Individual provider Active NPI

Shawn D Blick, M.D.

  • Urology Physician
  • Glendale, AZ
National Provider Identifier
1912970609
Registry record updated Jan 5, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Urology PhysicianTaxonomy code 208800000X
License
27246 Issued in AZ
Practice address
18699 N 67TH Ave Ste 230
Glendale, AZ 85308-7147
Phone
(623) 935-5522
NPI assigned
Feb 11, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 5, 2026

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Urology Physician 208800000X 27246 AZ Primary

Addresses

Primary practice location

18699 N 67TH Ave Ste 230
Glendale, AZ 85308-7147

Mailing address

10200 Grand Central Ave Ste 220
Owings Mills, MD 21117-4366
Phone (602) 222-1900

Other identifiers 5

IdentifierTypeStateIssuer
11089159OtherAZMULTIPLAN
5978744OtherAZAETNA
11028124OtherAZCAQH
460832MedicaidAZ
AZ0720790OtherAZBLUE CROSS/BLUE SHIELD

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
I20060321000227 AZ Practitioner - Urology 0648287433 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Urology
Education
Icahn School of Medicine at Mount Sinai, 1994
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Arizona Center for Hematology and Oncology PLC 61 clinicians
Arizona Urology Specialists PLLC 84 clinicians

Practice addresses (Care Compare)

14155 N 83Rd Ave
Suite 127
Peoria, AZ 85381-5652
Phone (623) 773-2873

17300 N Perimeter Dr
Suite 220
Scottsdale, AZ 85255-6703
Phone (480) 661-2662

18699 N 67TH Ave
Suite 230
Glendale, AZ 85308-7147
Phone (623) 935-5522

3815 E Bell Rd
Suite 3600
Phoenix, AZ 85032-2166
Phone (623) 935-5522

Hospital & facility affiliations

  • Honorhealth Scottsdale Thompson Peak Med Ctr Hospital, Scottsdale, AZ, CCN 030123
  • Banner Estrella Medical Center Hospital, Phoenix, AZ, CCN 030115
  • Abrazo Scottsdale Campus Hospital, Phoenix, AZ, CCN 030083
  • Yavapai Regional Medical Center Hospital, Prescott, AZ, CCN 030012

Procedures performed for Medicare patients

ProcedureNumber of procedures
Prostate resection18

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Avondale Surgical Partners CurrentSince Jan 9, 2006 Accepting new patients
Arizona Urology Specialists, PLLC Urology CurrentSince Nov 11, 2025 Accepting new patients
Arizona Center for Hematology and Oncology PLC Urology CurrentSince Jun 1, 2010 Accepting new patients
Foothills Urology, PC Urology Current Accepting new patients
Arizona Center for Hematology and Oncology, PLC CurrentSince Jun 1, 2010 Accepting new patients
Privia Medical Group Arizona, LLC Urology Past Accepting new patients
Privia Medical Group Arizona, LLC Past Accepting new patients
VHS Outpatient Clinics, Inc. PastSince Aug 23, 2020 Accepting new patients

Locations

10320 W McDowell Rd
Ste 9030
Avondale, AZ 85392
Phone (480) 359-7384

525 S Watson Rd
Buckeye, AZ 85326
Phone (623) 925-3980

5750 W Thunderbird Rd
Ste C300
Glendale, AZ 85306
Phone (602) 368-3045

18699 N 67th Ave
Ste 230
Glendale, AZ 85308
Phone (602) 953-9500

18699 N 67th Ave
Glendale, AZ 85308
Phone 6022649806203

5750 W Thunderbird Rd
Ste B200
Glendale, AZ 85306
Phone (602) 375-1700

13555 W McDowell Rd
Ste 304
Goodyear, AZ 85395

14044 W Camelback Rd
Ste 118
Litchfield Pk, AZ 85340
Phone (623) 584-4882

2530 E Southern Ave
Mesa, AZ 85204
Phone (480) 834-4188

14155 N 83rd Ave
Ste 127
Peoria, AZ 85381
Phone (623) 773-2873

9321 W Thomas Rd
Ste 320
Phoenix, AZ 85037

3815 E Bell Rd
Ste 3600
Phoenix, AZ 85032

2902 W Agua Fria Fwy
Ste 220
Phoenix, AZ 85027

2902 W Agua Fria Fwy
Ste 1000
Phoenix, AZ 85027
Phone (623) 582-6420

17300 N Perimeter Dr
Ste 220
Scottsdale, AZ 85255
Phone (480) 661-2661

10460 N 92nd St
Ste 101
Scottsdale, AZ 85258
Phone (480) 278-8300

10249 W Thunderbird Blvd
Ste 100
Sun City, AZ 85351
Phone (623) 249-5617

14674 W Mountain View Blvd
Ste 210
Surprise, AZ 85374
Phone (623) 546-1400

10200 Grand Central Ave
Ste 220
Owings Mills, MD 21117

Interoperability endpoints

  • Direct secure messaging: shawnblick@fu.allscriptsdirect.net
  • Direct secure messaging: sblick145492@cityofhope.direct-ci.com

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.

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": "1139616000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1767571200000",
    "number": "1912970609",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "10200 GRAND CENTRAL AVE STE 220",
            "city": "OWINGS MILLS",
            "state": "MD",
            "postal_code": "211174366",
            "telephone_number": "602-222-1900"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "18699 N 67TH AVE STE 230",
            "city": "GLENDALE",
            "state": "AZ",
            "postal_code": "853087147",
            "telephone_number": "623-935-5522"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BLICK",
        "first_name": "SHAWN",
        "middle_name": "D",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-02-11",
        "last_updated": "2026-01-05",
        "certification_date": "2026-01-05",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208800000X",
            "taxonomy_group": "",
            "desc": "Urology",
            "state": "AZ",
            "license": "27246",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MULTIPLAN",
            "identifier": "11089159",
            "state": "AZ"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "AETNA",
            "identifier": "5978744",
            "state": "AZ"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "CAQH",
            "identifier": "11028124",
            "state": "AZ"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "460832",
            "state": "AZ"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE CROSS/BLUE SHIELD",
            "identifier": "AZ0720790",
            "state": "AZ"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Glendale, AZ

Sources for this page

Verify at the official NPI Registry.