Individual provider Active NPI

Shana Nicolle Wingo, MD

  • Gynecologic Oncology Physician
  • Phoenix, AZ
National Provider Identifier
1972613727
Registry record updated Sep 11, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Gynecologic Oncology PhysicianTaxonomy code 207VX0201X
License
42887 Issued in AZ
Practice address
2925 W Rose Garden LN Ste 110
Phoenix, AZ 85027-3135
Phone
(623) 265-7215
Fax
(833) 465-1462
NPI assigned
Aug 30, 2006
Last updated
Sep 11, 2023By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 11, 2023

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Gynecologic Oncology Physician 207VX0201X 4443 AZ
Gynecologic Oncology Physician 207VX0201X M3796 TX
Gynecologic Oncology Physician 207VX0201X 42887 AZ Primary

Addresses

Primary practice location

2925 W Rose Garden LN Ste 110
Phoenix, AZ 85027-3135

Mailing address

21812 N 37TH St
Phoenix, AZ 85050-4952

Other identifiers 1

IdentifierTypeStateIssuer
519946MedicaidAZ

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
I20100922000596 AZ Practitioner - Gynecological OncologyPractitioner - Obstetrics/Gynecology 8820090467 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Gynecological OncologyAlso: Obstetrics/Gynecology
Education
University of Texas Southwestern Medical School at Dallas, 2002
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
City of Hope Medical Group of Arizona LLCGroup PAC ID 2264593474, 159 clinicians

Practice addresses (Care Compare)

14200 W Celebrate Life Way
Goodyear, AZ 85338-3007
Phone (623) 207-3000

2915 W Rose Garden LN
Phoenix, AZ 85027-3127
Phone (623) 207-3000

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
78.52 of 100Reported as group
Quality
66.08
Promoting interoperability
100
Improvement activities
40
Cost
58.3

Procedures performed for Medicare patients

ProcedureNumber of procedures
Colonoscopy1-10
Skin biopsy1-10
Removal of the uterus59

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
M3796TXMDGynecologic Oncology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
City of Hope Medical Group of Arizona LLC CurrentSince Nov 27, 2023 Accepting new patients
American Oncology Partners, P.a. PastSince Sep 15, 2024 Accepting new patients
City of Hope Medical Group of Arizona LLC PastSince Oct 17, 2021 Accepting new patients
Arizona Oncology Services Inc Past Accepting new patients

Locations

14200 W Celebrate Life Way
Goodyear, AZ 85338
Phone (623) 207-3000

11209 N Tatum Blvd
Ste B200
Phoenix, AZ 85028
Phone (480) 530-4200

2915 W Rose Garden Ln
Phoenix, AZ 85027
Phone (623) 207-3000

2925 W Rose Garden Ln
Ste 110
Phoenix, AZ 85027
Phone (623) 265-7215

6897 Paysphere Cir
Chicago, IL 60674
Phone (480) 586-7542

Interoperability endpoints

  • Direct secure messaging: swingo179295@cityofhope.direct-ci.com

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

Hospital & facility affiliations 7

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": "1156896000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1694390400000",
    "number": "1972613727",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "21812 N 37TH ST",
            "city": "PHOENIX",
            "state": "AZ",
            "postal_code": "850504952"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2925 W ROSE GARDEN LN STE 110",
            "city": "PHOENIX",
            "state": "AZ",
            "postal_code": "850273135",
            "telephone_number": "623-265-7215",
            "fax_number": "833-465-1462"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WINGO",
        "first_name": "SHANA",
        "middle_name": "NICOLLE",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-08-30",
        "last_updated": "2023-09-11",
        "certification_date": "2022-12-29",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207VX0201X",
            "taxonomy_group": "",
            "desc": "Obstetrics & Gynecology, Gynecologic Oncology",
            "state": "AZ",
            "license": "4443",
            "primary": false
        },
        {
            "code": "207VX0201X",
            "taxonomy_group": "",
            "desc": "Obstetrics & Gynecology, Gynecologic Oncology",
            "state": "TX",
            "license": "M3796",
            "primary": false
        },
        {
            "code": "207VX0201X",
            "taxonomy_group": "",
            "desc": "Obstetrics & Gynecology, Gynecologic Oncology",
            "state": "AZ",
            "license": "42887",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "519946",
            "state": "AZ"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Phoenix, AZ

Sources for this page

Verify at the official NPI Registry.