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

Dr. Shane Michael Svoboda, MD

Individual provider Surgery Physician · NPI 1083930275

Dr. Shane Michael Svoboda, MD is a Colorectal Surgery (Proctology) in Tucson, Arizona. Qualified in 2010, 16 years ago. Practices with Northwest Allied Physicians LLC, a 125-clinician group, accepts Medicare assignment and offers telehealth. Licensed in Arizona, Maryland and Oregon.

Years since qualifying
16
Licensed in
AZ, MD, OR
In the registry since
2010
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

6130 N La Cholla Blvd
Tucson, AZ 85741-3557
Phone: (520) 219-8690
Fax: (520) 219-8694
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Surgery Physician (primary) Taxonomy 208600000X · Licence 67333 (AZ)
Surgery Physician Taxonomy 208600000X · Licence D0077538 (MD)
Surgery Physician Taxonomy 208600000X · Licence MD202987 (OR)

Record details

NPI number1083930275
Entity typeIndividual (Type 1)
GenderMale
Credentials MD
Sole proprietorNo
NPI enumeratedApril 13, 2010
Last updated in NPPESMay 1, 2023
Certification dateMay 1, 2023

Medicare enrollment

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

Medicare specialtyCOLORECTAL SURGERY (PROCTOLOGY)
Medical schoolOTHER
Graduated 2010 (16 years in practice)
Group practice Northwest Allied Physicians Llc — 125 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
TelehealthOffers telehealth services
Practice locations4 on file with Medicare

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