Individual provider Active NPI

Shruti G Chaurasia, M.D.

  • Internal Medicine Physician
  • Tempe, AZ
National Provider Identifier
1801950464
Registry record updated Sep 23, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
License
36274 Issued in AZ
Practice address
6350 S Maple Ave
Tempe, AZ 85283
Phone
(480) 345-5400
NPI assigned
Dec 20, 2006
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 23, 2019

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine Physician 207R00000X 36274 AZ Primary

Addresses

Primary practice location

6350 S Maple Ave
Tempe, AZ 85283

Mailing address

PO Box 5803
Scottsdale, AZ 85261-5803

Other practice location 1

9590 E Ironwood Square Dr
Ste 125
Scottsdale, AZ 85258-4581
Phone (480) 455-3000 ext. 117

Other identifiers 1

IdentifierTypeStateIssuer
168154MedicaidAZ

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
I20070615000147 AZ Practitioner - Internal Medicine 7416056411 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Internal Medicine
Education
Other, 1996
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

6350 S Maple Ave
Tempe, AZ 85283-2857
Phone (480) 345-5400

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
4C Medical Group PLC Internal Medicine Current Accepting new patients
Shruti Vishal Chaurasia MD PLLC Internal Medicine CurrentSince Jul 16, 2019 Accepting new patients
4C Medical Group PLC CurrentSince May 25, 2011 Accepting new patients
Vishal Chaurasia MD PC Internal Medicine Past Accepting new patients

Locations

9630 E Shea Blvd
Scottsdale, AZ 85260
Phone (480) 551-5400

10229 N 92nd St
Ste I103
Scottsdale, AZ 85258
Phone (480) 422-9742

9590 E Ironwood Square Dr
Ste 125
Scottsdale, AZ 85258
Phone (480) 272-6400

6350 S Maple Ave
Tempe, AZ 85283
Phone (480) 345-5400

Organizations & group practices 4

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.

NPI Registry JSON

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

{
    "created_epoch": "1166572800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1569196800000",
    "number": "1801950464",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 5803",
            "city": "SCOTTSDALE",
            "state": "AZ",
            "postal_code": "852615803"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6350 S MAPLE AVE",
            "city": "TEMPE",
            "state": "AZ",
            "postal_code": "85283",
            "telephone_number": "480-345-5400"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "9590 E Ironwood Square Dr",
            "address_2": "Ste 125",
            "address_purpose": "LOCATION",
            "city": "Scottsdale",
            "state": "AZ",
            "postal_code": "852584581",
            "country_code": "US",
            "telephone_number": "480-455-3000 x117",
            "fax_number": "866-819-6115",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "CHAURASIA",
        "first_name": "SHRUTI",
        "middle_name": "G",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-12-20",
        "last_updated": "2019-09-23",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "AZ",
            "license": "36274",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "168154",
            "state": "AZ"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Tempe, AZ

Sources for this page

Verify at the official NPI Registry.