DR. SHEFALI SUMMANT BIRDI MD
NPI 1871798488
Internal Medicine in Gilbert, AZ

Active since June 15, 2007PECOS EnrolledAccepts Medicare Assignment
81.49/100
CMS Quality Rating
2946 E. BANNER GATEWAY DRIVE, GILBERT, AZ 85234(480) 256-6444 Get Directions Write a Review

NPPES record last updated: December 23, 2014. Verified against the NPPES registry weekly; last sync: August 16, 2026.

About Dr. Shefali Summant Birdi Md NPPES

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

DR. SHEFALI SUMMANT BIRDI MD (NPI 1871798488) is an individual internal medicine provider in Gilbert, Arizona, licensed in Arizona (45608) and active in the NPI registry since June 2007. She is enrolled in Medicare PECOS and is a graduate of Clvlnd Clinic Lerner College Of Med Of Case Wstn Rsv University (2006).

NPPES Registry Identity

NPI1871798488
Entity TypeIndividualFemale
Primary Taxonomy207R00000X
Provider Legal NameDR. SHEFALI SUMMANT BIRDICredential: MD
Location Address2946 E. BANNER GATEWAY DRIVEGilbert, AZ 85234
Mailing Address2940 E. Banner Gateway Drive, Suite 400Gilbert, AZ 85234 · (480) 256-6444
Sole ProprietorNo
Medical School CMSClvlnd Clinic Lerner College Of Med Of Case Wstn Rsv UniversityGraduated 2006
Enumeration DateJune 15, 2007
Last NPPES UpdateDecember 23, 2014
NPI 1871798488 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 · 45608
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.
2946 E. BANNER GATEWAY DRIVE, Gilbert, AZ 85234

Other Names 1

Former Name (1)Shefali Sumant Patel Md

Other Identifiers 2

Medicare PIN7401362OH
Medicaid2943408OH

Accepted 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

Dr. Shefali Summant Birdi 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 ID4880748573
PECOS Enrollment IDI20121108000661
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.

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.

Established patient office or other outpatient visit with high level of medical decision making, if using time, 40 minutes or more 99215
This service involves a follow-up appointment for existing patients, lasting between 40 to 54 minutes. During this time, your healthcare provider will assess your current health status, discuss any changes or concerns, review your treatment plan, and answer any questions you may have.
18 services17 patients
Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more 99214
This is a routine check-up for patients who have previously visited our clinic. It involves a comprehensive review of your health and any ongoing treatments. The consultation lasts between 30-39 minutes, allowing enough time to discuss any concerns.
17 services14 patients

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 85234 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.

81.49/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored as part of a group practice
Promoting Interoperability100
Improvement Activities40
Cost38.3

Other Providers at the Same Location NPPES 5

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

Internal Medicine
2946 E. BANNER GATEWAY DRIVE
GILBERT, AZ 85234
Physician Assistant (Medical)
2946 E. BANNER GATEWAY DRIVE
GILBERT, AZ 85234
Internal Medicine (Hematology)
2946 E. BANNER GATEWAY DRIVE
GILBERT, AZ 85234
Psychologist (Clinical)
2946 E. BANNER GATEWAY DRIVE
GILBERT, AZ 85234
Nurse Practitioner (Acute Care)
2946 E. BANNER GATEWAY DRIVE
GILBERT, AZ 85234

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 Shefali Birdi's NPI number?

The NPI number for Shefali Birdi is 1871798488. It was assigned to this individual provider in the NPPES registry on June 15, 2007. The provider is also known as Shefali Sumant Patel MD.

Where is Shefali Birdi located?

Shefali Birdi practices at 2946 E. Banner Gateway Drive, Gilbert, AZ 85234. The listed phone number is (480) 256-6444.

What is Shefali Birdi's specialty?

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

Is Shefali Birdi enrolled in Medicare?

Yes. Shefali Birdi 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.

What insurance does Shefali Birdi accept?

Health plans from Ambetter from Arizona Complete Health, Blue Cross Blue Shield of Arizona and Oscar Health Plan, Inc. list Shefali Birdi 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 Shefali Birdi was last updated on December 23, 2014. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 11 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.