Individual provider Active NPI

Shiva Kumar Yadav Gosi, M.D.

  • Hospitalist Physician
  • Glendale, AZ
National Provider Identifier
1891006532
Registry record updated Sep 12, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Hospitalist PhysicianTaxonomy code 208M00000X
License
54533 Issued in AZ
Practice address
5555 W Thunderbird Rd
Glendale, AZ 85306-4622
Phone
(602) 865-2627
NPI assigned
Jun 28, 2010
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 12, 2023

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine Physician 207Q00000X 54533 AZ
Hospitalist Physician 208M00000X 54533 AZ Primary

Addresses

Primary practice location

5555 W Thunderbird Rd
Glendale, AZ 85306-4622

Mailing address

5555 W Thunderbird Rd
Glendale, AZ 85306-4622
Phone (602) 865-2627

Other practice location 1

1200 N Beaver St
Flagstaff, AZ 86001-3118
Phone (928) 214-2920

Other practice location 2

269 S Candy Ln
Cottonwood, AZ 86326-4158
Phone (928) 639-5588

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
I20170814000796 AZ Practitioner - Family PracticePractitioner - Hospitalist 5496980963 Reassigns benefits to 5 organizations

Care Compare profile

Medicare Care Compare
Specialty
Family PracticeAlso: Hospitalist
Education
Other, 2007
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Leading Healthcare PLLCGroup PAC ID 1850652496, 42 clinicians
Banner Hospital Based Physicians Arizona LLCGroup PAC ID 3274782487, 636 clinicians
Scottsdale Inpatient Specialists PLCGroup PAC ID 4385021526, 35 clinicians

Practice addresses (Care Compare)

1325 N Litchfield Rd
Suite 145
Goodyear, AZ 85395-1215
Phone (480) 213-0232

22922 N 40TH PL
Phoenix, AZ 85050-8742
Phone (347) 309-3320

5555 W Thunderbird Rd
Glendale, AZ 85306-4622
Phone (602) 865-5555

9003 E Shea Blvd
Scottsdale, AZ 85260-6709
Phone (480) 323-3000

Hospital & facility affiliations

  • Honorhealth Scottsdale Shea Medical Center Hospital, Scottsdale, AZ, CCN 030087
  • Banner Thunderbird Medical Center Hospital, Glendale, AZ, CCN 030089
  • Abrazo West Campus Hospital, Goodyear, AZ, CCN 030110
  • Honorhealth Scottsdale Osborn Medical Center Hospital, Scottsdale, AZ, CCN 030038

Merit-based Incentive Payment System (MIPS)

Final score
83.7 of 100Reported as group
Quality
64.97
Promoting interoperability
98
Improvement activities
40
Cost
69.88

Merit-based Incentive Payment System (MIPS)

Final score
82.13 of 100Reported as group
Quality
66.85
Promoting interoperability
99
Improvement activities
40
Cost
74.4

Merit-based Incentive Payment System (MIPS)

Final score
51.63 of 100Reported as group
Quality
43.08
Promoting interoperability
0
Improvement activities
40
Cost
69.6

Procedures performed for Medicare patients

ProcedureNumber of procedures
Removal of tissue67

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Banner Hospital Based Physicians Arizona LLC CurrentSince Sep 1, 2017 Accepting new patients
Leading Healthcare, LLC Family Medicine CurrentSince Jul 1, 2024 Accepting new patients
Northern Arizona Healthcare Corporation Family Medicine CurrentSince Aug 1, 2023 Accepting new patients
SS Healthcare PLC Family Medicine CurrentSince Jul 8, 2024 Accepting new patients
Phxsky PLC Hospitalist CurrentSince Aug 6, 2023 Accepting new patients
Scottsdale Inpatient Specialists, PLC Hospitalist CurrentSince Feb 1, 2024 Accepting new patients
Flagstaff Pathology Associates Current Accepting new patients
Northern Arizona Healthcare Corporation CurrentSince Aug 1, 2023 Accepting new patients
Banner Hospital Based Physicians Arizona LLC CurrentSince Sep 1, 2017 Accepting new patients
Banner Hospital Based Physicians Arizona LLC Current Accepting new patients
Banner Thunderbird Medical Center Past Accepting new patients
Honorhealth Past Accepting new patients

Locations

269 S Candy Ln
Cottonwood, AZ 86326
Phone (928) 634-2251

1200 N Beaver St
Flagstaff, AZ 86001
Phone (928) 213-6235

1215 N Beaver St
Ste 203
Flagstaff, AZ 86001
Phone (928) 773-2249

5620 W Thunderbird Rd
Ste E5
Glendale, AZ 85306
Phone (480) 805-8855

5555 W Thunderbird Rd
Glendale, AZ 85306
Phone (602) 588-5555

13575 W McDowell Rd
Goodyear, AZ 85395
Phone (347) 309-3320

1325 N Litchfield Rd
Ste 145
Goodyear, AZ 85395
Phone (480) 213-0232

6750 E Baywood Ave
Mesa, AZ 85206
Phone (480) 854-5000

1111 E McDowell Rd
Phoenix, AZ 85006
Phone (602) 239-2000

9003 E Shea Blvd
Scottsdale, AZ 85260
Phone (480) 323-3383

Organizations & group practices 12

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.

Hospital & facility affiliations 4

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1277683200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1694476800000",
    "number": "1891006532",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5555 W THUNDERBIRD RD",
            "city": "GLENDALE",
            "state": "AZ",
            "postal_code": "853064622",
            "telephone_number": "602-865-2627"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5555 W THUNDERBIRD RD",
            "city": "GLENDALE",
            "state": "AZ",
            "postal_code": "853064622",
            "telephone_number": "602-865-2627"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1200 N Beaver St",
            "address_purpose": "LOCATION",
            "city": "Flagstaff",
            "state": "AZ",
            "postal_code": "860013118",
            "country_code": "US",
            "telephone_number": "928-214-2920",
            "fax_number": "928-214-2925",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "269 S Candy Ln",
            "address_purpose": "LOCATION",
            "city": "Cottonwood",
            "state": "AZ",
            "postal_code": "863264158",
            "country_code": "US",
            "telephone_number": "928-639-5588",
            "fax_number": "928-639-5589",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "GOSI",
        "first_name": "SHIVA KUMAR",
        "middle_name": "YADAV",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2010-06-28",
        "last_updated": "2023-09-12",
        "certification_date": "2023-09-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "AZ",
            "license": "54533",
            "primary": false
        },
        {
            "code": "208M00000X",
            "taxonomy_group": "",
            "desc": "Hospitalist",
            "state": "AZ",
            "license": "54533",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Glendale, AZ

Sources for this page

Verify at the official NPI Registry.