Individual provider Active NPI

Ruchir Shah, MD

  • Cardiovascular Disease Physician
  • Waco, TX
National Provider Identifier
1336533637
Registry record updated Aug 23, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Cardiovascular Disease PhysicianTaxonomy code 207RC0000X
License
T8050 Issued in TX
Practice address
50 Hillcrest Medical Blvd Ste 303
Waco, TX 76712-8955
Phone
(254) 202-0480
Fax
(254) 202-0488
NPI assigned
Mar 25, 2015
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 23, 2022

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine Physician 207R00000X ME135295 FL
Cardiovascular Disease Physician 207RC0000X T8050 TX Primary

Addresses

Primary practice location

50 Hillcrest Medical Blvd Ste 303
Waco, TX 76712-8955

Mailing address

PO Box 844658
Dallas, TX 75284-4658
Phone (254) 724-2111

Other practice location 1

21 Columbia St Ste 102
Orlando, FL 32806-1133
Phone (407) 841-5145

Other practice location 2

86 W Underwood St
Orlando, FL 32806
Phone (888) 912-3648

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address rshah1102285@direct.sw.org Direct

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in FL, TX2 enrollments
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
I20180720002795 FL Practitioner - Internal Medicine 7618281478 Reassigns benefits to 1 organization
I20220729001072 TX Practitioner - Cardiovascular Disease (Cardiology)Practitioner - Internal Medicine 7618281478 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Cardiovascular Disease (Cardiology)Also: Internal Medicine
Education
Other, 2015
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Scott and White ClinicGroup PAC ID 8123923604, 2,426 clinicians

Practice addresses (Care Compare)

100 Hillcrest Med Blvde
Waco, TX 76712-8897
Phone (254) 202-5800

140 Hillcrest Medical Blvd
Waco, TX 76712-8897
Phone (254) 202-8330

150 Hillcrest Medical Blvd
Waco, TX 76712-8897
Phone (254) 202-4000

1605 S 31St St
Baylor Scott and White Center for Dia
Temple, TX 76508-0001
Phone (254) 215-0100

2401 S 31 St
Temple, TX 76508-0001
Phone (254) 724-2459

2401 S 31St St BLDG
35 Baylor Scott and White Roney Bone and
Temple, TX 76508-0001
Phone (254) 724-2663

3500 Gaston Ave
Dallas, TX 75246-2017
Phone (214) 820-0100

50 Hillcrest Medical Blvd
Suite 201B
Waco, TX 76712-8954
Phone (254) 297-0515

510 N Hewitt Dr
Hewitt, TX 76643-3038
Phone (254) 420-5000

7700 Fish Pond Rd
Waco, TX 76710-1031
Phone (254) 761-4444

810 W U Ave
Temple, TX 76508-0001
Phone (254) 724-2585

Hospital & facility affiliations

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Scott & White Clinic Family Medicine CurrentSince Jul 18, 2022 Accepting new patients
Scott & White Clinic Family Medicine CurrentSince Jul 18, 2022 Accepting new patients
Scott & White Clinic Family Medicine Current Accepting new patients
Orlando Health Medical Group Inc Internal Medicine CurrentSince Aug 1, 2018 Accepting new patients
Orlando Health Medical Group Inc CurrentSince Aug 1, 2018 Accepting new patients
Scott & White Hospital - Taylor Past Accepting new patients

Locations

32 W Gore St
Orlando, FL 32806
Phone (321) 841-3820

86 Underwood St
Orlando, FL 32806
Phone (321) 841-5142

21 Columbia St
Ste 102
Orlando, FL 32806
Phone (407) 841-5145

101 Lafferty Ave
Cameron, TX 76520
Phone (254) 605-1100

2401 S 31st St
Temple, TX 76508
Phone (254) 724-2459

2401 S 31st St
#200
Temple, TX 76508
Phone (254) 215-0100

100 Hillcrest Medical Blvd
Waco, TX 76712
Phone (254) 202-2000

50 Hillcrest Medical Blvd
Ste 303
Waco, TX 76712
Phone (254) 202-0480

Interoperability endpoints

  • Direct secure messaging: rshah1102285@direct.sw.org

Organizations & group practices 6

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 5

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": "1427241600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1661212800000",
    "number": "1336533637",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 844658",
            "city": "DALLAS",
            "state": "TX",
            "postal_code": "752844658",
            "telephone_number": "254-724-2111"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "50 HILLCREST MEDICAL BLVD STE 303",
            "city": "WACO",
            "state": "TX",
            "postal_code": "767128955",
            "telephone_number": "254-202-0480",
            "fax_number": "254-202-0488"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "21 Columbia St Ste 102",
            "address_purpose": "LOCATION",
            "city": "Orlando",
            "state": "FL",
            "postal_code": "328061133",
            "country_code": "US",
            "telephone_number": "407-841-5145",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "86 W Underwood St",
            "address_purpose": "LOCATION",
            "city": "Orlando",
            "state": "FL",
            "postal_code": "32806",
            "country_code": "US",
            "telephone_number": "888-912-3648",
            "fax_number": "321-841-4085",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "SHAH",
        "first_name": "RUCHIR",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2015-03-25",
        "last_updated": "2022-08-23",
        "certification_date": "2022-08-23",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "FL",
            "license": "ME135295",
            "primary": false
        },
        {
            "code": "207RC0000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Cardiovascular Disease",
            "state": "TX",
            "license": "T8050",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "rshah1102285@direct.sw.org",
            "affiliation": "N",
            "use": "DIRECT",
            "useDescription": "Direct",
            "address_1": "50 Hillcrest Medical Blvd Ste 303",
            "city": "Waco",
            "state": "TX",
            "country_code": "US",
            "postal_code": "767128955",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Waco, TX

Sources for this page

Verify at the official NPI Registry.