Individual provider Active NPI

Zaheer Ahmed Shah, MD

  • Internal Medicine Physician
  • Tempe, AZ
National Provider Identifier
1962592410
Registry record updated Mar 9, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
License
MD 09877 Issued in RI
Practice address
2163 E Baseline Rd
Ste 101
Tempe, AZ 85283-1541
Phone
(480) 646-8123
Fax
(480) 646-8125
NPI assigned
Oct 13, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 9, 2021

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine Physician 207R00000X MD 09877 RI Primary

Addresses

Primary practice location

2163 E Baseline Rd
Ste 101
Tempe, AZ 85283-1541

Mailing address

2163 E Baseline Rd
Ste 101
Tempe, AZ 85283-1541
Phone (480) 646-8123

Other practice location 1

65 Eddie Dowling Hwy
North Smithfield, RI 02896-7305
Phone (401) 769-2222

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in RI, AZ2 enrollments
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 2

Enrollment IDStateProvider typePAC IDDetails
I20050215000330 RI Practitioner - Internal Medicine 6305731498 Reassigns benefits to 1 organization
I20150608000376 AZ Practitioner - Internal Medicine 6305731498 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Internal Medicine
Education
Other, 1995
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Primacare IncGroup PAC ID 6002701190, 2 clinicians

Practice addresses (Care Compare)

2163 E Baseline Rd
Suite 101
Tempe, AZ 85283-1541
Phone (480) 646-8123

Procedures performed for Medicare patients

ProcedureNumber of procedures
Removal of nail tissue1-10
Removal or shaving of skin growth1-10
Skin biopsy1-10

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
MD 09877RIMDInternal Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Biltmore Diagnostics Internal Medicine Current Accepting new patients
Primacare Inc Internal Medicine CurrentSince Apr 1, 2003 Accepting new patients
Triad Health LLC Internal Medicine Current Accepting new patients
U Medical PLLC Internal Medicine PastSince Oct 10, 2023 Accepting new patients

Locations

2163 E Baseline Rd
Ste 101
Tempe, AZ 85283
Phone (480) 646-8123

63 Park Sq
North Smithfield, RI 02896
Phone (401) 333-8090

65 Eddie Dowling Hwy
North Smithfield, RI 02896
Phone (401) 597-5353

63 Eddie Dowling Hwy
Ste 1
North Smithfield, RI 02896
Phone (401) 597-5353

117 Eddie Dowling Hwy
North Smithfield, RI 02896
Phone (401) 213-9881

100 Smithfield Ave
Pawtucket, RI 02860
Phone (401) 725-8600

Interoperability endpoints

  • FHIR API: https://fhir.nextgen.com/nge/prod/fhir-api-r4/fhir/r4/

Organizations & group practices 4

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": "1160697600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1615248000000",
    "number": "1962592410",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2163 E BASELINE RD",
            "address_2": "STE 101",
            "city": "TEMPE",
            "state": "AZ",
            "postal_code": "852831541",
            "telephone_number": "480-646-8123",
            "fax_number": "480-646-8125"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2163 E BASELINE RD",
            "address_2": "STE 101",
            "city": "TEMPE",
            "state": "AZ",
            "postal_code": "852831541",
            "telephone_number": "480-646-8123",
            "fax_number": "480-646-8125"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "65 Eddie Dowling Hwy",
            "address_purpose": "LOCATION",
            "city": "North Smithfield",
            "state": "RI",
            "postal_code": "028967305",
            "country_code": "US",
            "telephone_number": "401-769-2222",
            "fax_number": "401-769-4555",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "SHAH",
        "first_name": "ZAHEER",
        "middle_name": "AHMED",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-10-13",
        "last_updated": "2021-03-09",
        "certification_date": "2021-03-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "RI",
            "license": "MD 09877",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Tempe, AZ

Sources for this page

Verify at the official NPI Registry.