SHEPHERD'S HEALTHCARE LLC
NPI 1720932171
Clinic/Center - Multi-Specialty in Phoenix, AZ
About Shepherd's Healthcare Llc NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
SHEPHERD'S HEALTHCARE LLC (NPI 1720932171) is a healthcare organization registered as a multi-specialty in Phoenix, Arizona and active in the NPI registry since February 2026. The organization lists Alexander Oladele, Owner, as its authorized official.
NPPES Registry Identity
Specialties & Licenses 7
Group Practice 1
Medicare Participation & PECOS CMS
Medicare enrollment and the clinicians who bill Medicare through this organization, from CMS.
Medicare Enrollment Status
Enrolled in Medicare (PECOS)
Shepherd's Healthcare Llc is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).
Clinicians Billing Medicare Through This Organization
3Medicare enrollment records show 3 clinicians reassign Medicare billing to Shepherd's Healthcare LLC, which bills Medicare for the services they deliver. They are listed nearest first.
Clinicians, nearest first (3)
Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.
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 Shepherd's Healthcare LLC's NPI number?
The NPI number for Shepherd's Healthcare LLC is 1720932171. It was assigned to this organization in the NPPES registry on February 23, 2026.
Where is Shepherd's Healthcare LLC located?
Shepherd's Healthcare LLC is located at 14040 N Cave Creek Rd Ste 307, Phoenix, AZ 85022. The listed phone number is (609) 906-2729.
What is Shepherd's Healthcare LLC's specialty?
The primary specialty registered for this NPI is Clinic/Center, specializing in Multi-Specialty, with taxonomy code 261QM1300X.
Is Shepherd's Healthcare LLC enrolled in Medicare?
Yes. Shepherd's Healthcare LLC is registered in the Medicare PECOS enrollment system.
How many clinicians bill Medicare through Shepherd's Healthcare LLC?
According to the CMS Revalidation Reassignment List (October 2026 release), 3 clinicians reassign their Medicare billing to Shepherd's Healthcare LLC, in Emergency Medicine, Mental Health Counselor and Psychiatry. A 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 the clinician's services. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.
When was this NPI record last updated?
The NPPES record for Shepherd's Healthcare LLC was last updated on February 23, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 7 months 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.
# Shepherd's Healthcare Llc · NPI 1720932171
Multi-Specialty organization in Phoenix, Arizona. Organization record, active in the CMS NPPES registry since February 23, 2026.
## Identity
- **NPI:** 1720932171 (Entity type: Organization)
- **Enumerated:** February 23, 2026
- **Primary specialty:** Clinic/Center - Multi-Specialty · taxonomy 261QM1300X
- **Organization subpart:** No
- **Authorized official:** Alexander Oladele, OWNER
## Practice location
- **Address:** 14040 N CAVE CREEK RD STE 307, Phoenix, AZ 85022-6106
- **Phone:** (609) 906-2729
## Medicare
- **Medicare:** Enrolled in Medicare (PECOS)
- **Clinicians billing through this organization:** 3 clinicians in 3 Medicare specialties reassign Medicare billing to this organization (form CMS-855R); largest: Emergency Medicine (1), Mental Health Counselor (1), Psychiatry (1) · CMS Revalidation Reassignment List, October 2026 release
## Record status
- **NPPES last updated:** February 23, 2026
---
Source: [NPI Profile](https://npiprofile.com/npi/1720932171) · Data from the CMS NPPES public registry.