Sanjay Jayantilal Shah, M.D.

Primary specialty

Internal Medicine PhysicianTaxonomy code 207R00000X

License

MD23307 Issued in AZ

Practice address

5523 W Lariat LN
Phoenix, AZ 85083-1231

Phone

(602) 842-7555

Fax

(602) 743-0183

NPI assigned

Jul 27, 2006

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 2

Addresses

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

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

Practice roles

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.

• Sanjay J. Shah M.D. P.C.

  • General Practice Physician
  • Phoenix, AZ
  • NPI 1114105434
  NPD Authorized official

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

{
    "created_epoch": "1153958400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1571702400000",
    "number": "1952315988",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5523 W LARIAT LN",
            "city": "PHOENIX",
            "state": "AZ",
            "postal_code": "850831231",
            "telephone_number": "602-842-7555",
            "fax_number": "602-743-0183"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5523 W LARIAT LN",
            "city": "PHOENIX",
            "state": "AZ",
            "postal_code": "850831231",
            "telephone_number": "602-842-7555",
            "fax_number": "602-743-0183"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SHAH",
        "first_name": "SANJAY",
        "middle_name": "JAYANTILAL",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-07-27",
        "last_updated": "2019-10-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "AZ",
            "license": "MD23307",
            "primary": true
        },
        {
            "code": "208M00000X",
            "taxonomy_group": "",
            "desc": "Hospitalist",
            "state": "AZ",
            "license": "MD23307",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Pooja Jain Shah, MD
• Priya Kiran Shah, DO
• Ruby Shah, M.D.
• Rushabh Shah, PHARMD
• Sagar Shah, MD
• Sheel Bimal Shah, MD
• Shishir Shah, DO
• Shobhana Shah, M.D.
• Shreepal M Shah, MBBS
• Syed N Shah, MD

• Internal Medicine Physician in Phoenix, AZ
• Providers in Phoenix, AZ by specialty
• Internal Medicine Physician in Arizona

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 22, 2019; 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.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.