Shafa Medical Clinic PC
NPI 1194906925 · Clinic/Center · Phoenix, AZ
Enrolled with Medicare as Part B Supplier - Clinic/Group Practice · source: CMS PECOS Public Provider Enrollment (2026.04.01)
Shafa Medical Clinic PC is a Clinic/Center organization in Phoenix, AZ (NPI 1194906925).
Provider details
- NPI number
- 1194906925
- Entity type
- Organization
- Primary specialty
- Clinic/CenterAmbulatory Health Care Facilities
- Organization subpart
- No
- Authorized official
- Amanda Modesta, Medical Director /President(602) 248-8258
- License
- 07569335N (AZ)
Specialties & taxonomies
Ambulatory Health Care Facilities
Profile Score
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
18 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
- 2007-11-20
- Last updated
- 2007-11-20
Frequently asked questions
- What is Shafa Medical Clinic PC's NPI number?
- Shafa Medical Clinic PC's National Provider Identifier (NPI) is 1194906925, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What type of organization is Shafa Medical Clinic PC?
- Shafa Medical Clinic PC is classified in the NPPES registry as Clinic/Center (Ambulatory Health Care Facilities).
- Where is Shafa Medical Clinic PC located?
- Shafa Medical Clinic PC's practice location on file with NPPES is 202 E Earll Dr Ste 150, Phoenix, AZ 85012-2636.
- What is Shafa Medical Clinic PC's phone number?
- The practice phone number listed in the NPPES registry for Shafa Medical Clinic PC is (602) 248-8258.
- Does Shafa Medical Clinic PC accept Medicare?
- Shafa Medical Clinic PC 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 Shafa Medical Clinic PC?
- The authorized official listed on Shafa Medical Clinic PC's NPPES record is Amanda Modesta, Medical Director /President. The authorized official registers and maintains the organization's NPI and is not necessarily its owner.
- Is Shafa Medical Clinic PC's NPI active?
- Yes — Shafa Medical Clinic PC's NPI (1194906925) is active in the NPPES registry as of the last update on 2007-11-20.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.