Individual provider Active NPI

Rucha Mehta Shah, M.D.

  • Gastroenterology Physician
  • Scottsdale, AZ
National Provider Identifier
1336552595
Registry record updated Oct 4, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Gastroenterology PhysicianTaxonomy code 207RG0100X
License
60724 Issued in AZ
Practice address
10210 N 92ND St Ste 202
Scottsdale, AZ 85258-4524
Phone
(480) 882-7490
NPI assigned
Jun 5, 2014
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 4, 2023

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

Specialties & licenses 4

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine Physician 207R00000X BP10058785 TX
Internal Medicine Physician 207R00000X 125064552 IL
Internal Medicine Physician 207R00000X 60724 AZ
Gastroenterology Physician 207RG0100X 60724 AZ Primary

Addresses

Primary practice location

10210 N 92ND St Ste 202
Scottsdale, AZ 85258-4524

Mailing address

10210 N 92ND St Ste 202
Scottsdale, AZ 85258-4524
Phone (480) 882-7490

Other names 1

  • Rucha Nilesh Mehta Former name

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
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20200928000972 AZ Practitioner - Internal Medicine 8022309400 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Internal Medicine
Education
Other, 2014
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Honorhealth AmbulatoryGroup PAC ID 5991603110, 630 clinicians

Practice addresses (Care Compare)

10210 N 92ND St
Suite 202
Scottsdale, AZ 85258-4524
Phone (480) 882-7490

Hospital & facility affiliations

  • Honorhealth Scottsdale Shea Medical Center Hospital, Scottsdale, AZ, CCN 030087
  • Honorhealth Scottsdale Thompson Peak Med Ctr Hospital, Scottsdale, AZ, CCN 030123
  • Honorhealth Scottsdale Osborn Medical Center Hospital, Scottsdale, AZ, CCN 030038

Procedures performed for Medicare patients

ProcedureNumber of procedures
Colonoscopy184
Upper gastrointestinal (GI) endoscopy for acid reflux148

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
BP10058785TXMDInternal Medicine Physician
60724AZMDGastroenterology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Honorhealth Ambulatory Gastroenterology CurrentSince Sep 14, 2020 Accepting new patients
Honorhealth Ambulatory CurrentSince Sep 14, 2020 Accepting new patients
Honorhealth Ambulatory Current Accepting new patients

Locations

2500 W Utopia Rd
Ste 100
Phoenix, AZ 85027
Phone (623) 683-4462

19636 N 27th Ave
Ste 408
Phoenix, AZ 85027
Phone (623) 780-0100

18404 N Tatum Blvd
Ste 101
Phoenix, AZ 85032
Phone (602) 992-1900

10210 N 92nd St
Ste 202
Scottsdale, AZ 85258
Phone (480) 451-6860

9003 E Shea Blvd
Scottsdale, AZ 85260
Phone (480) 323-3383

10510 N 92nd St
Ste 200
Scottsdale, AZ 85258
Phone (480) 323-1250

Interoperability endpoints

  • Direct secure messaging: rmehta4@direct.ccprovider.org
  • Direct secure messaging: rshah399836@direct.honorhealth.com

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 3

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": "1401926400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1696377600000",
    "number": "1336552595",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "10210 N 92ND ST STE 202",
            "city": "SCOTTSDALE",
            "state": "AZ",
            "postal_code": "852584524",
            "telephone_number": "480-882-7490"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "10210 N 92ND ST STE 202",
            "city": "SCOTTSDALE",
            "state": "AZ",
            "postal_code": "852584524",
            "telephone_number": "480-882-7490"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SHAH",
        "first_name": "RUCHA",
        "middle_name": "MEHTA",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2014-06-05",
        "last_updated": "2023-10-04",
        "certification_date": "2023-10-04",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "TX",
            "license": "BP10058785",
            "primary": false
        },
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "IL",
            "license": "125064552",
            "primary": false
        },
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "AZ",
            "license": "60724",
            "primary": false
        },
        {
            "code": "207RG0100X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Gastroenterology",
            "state": "AZ",
            "license": "60724",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "RUCHA",
            "last_name": "MEHTA",
            "middle_name": "NILESH",
            "credential": "MD",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Scottsdale, AZ

Sources for this page

Verify at the official NPI Registry.