NPIMap

Individual provider Active NPI

Shiva K Ratuapli, MD

  • Gastroenterology Physician
  • Phoenix, AZ
National Provider Identifier
1265492060
Registry record updated Feb 17, 2017
On this page

Key facts

NPPES NPI Registry
Primary specialty
Gastroenterology PhysicianTaxonomy code 207RG0100X
License
34303 Issued in AZ
Practice address
349 E Coronado Rd
Phoenix, AZ 85004-1525
Phone
(602) 266-5678
Fax
(602) 264-5646
NPI assigned
Mar 24, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Feb 17, 2017

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Gastroenterology Physician 207RG0100X 34303 AZ Primary

Addresses

Primary practice location

349 E Coronado Rd
Phoenix, AZ 85004-1525

Mailing address

3020 E Camelback Rd
Suite 301
Phoenix, AZ 85016-5059
Phone (602) 264-9100

Other identifiers 1

IdentifierTypeStateIssuer
97345501MedicaidAZ

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in AZ
Eligible to order & refer
  • Part B services
  • Medical equipment
  • Home health
  • Power mobility devices
  • Hospice
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20050916000420 AZ Practitioner - Gastroenterology 4183657471 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Gastroenterology
Education
Other, 2000
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Arizona Digestive Health PCGroup PAC ID 6507940731, 134 clinicians

Practice addresses (Care Compare)

349 E Coronado Rd
Phoenix, AZ 85004-1525
Phone (602) 266-5678

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
82.85 of 100Reported as group
Quality
69.75
Promoting interoperability
98
Improvement activities
40
Cost
68.18

Merit-based Incentive Payment System (MIPS)

Final score
81.75 of 100Reported as group
Quality
60.45
Promoting interoperability
97
Improvement activities
40
Cost
81.21

Procedures performed for Medicare patients

ProcedureNumber of procedures
Colonoscopy108
Upper gastrointestinal (GI) endoscopy for acid reflux77

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

Practice roles

OrganizationSpecialtyStatusNew patients
Banner - University Physician Specialists LLC CurrentSince May 1, 2017 Accepting new patients
Arizona Digestive Health, PC Gastroenterology CurrentSince Aug 1, 2015 Accepting new patients
Banner - University Physician Specialists LLC CurrentSince May 1, 2017 Accepting new patients

Locations

5823 W Eugie Ave
Ste A
Glendale, AZ 85304
Phone (602) 439-1717

6020 E Arbor Ave
Ste 101
Mesa, AZ 85206
Phone (480) 985-1700

807 S Ponderosa St
Payson, AZ 85541
Phone (520) 474-3222

13760 N 93rd Ave
Ste 107
Peoria, AZ 85381
Phone (623) 876-3952

1300 N 12th St
Ste 508
Phoenix, AZ 85006
Phone (602) 839-3927

1441 N 12th St
Fl 3
Phoenix, AZ 85006
Phone (602) 521-5700

9201 W Thomas Rd
Phoenix, AZ 85037
Phone (623) 327-4000

3020 E Camelback Rd
Ste 301
Phoenix, AZ 85016

349 E Coronado Rd
Phoenix, AZ 85004
Phone (602) 266-5678

1441 N 12th St
Fl 2AND3
Phoenix, AZ 85006

9305 W Thomas Rd
Ste 370
Phoenix, AZ 85037
Phone (623) 298-5220

1441 N 12th St
Ste 3
Phoenix, AZ 85006

Organizations & group practices 3

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.

Hospital & facility affiliations 6

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1143158400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1487289600000",
    "number": "1265492060",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3020 E CAMELBACK RD",
            "address_2": "SUITE 301",
            "city": "PHOENIX",
            "state": "AZ",
            "postal_code": "850165059",
            "telephone_number": "602-264-9100",
            "fax_number": "602-264-9101"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "349 E CORONADO RD",
            "city": "PHOENIX",
            "state": "AZ",
            "postal_code": "850041525",
            "telephone_number": "602-266-5678",
            "fax_number": "602-264-5646"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "RATUAPLI",
        "first_name": "SHIVA",
        "middle_name": "K",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-03-24",
        "last_updated": "2017-02-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207RG0100X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Gastroenterology",
            "state": "AZ",
            "license": "34303",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "97345501",
            "state": "AZ"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Phoenix, AZ

Sources for this page

Verify at the official NPI Registry.