Medical LLCGroup PAC ID 4284850553, 3 clinicians

Practice addresses (Care Compare)

13760 N 93Rd Ave
Suite 203
Peoria, AZ 85381-4200
Phone (480) 526-5300

2626 E University Dr
Suite 110
Mesa, AZ 85213-8479
Phone (480) 526-5300

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Orange Medical LLC Interventional Pain Medicine CurrentSince May 15, 2014 Accepting new patients
Grand Canyon Anesthesia LLC Past Accepting new patients

Locations

604 W Warner Rd
Ste B3
Chandler, AZ 85225
Phone (480) 526-5300

17560 N 75th Ave
Ste 440
Glendale, AZ 85308
Phone (480) 526-5300

2626 E University Dr
Ste 110
Mesa, AZ 85213
Phone (480) 526-5300

13760 N 93rd Ave
Ste 203
Peoria, AZ 85381
Phone (480) 526-5300

9401 W Thunderbird Rd
Ste 155
Peoria, AZ 85381
Phone (480) 659-7147

13203 N 103rd Ave
Ste H5
Sun City, AZ 85351
Phone 62377747474789

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1177977600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1488240000000",
    "number": "1861613267",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "604 W WARNER RD",
            "address_2": "B-3",
            "city": "CHANDLER",
            "state": "AZ",
            "postal_code": "852252906",
            "telephone_number": "480-526-5300",
            "fax_number": "480-550-8938"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "604 W WARNER RD",
            "address_2": "B-3",
            "city": "CHANDLER",
            "state": "AZ",
            "postal_code": "852252906",
            "telephone_number": "480-526-5300",
            "fax_number": "480-550-8938"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SHAH",
        "first_name": "SHEBA",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2007-05-01",
        "last_updated": "2017-02-28",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208VP0014X",
            "taxonomy_group": "",
            "desc": "Pain Medicine, Interventional Pain Medicine",
            "state": "AZ",
            "license": "47193",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "SHEBA",
            "last_name": "JILANI",
            "prefix": "DR.",
            "credential": "M.D.",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Chandler, AZ

Sources for this page

Verify at the official NPI Registry.