Active NPI
Katelyn Rheault, M.D.
- Hospitalist Physician
- Mesa, AZ
National Provider Identifier
1154853885
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Hospitalist Physician
- License
- 60319
- Practice address
- 6644 E Baywood Ave
Mesa, AZ 85206-1747 - Phone
- (602) 839-3644
- NPI assigned
- Mar 31, 2017
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Hospitalist Physician | 208M00000X | 60319 | AZ | Primary |
Addresses
Primary practice location
6644 E Baywood Ave
Mesa, AZ 85206-1747
Mailing address
6236 S Sandstone St
Gilbert, AZ 85298-0898
Phone (480) 254-5411
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in AZ
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20200929001915 | AZ | Practitioner - Hospitalist | 4284053034 | Reassigns benefits to 3 organizations |
Care Compare profile
Medicare Care Compare- Specialty
- Hospitalist
- Education
- University of Arizona College of Medicine, 2017
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
1111 E McDowell Rd
Phoenix, AZ 85006-2612
Phone (602) 839-2000
6644 E Baywood Ave
Mesa, AZ 85206-1747
Phone (480) 321-2000
Hospital & facility affiliations
- Banner - University Medical Center Phoenix
- Banner Desert Medical Center
- Banner Baywood Medical Center
- Banner Heart Hospital
Merit-based Incentive Payment System (MIPS)
- Final score
- 83.7 of 100
- Quality
- 64.97
- Promoting interoperability
- 98
- Improvement activities
- 40
- Cost
- 69.88
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Banner Hospital Based Physicians Arizona LLC | Current | Accepting new patients | |
| Banner Hospital Based Physicians Arizona LLC | Current | Accepting new patients | |
| Banner - University Hospital Based Physicians LLC | Current | Accepting new patients | |
| Banner - University Hospital Based Physicians LLC | Current | Accepting new patients | |
| Banner Baywood Medical Center | Past | Accepting new patients | |
| Banner - University Medical Center Phoenix | Past | Accepting new patients | |
| Banner Desert Medical Center | Past | Accepting new patients |
Locations
2050 W Southern Ave
Apache Junction, AZ 85120
Phone (480) 237-3200
1900 N Higley Rd
Gilbert, AZ 85234
Phone (480) 543-2000
6644 E Baywood Ave
Mesa, AZ 85206
Phone (480) 321-2000
6750 E Baywood Ave
Mesa, AZ 85206
Phone (480) 854-5000
1111 E McDowell Rd
Phoenix, AZ 85006
Phone (602) 239-2000
37000 N Gantzel Rd
San Tan Valley, AZ 85140
Phone (480) 394-4000
Organizations & group practices 8
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.
-
- General Acute Care Hospital
- Phoenix, AZ
- NPI 1750751566
AZ
-
- Multi-Specialty Clinic/Center
- San Tan Valley, AZ
- NPI 1275889891
AZ
-
- Multi-Specialty Clinic/Center
- Phoenix, AZ
- NPI 1538879481
-
- Critical Care Medicine (Internal Medicine) Physician
- Phoenix, AZ
- NPI 1780445171
-
- General Acute Care Hospital
- Phoenix, AZ
- NPI 1841224870
-
- General Acute Care Hospital
- Mesa, AZ
- NPI 1194758284
-
- General Acute Care Hospital
- Mesa, AZ
- NPI 1720011810
Hospital & facility affiliations 4
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- General Acute Care Hospital
- Phoenix, AZ
- NPI 1841224870
Hospital
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1490918400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1640044800000",
"number": "1154853885",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "6236 S SANDSTONE ST",
"city": "GILBERT",
"state": "AZ",
"postal_code": "852980898",
"telephone_number": "480-254-5411"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "6644 E BAYWOOD AVE",
"city": "MESA",
"state": "AZ",
"postal_code": "852061747",
"telephone_number": "602-839-3644"
}
],
"practiceLocations": [],
"basic": {
"last_name": "RHEAULT",
"first_name": "KATELYN",
"name_prefix": "Dr.",
"credential": "M.D.",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2017-03-31",
"last_updated": "2021-12-21",
"certification_date": "2021-12-21",
"status": "A"
},
"taxonomies": [
{
"code": "208M00000X",
"taxonomy_group": "",
"desc": "Hospitalist",
"state": "AZ",
"license": "60319",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Mesa, AZ
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 21, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.