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DR. KUNAL K. SHAH M.D.
NPI 1356678395
Emergency Medicine in Phoenix, AZ

Active since November 12, 2009PECOS Enrolled
1919 E THOMAS RD, PHOENIX, AZ 85016(602) 546-1900(602) 546-1918 Get Directions Write a Review

NPPES record last updated: July 31, 2023. Verified against the NPPES registry weekly; last sync: October 18, 2026.

About Dr. Kunal K. Shah M.d. NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

DR. KUNAL K. SHAH M.D. (NPI 1356678395) is an individual emergency medicine provider in Phoenix, Arizona, licensed in Arizona (44554) and active in the NPI registry since November 2009. He is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1356678395
Entity TypeIndividualMale
Primary Taxonomy207P00000X
Provider Legal NameDR. KUNAL K. SHAHCredential: M.D.
Location Address1919 E THOMAS RDPhoenix, AZ 85016-7710
Mailing Address1919 E Thomas Rd, Bldg 2108, Ste 101Phoenix, AZ 85016-7710 · (602) 512-8030 · Fax (602) 512-8161
Phone(602) 546-1900
Fax(602) 546-1918
Sole ProprietorNo
Enumeration DateNovember 12, 2009
Last NPPES UpdateJuly 31, 2023
NPPES CertifiedJuly 31, 2023
✔ NPI 1356678395 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyEmergency MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207P00000X
License✔ Licensed in AZ · 44554
Definition
An emergency physician focuses on the immediate decision making and action necessary to prevent death or any further disability both in the pre-hospital setting by directing emergency medical technicians and in the emergency department. The emergency physician provides immediate recognition, evaluation, care, stabilization and disposition of a generally diversified population of adult and pediatric patients in response to acute illness and injury.
Also ListedPediatricsTaxonomy 208000000X · License R70954 (AZ), 44554 (AZ)
1919 E THOMAS RD, Phoenix, AZ 85016
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Other Identifiers 1

Medicaid823982AZ

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Antidote Health Plan of Arizona, Inc., Blue Cross Blue Shield of Arizona, Imperial Insurance Companies, Inc..Insurance ›

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Dr. Kunal K. Shah M.d. is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Eligible to Order & Refer✔ Part B Labs & Imaging✔ Durable Medical Equipment✔ Home Health Agency✔ Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

Medicare Billing Reassignments

5

Medicare enrollment records show Kunal Shah reassigns Medicare billing to 5 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

Phoenix Children's Hospital
Same address
Pediatrics
1919 E THOMAS RD
Phoenix, AZ 85016
  • Reassigned Medicare billing, Arizona enrollment
  • 1,416 clinicians in this Medicare group
NPI 1922112044 (602) 933-1000
District Medical Group, Inc
1.6 mi
Surgery
2525 E ROOSEVELT ST, MED CLINIC - INFECTIOUS DISEASE
Phoenix, AZ 85008
  • Reassigned Medicare billing, Arizona enrollment
  • 1,490 clinicians in this Medicare group
NPI 1174856280 (602) 344-1095
Cep America - Arizona PC
11 mi
Emergency Medicine
1400 S DOBSON RD
Mesa, AZ 85202
  • Reassigned Medicare billing, Arizona enrollment
  • 174 clinicians in this Medicare group
NPI 1356021190 (480) 412-3000
Progressive Medical Associates PLLC
11 mi
Emergency Medicine
1400 S DOBSON RD
Mesa, AZ 85202
  • Reassigned Medicare billing, Arizona enrollment
  • 211 clinicians in this Medicare group
NPI 1548218613 (480) 456-9500
North Valley Emergency Specialists
12 mi
Emergency Medicine
5555 W THUNDERBIRD RD
Glendale, AZ 85306
  • Reassigned Medicare billing, Arizona enrollment
  • 93 clinicians in this Medicare group
NPI 1285655209 (602) 588-5555

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 85016 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.

New Patient
$85.89 typical visit price
range $55.44 – $168.60
Typical copayment $21.47 (range $13.86 – $42.15)
Most-billed visit code 99203
Established Patient
$98.00 typical visit price
range $17.72 – $137.41
Typical copayment $24.50 (range $4.43 – $34.35)
Most-billed visit code 99214
Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

Other Providers at the Same Location NPPES 20

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

DR. TIMUR RAGHIB M.D.
Hospitalist
1919 E THOMAS RD
PHOENIX, AZ 85016
Maricopa County (602) 933-0777
MRS. MARIA T ESCOBAR CSP, RD
Dietitian, Registered
1919 E THOMAS RD
PHOENIX, AZ 85016
Maricopa County (480) 440-2787
DR. AHMAR HUSAIN MD
Anesthesiology (Pediatric Anesthesiology)
1919 E THOMAS RD
PHOENIX, AZ 85016
Maricopa County (602) 933-4660
MRS. SOLEE R COWLEY LCSW
Social Worker (Clinical)
1919 E THOMAS RD
PHOENIX, AZ 85016
Maricopa County (602) 933-0414
MR. SEAN PATRICK BRADY DO
Anesthesiology (Pediatric Anesthesiology)
1919 E THOMAS RD
PHOENIX, AZ 85016
Maricopa County (602) 933-4660
PRIYA PRASHER M.D.
Pediatrics
1919 E THOMAS RD
PHOENIX, AZ 85016
Maricopa County (602) 933-1900
DR. AMIT RAJARAM D.O.
Pediatrics
1919 E THOMAS RD
PHOENIX, AZ 85016
Maricopa County (602) 933-0198
LAURA GARDNER HAMANT
Pediatrics (Pediatric Gastroenterology)
1919 E THOMAS RD
PHOENIX, AZ 85016
Maricopa County (602) 933-1000

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Kunal Shah's NPI number?

The NPI number for Kunal Shah is 1356678395. It was assigned to this individual provider in the NPPES registry on November 12, 2009.

Where is Kunal Shah located?

Kunal Shah practices at 1919 E Thomas Rd, Phoenix, AZ 85016. The listed phone number is (602) 546-1900.

What is Kunal Shah's specialty?

The primary specialty registered for this NPI is Emergency Medicine with taxonomy code 207P00000X.

Is Kunal Shah enrolled in Medicare?

Yes. Kunal Shah is registered in the Medicare PECOS enrollment system.

Which organizations bill Medicare for Kunal Shah's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Kunal Shah reassigns Medicare benefits to 5 organizations: Phoenix Children's Hospital (Phoenix, AZ), District Medical Group, Inc (Phoenix, AZ), Cep America - Arizona PC (Mesa, AZ), Progressive Medical Associates PLLC (Mesa, AZ) and North Valley Emergency Specialists (Glendale, AZ). Each reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for Kunal Shah's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Kunal Shah accept?

Health plans from Antidote Health Plan of Arizona, Inc., Blue Cross Blue Shield of Arizona and Imperial Insurance Companies, Inc. list Kunal Shah as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

When was this NPI record last updated?

The NPPES record for Kunal Shah was last updated on July 31, 2023. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.