Organization Active NPI

Rekha Shah MD PC

  • Gastroenterology Physician
  • Chandler, AZ
National Provider Identifier
1972587863
Registry record updated Mar 7, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
Gastroenterology PhysicianTaxonomy code 207RG0100X
License
13939 Issued in AZ
Legal business name
REKHA SHAH MD PC
Practice address
2971 W Elliot Rd
Chandler, AZ 85224-1636
Phone
(480) 899-8774
Fax
(480) 345-7248
NPI assigned
Dec 4, 2005
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 7, 2011

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

Authorized official

Name
Dr. Rekha Vikram Shah, MDNPI 1508830431
Title
President
Phone
(480) 899-8774

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Gastroenterology PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 207RG0100X 13939 AZ Primary

Addresses

Primary practice location

2971 W Elliot Rd
Chandler, AZ 85224-1636

Mailing address

1726 E Knox Rd
Tempe, AZ 85284-3330
Phone (480) 899-8774

Other identifiers 1

IdentifierTypeStateIssuer
231366MedicaidAZ

National Provider Directory

National Provider Directory

Locations

2971 W Elliot Rd
Chandler, AZ 85224
Phone (480) 733-5483

1343 N Alma School Rd
Ste 155
Chandler, AZ 85224
Phone (480) 298-9951

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1133654400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1299456000000",
    "number": "1972587863",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1726 E KNOX RD",
            "city": "TEMPE",
            "state": "AZ",
            "postal_code": "852843330",
            "telephone_number": "480-899-8774",
            "fax_number": "480-345-7248"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2971 W ELLIOT RD",
            "city": "CHANDLER",
            "state": "AZ",
            "postal_code": "852241636",
            "telephone_number": "480-899-8774",
            "fax_number": "480-345-7248"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "REKHA SHAH MD PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2005-12-04",
        "last_updated": "2011-03-07",
        "status": "A",
        "authorized_official_last_name": "SHAH",
        "authorized_official_first_name": "REKHA",
        "authorized_official_middle_name": "VIKRAM",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "480-899-8774",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207RG0100X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Internal Medicine, Gastroenterology",
            "state": "AZ",
            "license": "13939",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "231366",
            "state": "AZ"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Chandler, AZ

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 7, 2011; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.