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SHILPA NEIL ATODARIA M.D.
NPI 1831362581
Internal Medicine in Phoenix, AZ

Active since April 02, 2008PECOS EnrolledAccepts Medicare Assignment
84.13/100
CMS Quality Rating
4800 N 22ND ST, PHOENIX, AZ 85016(602) 508-4843(602) 508-4830 Get Directions Write a Review

NPPES record last updated: October 28, 2014. Verified against the NPPES registry weekly; last sync: October 25, 2026.

About Shilpa Neil Atodaria M.d. NPPES

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

SHILPA NEIL ATODARIA M.D. (NPI 1831362581) is an individual internal medicine provider in Phoenix, Arizona, licensed in Arizona (40865) and active in the NPI registry since April 2008. She is enrolled in Medicare PECOS and is a graduate of Other (2003).

NPPES Registry Identity

NPI1831362581
Entity TypeIndividualFemale
Primary Taxonomy207R00000X
Provider Legal NameSHILPA NEIL ATODARIACredential: M.D.
Location Address4800 N 22ND STPhoenix, AZ 85016-4701
Mailing Address4800 N 22nd StPhoenix, AZ 85016-4701 · (602) 508-4843 · Fax (602) 508-4830
Phone(602) 508-4843
Fax(602) 508-4830
Sole ProprietorNo
Medical School CMSOtherGraduated 2003
Enumeration DateApril 2, 2008
Last NPPES UpdateOctober 28, 2014
✔ NPI 1831362581 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyInternal MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207R00000X
License✔ Licensed in AZ · 40865
Definition
A physician who provides long-term, comprehensive care in the office and the hospital, managing both common and complex illness of adolescents, adults and the elderly. Internists are trained in the diagnosis and treatment of cancer, infections and diseases affecting the heart, blood, kidneys, joints and digestive, respiratory and vascular systems. They are also trained in the essentials of primary care internal medicine, which incorporates an understanding of disease prevention, wellness, substance abuse, mental health and effective treatment of common problems of the eyes, ears, skin, nervous system and reproductive organs.
4800 N 22ND ST, Phoenix, AZ 85016
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Other Identifiers 2

Medicare PINZ124530AZ
Medicaid365703AZ

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Ambetter from Arizona Complete Health, Ambetter Health, Blue Cross Blue Shield of Arizona and more.Insurance ›

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare and accepts Medicare assignment

Shilpa Neil Atodaria M.d. 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 ID1557438272
PECOS Enrollment IDI20080923000220
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

2

Medicare enrollment records show Shilpa Atodaria reassigns Medicare billing to 2 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

Barnet Dulaney Perkins Eye Center, PC
Same address
Ophthalmology
4800 N 22ND ST
Phoenix, AZ 85016
  • Reassigned Medicare billing, Arizona enrollment
  • 224 clinicians in this Medicare group
NPI 1376574707 (602) 955-1000
Southwestern Eye Center Ltd
7.0 mi
Optometrist
3301 N MILLER RD, STE 140
Scottsdale, AZ 85251
  • Reassigned Medicare billing, Arizona enrollment
  • 212 clinicians in this Medicare group
NPI 1851624647 (480) 947-7651

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

Areas of Expertise CMS Part B claims 2

Services this provider delivered to Medicare fee-for-service patients, from the CMS Medicare utilization data. Higher counts generally reflect more experience with a service; care delivered outside Medicare is not included.

New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more 99203
This service involves an initial office or outpatient visit for a new patient. The healthcare professional will spend 30-44 minutes understanding your health history, current issues, and discussing possible treatment plans. It's a comprehensive evaluation to start your healthcare journey.
24 services24 patients
Established patient office or other outpatient visit with low level od decision making, if using time, 20 minutes or more 99213
This is a routine visit for patients who have already been seen by the healthcare provider. During this approximately 20-29 minute appointment, your health status will be evaluated and any necessary treatments or tests will be discussed. It's a chance to address any health concerns you may have.
14 services14 patients

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
$127.71 typical visit price
range $55.44 – $168.60
Typical copayment $31.92 (range $13.86 – $42.15)
Most-billed visit code 99204
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.

Medicare Quality Performance CMS QPP · MIPS

Performance in the CMS Quality Payment Program: the MIPS final score across four weighted categories, and the individual quality measures reported to Medicare.

84.13/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored as part of a group practice
Quality93.93
Promoting Interoperability100
Improvement Activities40
Cost53.19

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.

JACQUELYNN DIAN HENDERSON PA-C
Physician Assistant
4800 N 22ND ST
PHOENIX, AZ 85016
Maricopa County (602) 955-1000
BARNET DULANEY PERKINS EYE CENTE R
Ophthalmology
4800 N 22ND ST
PHOENIX, AZ 85016
Maricopa County (602) 955-1000
DR. MARTIN I BRUSSELS OD
Optometrist
4800 N 22ND ST
PHOENIX, AZ 85016
Maricopa County (602) 955-1000
DR. ANDREW I RABINOWITZ MD
Ophthalmology (Glaucoma Specialist)
4800 N 22ND ST
PHOENIX, AZ 85016
Maricopa County (602) 955-1000
DR. CHRISTINE MARCHETTI FUNKE MD
Ophthalmology (Glaucoma Specialist)
4800 N 22ND ST
PHOENIX, AZ 85016
Maricopa County (602) 955-1000
JOSHUA PERKINS O.D.
Optometrist
4800 N 22ND ST
PHOENIX, AZ 85016
Maricopa County (602) 955-1000
TARA GOLISCH MD
Ophthalmology (Glaucoma Specialist)
4800 N 22ND ST
PHOENIX, AZ 85016
Maricopa County (602) 955-1000
DR. REBECCA A BERRY O.D.
Optometrist
4800 N 22ND ST
PHOENIX, AZ 85016
Maricopa County (602) 955-1000

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 Shilpa Atodaria's NPI number?

The NPI number for Shilpa Atodaria is 1831362581. It was assigned to this individual provider in the NPPES registry on April 2, 2008.

Where is Shilpa Atodaria located?

Shilpa Atodaria practices at 4800 N 22nd St, Phoenix, AZ 85016. The listed phone number is (602) 508-4843.

What is Shilpa Atodaria's specialty?

The primary specialty registered for this NPI is Internal Medicine with taxonomy code 207R00000X.

Is Shilpa Atodaria enrolled in Medicare?

Yes. Shilpa Atodaria is registered in the Medicare PECOS system and accepts Medicare assignment, which means accepting the Medicare-approved amount as payment in full for covered services.

Which organizations bill Medicare for Shilpa Atodaria's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Shilpa Atodaria reassigns Medicare benefits to 2 organizations: Barnet Dulaney Perkins Eye Center, PC (Phoenix, AZ) and Southwestern Eye Center Ltd (Scottsdale, 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 Shilpa Atodaria's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Shilpa Atodaria accept?

Health plans from Ambetter Health, Ambetter from Arizona Complete Health, Blue Cross Blue Shield of Arizona, Cigna HealthCare of Arizona, Inc and Imperial Insurance Companies, Inc. and 1 other insurer list Shilpa Atodaria 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 Shilpa Atodaria was last updated on October 28, 2014. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 12 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.