Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
NPIDirectory

Wisam Fawzi Shaba, MD

Individual provider Nuclear Medicine Physician · NPI 1366712176

Wisam Fawzi Shaba, MD practises Nuclear Medicine in Surprise, Arizona. Qualified in 1999, 27 years ago. Practices with Alante Primary Care W LLC, a 4-clinician group and accepts Medicare assignment. Licensed in Arizona and California.

Years since qualifying
27
Licensed in
AZ, CA
In the registry since
2012
Specialties on file
3
What do these letters mean?
MD — Doctor of Medicine
A physician who completed allopathic medical school.

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Practice location Address checks out

14775 W Yorkshire Dr
Surprise, AZ 85374-7224
Phone: (623) 594-5050
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Nuclear Medicine Physician (primary) Taxonomy 207U00000X · Licence 50677 (AZ)
Nuclear Medicine Physician Taxonomy 207U00000X · Licence A117646 (CA)
Diagnostic Radiology Physician Taxonomy 2085R0202X · Licence A117646 (CA)

Record details

NPI number1366712176
Entity typeIndividual (Type 1)
GenderMale
Credentials MD
Sole proprietorNo
NPI enumeratedJanuary 10, 2012
Last updated in NPPESMarch 30, 2022
Certification dateMarch 30, 2022

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyNUCLEAR MEDICINE
Medical schoolOTHER
Graduated 1999 (27 years in practice)
Group practice Alante Primary Care W Llc — 4 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
Practice locations3 on file with Medicare

Medicare patients and services, 2024

From the CMS Medicare Physician & Other Practitioners file for calendar year 2024. It counts Original Medicare patients only, so a practice that mostly sees Medicare Advantage or privately insured patients looks smaller here than it is.

Medicare patients924
Services billed 4,730 a service is one billed item, such as a visit, a test or a procedure
Average patient age80

Dollar amounts are not shown. What Medicare pays a practice is gross billings, before staff, premises and tax and including the cost of any drugs it administers, so it is not what a clinician earns.

Practises at

Facilities the CMS Facility Affiliation file lists for this clinician. Those with a page here are linked.

  • Sante Of Mesa Nursing home · Mesa, AZ · listed as Asante of Mesa, LLC
  • Sante Of Surprise Nursing home · Surprise, AZ · listed as Asante Trc of Surprise LLC
  • Aleca Home Health Home health agency · Scottsdale, AZ
  • Aleca Home Health Home health agency · Silverdale, WA
  • Aleca Hospice Hospice · Scottsdale, AZ

Colleagues at Alante Primary Care W LLC

Clinicians the CMS Doctors & Clinicians file lists under the same group practice. CMS counts 4 clinicians in the practice; 2 are shown here.