Individual provider Active NPI

Nishi Madhusudan Shah, M.D.

  • Ophthalmology Physician
  • Phoenix, AZ
National Provider Identifier
1962881698
Registry record updated Nov 17, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Ophthalmology PhysicianTaxonomy code 207W00000X
License
ME140126 Issued in FL
Practice address
3815 E Bell Rd Ste 2500
Phoenix, AZ 85032-2151
Phone
(602) 258-4321
Fax
(602) 253-5917
NPI assigned
May 27, 2015
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Nov 17, 2025

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Ophthalmology Physician 207W00000X ME140126 FL Primary
Cornea and External Diseases Specialist Physician 207WX0120X 60122 AZ

Addresses

Primary practice location

3815 E Bell Rd Ste 2500
Phoenix, AZ 85032-2151

Mailing address

21803 N Scottsdale
Suite 290
Scottsdale, AZ 85255
Phone (602) 258-4321

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
I20200609002452 AZ Practitioner - Ophthalmology 6002102720 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Ophthalmology
Education
University of Alabama School of Medicine, 2015
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Cornea and Cataract Consultants of Arizona PCGroup PAC ID 1456336387, 4 clinicians

Practice addresses (Care Compare)

3815 E Bell Rd
Suite 2500
Phoenix, AZ 85032-2151
Phone (602) 258-4321

Merit-based Incentive Payment System (MIPS)

Final score
75 of 100Reported as group

Procedures performed for Medicare patients

ProcedureNumber of procedures
Cataract surgery229

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
ME140126FLMDOphthalmology Physician
60122AZMDCornea and External Diseases Specialist Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Cornea & Cataract Consultants of Arizona PC Ophthalmology CurrentSince Aug 1, 2020 Accepting new patients
Pain Centers Nationwide, PC PastSince Nov 24, 2025 Accepting new patients

Locations

1100 S Dobson Rd
Ste 120
Chandler, AZ 85286
Phone (480) 336-2085

9185 W Thunderbird Rd
Ste 101
Peoria, AZ 85381

9185 W Thunderbird Rd
Peoria, AZ 85381

3815 E Bell Rd
Ste 2500
Phoenix, AZ 85032
Phone (602) 258-4321

21803 N Scottsdale Rd
Ste 290
Scottsdale, AZ 85255
Phone (602) 258-4321

Interoperability endpoints

  • FHIR API: https://fhir4.healow.com/fhir/r4/AEEGCA
  • Direct secure messaging: nshah219468@direct.valleywisehealth.org
  • Direct secure messaging: nshah428006@direct.shands.ufl.edu

Organizations & group practices 2

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": "1432684800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1763337600000",
    "number": "1962881698",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "21803 N SCOTTSDALE",
            "address_2": "SUITE 290",
            "city": "SCOTTSDALE",
            "state": "AZ",
            "postal_code": "85255",
            "telephone_number": "602-258-4321",
            "fax_number": "602-253-5917"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3815 E BELL RD STE 2500",
            "city": "PHOENIX",
            "state": "AZ",
            "postal_code": "850322151",
            "telephone_number": "602-258-4321",
            "fax_number": "602-253-5917"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SHAH",
        "first_name": "NISHI",
        "middle_name": "MADHUSUDAN",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2015-05-27",
        "last_updated": "2025-11-17",
        "certification_date": "2025-11-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207W00000X",
            "taxonomy_group": "",
            "desc": "Ophthalmology",
            "state": "FL",
            "license": "ME140126",
            "primary": true
        },
        {
            "code": "207WX0120X",
            "taxonomy_group": "",
            "desc": "Ophthalmology, Cornea and External Diseases Specialist",
            "state": "AZ",
            "license": "60122",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Phoenix, AZ

Sources for this page

Verify at the official NPI Registry.