Rick A Shacket, DO MD H

Primary specialty

Colon & Rectal Surgery PhysicianTaxonomy code 208C00000X

License

4257 Issued in AZ

Practice address

1525 N Granite Reef Rd Ste 12
Scottsdale, AZ 85257-3998

Phone

(602) 492-9919

Fax

(602) 263-3697

NPI assigned

Oct 25, 2006

Sex

Male

Sole proprietor

No

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

Specialties & licenses 2

Addresses

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

Specialty

Colorectal Surgery (Proctology)Also: Dermatology, Family Practice

Education

Western University of Health Sciences College of Dental Med, 1983

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

Procedures performed for Medicare patients

Medicare enrollment (NPD)

Not enrolled

HHS exclusion list flag

Flagged The directory lists this NPI on an HHS exclusion list. The OIG exclusions file (LEIE) holds no record for this NPI, and the directory does not say which list the flag comes from. How exclusions are shown Confirm with the OIG exclusions search.

Credentials

Doctor of Osteopathy, Doctor of Medicine

State licenses

Practice roles

Locations

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.

• Dr Rick Shacket PLLC

  • Colon & Rectal Surgery Physician
  • Scottsdale, AZ
  • NPI 1215263850
  Medicare reassignment Authorized official
• Arizona Mobile Dermatology and Wound Care PLC

  • Dermatology Physician
  • Scottsdale, AZ
  • NPI 1548806276
  NPD

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

{
    "created_epoch": "1161734400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1732233600000",
    "number": "1467537159",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8 BILTMORE ESTATES DRIVE",
            "address_2": "# 201",
            "city": "PHOENIX",
            "state": "AZ",
            "postal_code": "85016",
            "telephone_number": "602-920-1023"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1525 N GRANITE REEF RD STE 12",
            "city": "SCOTTSDALE",
            "state": "AZ",
            "postal_code": "852573998",
            "telephone_number": "602-492-9919",
            "fax_number": "602-263-3697"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SHACKET",
        "first_name": "RICK",
        "middle_name": "A",
        "name_prefix": "Dr.",
        "credential": "DO MD H",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-10-25",
        "last_updated": "2024-11-22",
        "certification_date": "2024-11-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "AZ",
            "license": "4257",
            "primary": false
        },
        {
            "code": "208C00000X",
            "taxonomy_group": "",
            "desc": "Colon & Rectal Surgery",
            "state": "AZ",
            "license": "4257",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Karly Kristine Sgambati, PT
• SH Operating LLC
• Angela Shaba
• Phdra N Shaba, O.D.
• Edward Odeshoo Shabez, NMD
• Kayla Shackleton, PA
• Suzanne Shadix, ARNP
• Sylvia Darlene Shafer, PA C
• Saeed Kamran Shaffi, MD
• Shah Anesthesia Corporation

• Colon & Rectal Surgery Physician in Scottsdale, AZ
• Providers in Scottsdale, AZ by specialty
• Colon & Rectal Surgery Physician in Arizona

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 22, 2024; 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.

Verify at the official NPI Registry.