Organization Active NPI

Ruth Eckert MD Personalized Care LLC

  • Family Medicine Physician
  • Scottsdale, AZ
National Provider Identifier
1801495791
Registry record updated May 2, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
Legal business name
RUTH ECKERT MD PERSONALIZED CARE LLC
Practice address
7054 E Cochise Rd Ste B120
Scottsdale, AZ 85253-4548
Phone
(480) 365-6033
Fax
(866) 837-0556
NPI assigned
Oct 21, 2020
Last updated
May 2, 2022By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on May 2, 2022

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

Authorized official

Name
Dr. Ruth Louise Eckert, MDNPI 1376571174
Title
Member Manager
Phone
(480) 365-6603

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine Physician 207Q00000X NU Primary

Addresses

Primary practice location

7054 E Cochise Rd Ste B120
Scottsdale, AZ 85253-4548

Mailing address

7054 E Cochise Rd Ste B120
Scottsdale, AZ 85253-4548
Phone (480) 365-6033

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in AZ

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20201204001092 AZ Part B Supplier - Clinic/Group Practice 7517378052 Receives reassigned benefits from 1 practitioner
Practice locations: Scottsdale, AZ

Laboratory certificates & supplier records

Derived by NPIMap

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

CLIA numberLaboratoryCertificateExpires
03D2234513Ruth Eckert MD Personalized Care, LLC7054 E Cochise Rd Ste B120, Scottsdale, AZ 85253Certificate of waiverAug 30, 2027

National Provider Directory

National Provider Directory

Locations

7054 E Cochise Rd
Ste B120
Scottsdale, AZ 85253
Phone (480) 365-6033

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1603238400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1651449600000",
    "number": "1801495791",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7054 E COCHISE RD STE B120",
            "city": "SCOTTSDALE",
            "state": "AZ",
            "postal_code": "852534548",
            "telephone_number": "480-365-6033",
            "fax_number": "866-837-0556"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7054 E COCHISE RD STE B120",
            "city": "SCOTTSDALE",
            "state": "AZ",
            "postal_code": "852534548",
            "telephone_number": "480-365-6033",
            "fax_number": "866-837-0556"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "RUTH ECKERT MD PERSONALIZED CARE LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2020-10-21",
        "last_updated": "2022-05-02",
        "certification_date": "2022-05-02",
        "status": "A",
        "authorized_official_last_name": "ECKERT",
        "authorized_official_first_name": "RUTH",
        "authorized_official_middle_name": "LOUISE",
        "authorized_official_title_or_position": "MEMBER MANAGER",
        "authorized_official_telephone_number": "480-365-6603",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Scottsdale, AZ

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 2, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • 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.