Individual provider Active NPI

Shawn M Singleton, M.D.

  • Pediatrics Physician
  • Peoria, AZ
National Provider Identifier
1891991253
Registry record updated Oct 10, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pediatrics PhysicianTaxonomy code 208000000X
License
36442 Issued in AZ
Practice address
15525 N 83Rd Ave
Ste 104
Peoria, AZ 85382-5820
Phone
(877) 809-5092
Fax
(623) 505-3272
NPI assigned
Jun 22, 2007
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 10, 2014

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 36442 AZ Primary

Addresses

Primary practice location

15525 N 83Rd Ave
Ste 104
Peoria, AZ 85382-5820

Mailing address

9520 W Palm LN
Ste 200
Phoenix, AZ 85037-4403
Phone (623) 583-3001

Other identifiers 1

IdentifierTypeStateIssuer
249609MedicaidAZ

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
I20090806000749 AZ Practitioner - Pediatric MedicinePractitioner - Hospitalist 6901959071 Reassigns benefits to 2 organizations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
36442AZMDPediatrics Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Banner Physician Super Specialists Arizona LLC CurrentSince Dec 1, 2018 Accepting new patients
Banner Primary Care Physicians Arizona LLC CurrentSince Mar 1, 2020 Accepting new patients
Banner Primary Care Physicians Arizona LLC Current Accepting new patients
Banner Physician Super Specialists Arizona LLC CurrentSince Dec 1, 2018 Accepting new patients
Banner Primary Care Physicians Arizona LLC CurrentSince Mar 1, 2020 Accepting new patients
Banner Physician Super Specialists Arizona LLC Current Accepting new patients
Spectrum Health Center, P.C. Pediatrics PastSince Apr 23, 2002 Accepting new patients
Scottsdale Pediatrics and Pediatric Nephrology, PLLC Pediatrics PastSince Oct 27, 2024 Accepting new patients

Locations

5310 W Thunderbird Rd
Ste 310
Glendale, AZ 85306
Phone (602) 865-4470

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

2225 W Southern Ave
Mesa, AZ 85202
Phone (480) 412-4101

1400 S Dobson Rd
Mesa, AZ 85202
Phone (480) 412-3000

1432 S Dobson Rd
Ste 301
Mesa, AZ 85202
Phone (480) 412-7120

13640 N Plaza del Rio Blvd
Peoria, AZ 85381
Phone (623) 876-3800

Interoperability endpoints

  • FHIR API: https://api.platform.athenahealth.com/14502/brand/1/csg/1/fhir/r4

Organizations & group practices 8

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": "1182470400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1412899200000",
    "number": "1891991253",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9520 W PALM LN",
            "address_2": "STE 200",
            "city": "PHOENIX",
            "state": "AZ",
            "postal_code": "850374403",
            "telephone_number": "623-583-3001",
            "fax_number": "623-583-3007"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "15525 N 83RD AVE",
            "address_2": "STE 104",
            "city": "PEORIA",
            "state": "AZ",
            "postal_code": "853825820",
            "telephone_number": "877-809-5092",
            "fax_number": "623-505-3272"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SINGLETON",
        "first_name": "SHAWN",
        "middle_name": "M",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2007-06-22",
        "last_updated": "2014-10-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208000000X",
            "taxonomy_group": "",
            "desc": "Pediatrics",
            "state": "AZ",
            "license": "36442",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "249609",
            "state": "AZ"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Peoria, AZ

Sources for this page

Verify at the official NPI Registry.