NPI Details
Shane M Root, M.D. is a neuromuscular medicine psychiatry neurology in Phoenix, AZ with 9 years of experience. The provider is a neurologist or child neurologist who specializes in the diagnosis and management of disorders of nerve, muscle or neuromuscular junction, including amyotrophic lateral sclerosis, peripheral neuropathies (e.g., diabetic and immune mediated neuropathies), various muscular dystrophies, congenital and acquired myopathies, inflammatory myopathies (e.g., polymyositis, inclusion body myositis) and neuromuscular transmission disorders (e.g., myasthenia gravis, Lambert-Eaton myasthenic syndrome). Shane M Root, M.D. NPI is 1538522214. The provider is registered as an individual entity type.
The NPPES NPI record indicates the provider is a male.
Education
Medical School: EASTERN VIRGINIA MEDICAL SCHOOL
Graduation Year:2016
The provider's business location address is:
240 W THOMAS RD STE 400
PHOENIX, AZ
ZIP 85013-407
Phone: (602) 406-6262
Fax: (602) 406-6261
The NPI 1538522214 is registered in the Medicare Provider, Enrollment, Chain and Ownership System (PECOS). The provider is legally eligible to order and refer Part B (Clinical Laboratory and Imaging), Durable Medical Equipment, Part A Home Health Agency (HHA), Power Mobility Devices.
The following top HCPCS codes were publicly reported for this provider under the Medicare program for the year 2016. The reported codes are based on the top codes for each available Medicare specialty, excluding evaluation and management codes.
- Established patient office or other outpatient visit, 30-39 minutes (HCPCS:99214)
- New patient office or other outpatient visit, 60-74 minutes (HCPCS:99205)
- Established patient office or other outpatient visit, 40-54 minutes (HCPCS:99215)
- Injection of anesthetic agent and/or steroid into upper neck and back of head nerve (HCPCS:64405)
- Established patient office or other outpatient visit, 20-29 minutes (HCPCS:99213)
The enumeration date for this NPI number is 3/31/2016 and was last updated on 10/14/2024.
Taxonomy Codes
The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:
| No. |
Taxonomy Code |
Taxonomy Clasification |
Taxonomy Specialization |
License Number |
License State |
Primary |
| 1 | 2084N0400X | Psychiatry & Neurology | Neurology | 60390 | ARIZONA | No |
| 2 | 2084N0008X | Psychiatry & Neurology | Neuromuscular Medicine | 60390 | ARIZONA | Yes |
