Active NPI
Shruti G Chaurasia, M.D.
- Internal Medicine Physician
- Tempe, AZ
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Internal Medicine Physician
- License
- 36274
- 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
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| 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
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 168154 | Medicaid | AZ |
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
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| 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
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| 4C Medical Group PLC | Internal Medicine | Current | Accepting new patients |
| Shruti Vishal Chaurasia MD PLLC | Internal Medicine | Current | Accepting new patients |
| 4C Medical Group PLC | Current | 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.
-
- Internal Medicine Physician
- Scottsdale, AZ
- NPI 1225582620
AZ, Internal Medicine
-
- Multi-Specialty Clinic/Center
- Scottsdale, AZ
- NPI 1558654384
AZ, Internal Medicine
-
- Urgent Care Clinic/Center
- Carefree, AZ
- NPI 1669916607
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
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 23, 2019; 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.