Shad Misseldine, Inc.
NPI 1164868345 · Anesthesiology Physician · Phoenix, AZ
Enrolled with Medicare as Part B Supplier - Clinic/Group Practice · source: CMS PECOS Public Provider Enrollment (2026.04.01)
Shad Misseldine, Inc. is a Anesthesiology Physician organization in Phoenix, AZ (NPI 1164868345).
Provider details
- NPI number
- 1164868345
- Entity type
- Organization
- Primary specialty
- Anesthesiology PhysicianAllopathic & Osteopathic Physicians
- Organization subpart
- No
- Authorized official
- Shad Misseldine, Physician(602) 312-0855
- License
- 43059 (AZ)
Specialties & taxonomies
Allopathic & Osteopathic Physicians
Profile Score
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
13 yrs in NPPES registry
- Profile completeness38% of score
100% of core fields populated
- Practice footprint23% of score
1 documented practice location
Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our methodology.
Practice location
Mailing address
Registry dates
- Enumerated
- 2013-05-15
- Last updated
- 2023-04-21
- Certified
- 2023-04-21
Frequently asked questions
- What is Shad Misseldine, Inc.'s NPI number?
- Shad Misseldine, Inc.'s National Provider Identifier (NPI) is 1164868345, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What type of organization is Shad Misseldine, Inc.?
- Shad Misseldine, Inc. is classified in the NPPES registry as Anesthesiology Physician (Allopathic & Osteopathic Physicians).
- Where is Shad Misseldine, Inc. located?
- Shad Misseldine, Inc.'s practice location on file with NPPES is 7600 N 15th St Ste 290, Phoenix, AZ 85020-4336.
- What is Shad Misseldine, Inc.'s phone number?
- The practice phone number listed in the NPPES registry for Shad Misseldine, Inc. is (602) 312-0855.
- Does Shad Misseldine, Inc. accept Medicare?
- Shad Misseldine, Inc. is approved to bill Medicare according to CMS PECOS enrollment data (2026.04.01). Confirm current participation with the provider before scheduling.
- Who is the authorized official for Shad Misseldine, Inc.?
- The authorized official listed on Shad Misseldine, Inc.'s NPPES record is Shad Misseldine, Physician. The authorized official registers and maintains the organization's NPI and is not necessarily its owner.
- Is Shad Misseldine, Inc.'s NPI active?
- Yes — Shad Misseldine, Inc.'s NPI (1164868345) is active in the NPPES registry as of the last update on 2023-04-21.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.