Active NPI
Shane Andrew McIntyre, DO
- Hospitalist Physician
- Phoenix, AZ
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Hospitalist Physician
- License
- 008678
- Practice address
- 9201 W Thomas Rd
Phoenix, AZ 85037-3332 - Phone
- (623) 327-7313
- NPI assigned
- Jun 22, 2017
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Internal Medicine Physician | 207R00000X | R-11038 | IA | |
| Hospitalist Physician | 208M00000X | 008678 | AZ | Primary |
Addresses
Primary practice location
9201 W Thomas Rd
Phoenix, AZ 85037-3332
Mailing address
5555 W Thunderbird Rd
Glendale, AZ 85306-4622
Phone (602) 865-2627
Other practice location 1
1111 6th Ave
Des Moines, IA 50314-2613
Phone (515) 643-2261
Other practice location 2
5555 W Thunderbird Rd
Glendale, AZ 85306-4622
Phone (602) 865-2627
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in IA
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Internal Medicine
- Education
- University of North Texas HSC, College of Osteopathic Med, 2017
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
1215 Pleasant St
Suite 400
Des Moines, IA 50309-1418
Phone (515) 241-4019
Hospital & facility affiliations
- Unitypoint Health - Des Moines Iowa Methodist Medi
- Trinity Regional Medical Center
- Humboldt County Memorial Hospital
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Osteopathy
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 008678 | AZ | MD | Hospitalist Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| St Luke'S Methodist Hospital | Current | Accepting new patients | |
| Iowa Physicians Clinic Medical Foundation | Internal Medicine | Current | Accepting new patients |
| Central Iowa Hospital Corporation | Past | Accepting new patients | |
| Central Iowa Hospital Corporation | Past | Accepting new patients | |
| Central Iowa Hospital Corporation | Past | Accepting new patients |
Locations
4480 Utica Ridge Rd
Ste 2230
Bettendorf, IA 52722
Phone (563) 742-5150
4480 Utica Ridge Rd
Ste 160
Bettendorf, IA 52722
Phone (563) 742-5950
1215 Pleasant St
Ste 400
Des Moines, IA 50309
Phone (515) 241-5722
1111 6th Ave
Des Moines, IA 50314
Phone (515) 247-3121
1776 Westlakes Pkwy
Ste 400
West Des Moines, IA 50266
Phone (515) 241-6161
Interoperability endpoints
- smcintyre886855@direct.unitypoint.org
Organizations & group practices 5
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.
-
- General Practice Physician
- West Des Moines, IA
- NPI 1366425274
Internal Medicine
-
- General Acute Care Hospital
- Cedar Rapids, IA
- NPI 1083708226
-
- General Acute Care Hospital
- Des Moines, IA
- NPI 1356433049
-
- General Acute Care Hospital
- Des Moines, IA
- NPI 1396837951
-
- General Acute Care Hospital
- West Des Moines, IA
- NPI 1598905762
Hospital & facility affiliations 5
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- General Acute Care Hospital
- Des Moines, IA
- NPI 1356433049
-
- General Acute Care Hospital
- Des Moines, IA
- NPI 1396837951
-
- General Acute Care Hospital
- West Des Moines, IA
- NPI 1598905762
-
- Critical Access Hospital
- Humboldt, IA
- NPI 1194702977
-
- General Acute Care Hospital
- Fort Dodge, IA
- NPI 1487759858
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1498089600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1603756800000",
"number": "1912427758",
"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": "9201 W THOMAS RD",
"city": "PHOENIX",
"state": "AZ",
"postal_code": "850373332",
"telephone_number": "623-327-7313"
}
],
"practiceLocations": [
{
"address_1": "1111 6th Ave",
"address_purpose": "LOCATION",
"city": "Des Moines",
"state": "IA",
"postal_code": "503142613",
"country_code": "US",
"telephone_number": "515-643-2261",
"fax_number": "515-643-5802",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "5555 W Thunderbird Rd",
"address_purpose": "LOCATION",
"city": "Glendale",
"state": "AZ",
"postal_code": "853064622",
"country_code": "US",
"telephone_number": "602-865-2627",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "MCINTYRE",
"first_name": "SHANE",
"middle_name": "ANDREW",
"name_prefix": "Dr.",
"credential": "DO",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2017-06-22",
"last_updated": "2020-10-27",
"certification_date": "2020-10-09",
"status": "A"
},
"taxonomies": [
{
"code": "207R00000X",
"taxonomy_group": "",
"desc": "Internal Medicine",
"state": "IA",
"license": "R-11038",
"primary": false
},
{
"code": "208M00000X",
"taxonomy_group": "",
"desc": "Hospitalist",
"state": "AZ",
"license": "008678",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Phoenix, AZ
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 27, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- 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.