SANJAY J SHAH MD
NPI 1740263474
Pediatrics - Pediatric Hematology-Oncology in Mesa, AZ

Q: What is Sanjay Shah's NPI number?

The NPI number for Sanjay Shah is 1740263474. It was assigned to this individual provider in the NPPES registry on November 28, 2005.

Q: What is Sanjay Shah's specialty?

The primary specialty registered for this NPI is Pediatrics, specializing in Pediatric Hematology-Oncology, with taxonomy code 2080P0207X.

Q: When was this NPI record last updated?

The NPPES record for Sanjay Shah was last updated on March 27, 2018. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 8 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.

Active since November 28, 2005PECOS EnrolledAccepts Medicare Assignment

5131 E SOUTHERN AVE, MESA, AZ 85206(602) 933-0002(602) 933-6216 Get Directions Write a Review

NPPES record last updated: March 27, 2018. Verified against the NPPES registry weekly; last sync: August 02, 2026.

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About Sanjay J Shah Md NPPES

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

SANJAY J SHAH MD (NPI 1740263474) is an individual pediatric hematology-oncology provider in Mesa, Arizona, licensed in Arizona (34186) and active in the NPI registry since November 2005. He is enrolled in Medicare PECOS and is a graduate of Other (1988).

NPPES Registry Identity

NPI1740263474

Entity TypeIndividualMale

Primary Taxonomy2080P0207X

Provider Legal NameSANJAY J SHAHCredential: MD

Location Address5131 E SOUTHERN AVEMesa, AZ 85206-2799

Mailing Address3200 E Camelback Rd Ste 250Phoenix, AZ 85018-2327 · (602) 933-1814

Phone(602) 933-0002

Fax(602) 933-6216

Sole ProprietorNo

Medical School CMSOtherGraduated 1988

Enumeration DateNovember 28, 2005

Last NPPES UpdateMarch 27, 2018

✔ NPI 1740263474 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPediatrics · Pediatric Hematology-OncologyAllopathic & Osteopathic Physicians

Taxonomy Code2080P0207X

Licenses✔ Licensed in AZ · 34186✔ Licensed in KY · 34714

Definition

A pediatrician trained in the combination of pediatrics, hematology and oncology to recognize and manage pediatric blood disorders and cancerous diseases.

5131 E SOUTHERN AVE, Mesa, AZ 85206

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Other Identifiers 1

Medicaid969537AZ

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Blue Cross Blue Shield of Arizona.Insurance ›

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

✔

Enrolled in Medicare and accepts Medicare assignment

Sanjay J Shah Md is registered in PECOS and agrees to accept the Medicare-approved amount as full payment. Medicare patients are not billed beyond the standard deductible and coinsurance.

PECOS PAC ID4587712252

PECOS Enrollment IDI20090507000107

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.

Other Providers at the Same Location NPPES 13

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

DR. MICHAEL HAYNES D.O.

Pediatrics