Individual provider Active NPI

Jeffrey Shije, MD

  • Neurology Physician
  • Phoenix, AZ
National Provider Identifier
1972894095
Registry record updated Jul 5, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Neurology PhysicianTaxonomy code 2084N0400X
License
50712 Issued in AZ
Practice address
2423 W Dunlap Ave Ste 175
Phoenix, AZ 85021-5823
Phone
(602) 424-4450
NPI assigned
Apr 23, 2011
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 5, 2025

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Neurology Physician 2084N0400X 0101272757 VA
Neurology Physician 2084N0400X 50712 AZ Primary
Neurology Physician 2084N0400X MD2023-0521 NM

Addresses

Primary practice location

2423 W Dunlap Ave Ste 175
Phoenix, AZ 85021-5823

Mailing address

2423 W Dunlap Ave Ste 175
Phoenix, AZ 85021-5823
Phone (602) 424-4450

Other practice location 1

1221 Lee St
Charlottesville, VA 22908-1613
Phone (434) 924-2706

Other identifiers 1

IdentifierTypeStateIssuer
50712OtherAZAZ LICENSE

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in AZ, FL, VA, NM4 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 4

Enrollment IDStateProvider typePAC IDDetails
I20160912001852 AZ Practitioner - Neurology 0941596365 Reassigns benefits to 3 organizations
I20191219001366 FL Practitioner - Neurology 0941596365 Reassigns benefits to 1 organization
I20210927000435 VA Practitioner - Neurology 0941596365 Reassigns benefits to 1 organization
I20230929002841 NM Practitioner - Neurology 0941596365 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Neurology
Education
Other, 2011
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Amdx LTDGroup PAC ID 6305841826, 9 clinicians

Practice addresses (Care Compare)

10320 W McDowell Rd
Suite K1135
Avondale, AZ 85392-4876
Phone (602) 424-4450

6136 E Brown Rd
Suite 103
Mesa, AZ 85205-4961
Phone (602) 424-4450

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
0101272757VAMDNeurology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Yavapai Pathology Associates PLC Current Accepting new patients
Northwest Allied Physicians, LLC CurrentSince Jan 27, 2018 Accepting new patients
Unm Medical Group Inc CurrentSince Aug 16, 2023 Accepting new patients
Northwest Allied Physicians LLC CurrentSince Jan 27, 2018 Accepting new patients
University of Virginia Physicians Group CurrentSince Sep 15, 2021 Accepting new patients
Yrmc Hospice CurrentSince Mar 4, 2017 Accepting new patients
Amdx, LTD CurrentSince May 1, 2021 Accepting new patients
University of Florida Jacksonville Physicians, Inc. CurrentSince Nov 25, 2019 Accepting new patients
University of Florida Jacksonville Physicians, Inc. Family Medicine Current Accepting new patients
University of Florida Jacksonville Physicians, Inc. CurrentSince Nov 25, 2019 Accepting new patients
Yavapai Community Hospital Association CurrentSince Mar 4, 2017 Accepting new patients
Unm Medical Group, Inc. CurrentSince Aug 16, 2023 Accepting new patients
Neurodiagnostic Laboratories, LLC Past Accepting new patients

Locations

10320 W McDowell Rd
Ste K1135
Avondale, AZ 85392

2266 S Dobson Rd
Ste 105
Mesa, AZ 85202

6136 E Brown Rd
Ste 103
Mesa, AZ 85205

2423 W Dunlap Ave
Ste 175
Phoenix, AZ 85021
Phone (480) 889-1993

3120 Clearwater Dr
Prescott, AZ 86305
Phone (928) 445-4818

1003 Willow Creek Rd
Prescott, AZ 86301
Phone (928) 445-2700

8687 E Via de Ventura
Ste 214
Scottsdale, AZ 85258
Phone (480) 659-5563

6080 N La Cholla Blvd
Ste 100
Tucson, AZ 85741
Phone (520) 797-6894

6200 N La Cholla Blvd
Tucson, AZ 85741
Phone (520) 229-2657

8333 N Silverbell Rd
Ste 161
Tucson, AZ 85743
Phone (520) 202-7770

1 Shircliff Way
Jacksonville, FL 32204
Phone (904) 332-0414

655 W 8th St
Jacksonville, FL 32209
Phone (904) 244-1680

933 Bradbury Dr SE
Ste 2222
Albuquerque, NM 87106
Phone (505) 272-1476

3001 Broadmoor Blvd NE
Rio Rancho, NM 87144
Phone (505) 994-7000

2211 Lomas Blvd NE
Unm, NM 87106
Phone (505) 272-1111

1221 Lee St
Charlottesville, VA 22908

1215 Lee St
Fl 8
Charlottesvle, VA 22908
Phone (434) 924-2500

Organizations & group practices 13

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.

View all 13

NPI Registry JSON

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

{
    "created_epoch": "1303516800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1751673600000",
    "number": "1972894095",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2423 W DUNLAP AVE STE 175",
            "city": "PHOENIX",
            "state": "AZ",
            "postal_code": "850215823",
            "telephone_number": "602-424-4450"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2423 W DUNLAP AVE STE 175",
            "city": "PHOENIX",
            "state": "AZ",
            "postal_code": "850215823",
            "telephone_number": "602-424-4450"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1221 Lee St",
            "address_purpose": "LOCATION",
            "city": "Charlottesville",
            "state": "VA",
            "postal_code": "229081613",
            "country_code": "US",
            "telephone_number": "434-924-2706",
            "fax_number": "434-924-9068",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "SHIJE",
        "first_name": "JEFFREY",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2011-04-23",
        "last_updated": "2025-07-05",
        "certification_date": "2025-07-05",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2084N0400X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Neurology",
            "state": "VA",
            "license": "0101272757",
            "primary": false
        },
        {
            "code": "2084N0400X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Neurology",
            "state": "AZ",
            "license": "50712",
            "primary": true
        },
        {
            "code": "2084N0400X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Neurology",
            "state": "NM",
            "license": "MD2023-0521",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "AZ LICENSE",
            "identifier": "50712",
            "state": "AZ"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Phoenix, AZ

Sources for this page

Verify at the official NPI Registry.