Individual provider Active NPI

Yasir Rudha, M.D.

  • Internal Medicine Physician
  • Mesa, AZ
National Provider Identifier
1861888315
Registry record updated Apr 15, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
License
56186 Issued in AZ
Practice address
6811 E Superstition Springs Blvd
Mesa, AZ 85209
Phone
(480) 641-4000
NPI assigned
Apr 11, 2015
Last updated
Apr 15, 2019By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 15, 2019

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Student in an Organized Health Care Education/Training Program 390200000X
Internal Medicine Physician 207R00000X 56186 AZ Primary

Addresses

Primary practice location

6811 E Superstition Springs Blvd
Mesa, AZ 85209

Mailing address

6811 E Superstition Springs Blvd
Mesa, AZ 85209-4001
Phone (480) 641-4000

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
I20181107000294 AZ Practitioner - Internal Medicine 8628322856 Reassigns benefits to 3 organizations

Care Compare profile

Medicare Care Compare
Specialty
Internal Medicine
Education
Other, 2001
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Dvma LLCGroup PAC ID 0941302053, 56 clinicians
Z Medicine LLCGroup PAC ID 8426445891, 12 clinicians

Practice addresses (Care Compare)

1930 E Thomas Rd
Phoenix, AZ 85016-7711
Phone (602) 532-1000

5358 E Baseline Rd
Mesa, AZ 85206-4716
Phone (480) 699-9624

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
67.01 of 100Reported as individual
Quality
72.86
Improvement activities
0
Cost
73.13

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
56186AZMDInternal Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Pioneer Hospitalists, PLLC Internal Medicine CurrentSince Sep 1, 2019 Accepting new patients
Z Medicine LLC CurrentSince Dec 1, 2024 Accepting new patients
Cigna Healthcare of Arizona, Inc. CurrentSince Aug 31, 2018 Accepting new patients
Dvma, LLC Internal Medicine CurrentSince Nov 1, 2024 Accepting new patients
Cigna Healthcare of Arizona, Inc. CurrentSince Aug 31, 2018 Accepting new patients
VHS Acquisition Subsidiary Number 1 Inc Past Accepting new patients
VHS of Phoenix Inc Past Accepting new patients
Dignity Health Past Accepting new patients

Locations

3115 S Price Rd
Chandler, AZ 85248
Phone (480) 855-4011

3555 S Val Vista Dr
Gilbert, AZ 85297
Phone (480) 434-4356

18701 N 67th Ave
Glendale, AZ 85308
Phone (623) 561-1000

1840 S Stapley Dr
Ste 101
Mesa, AZ 85204
Phone (480) 464-8500

5358 E Baseline Rd
Mesa, AZ 85206
Phone (480) 630-3005

6811 E Superstition Springs Blvd
Mesa, AZ 85209
Phone (480) 641-4000

13350 N 94th Dr
Ste A101
Peoria, AZ 85381
Phone (623) 933-1010

1930 E Thomas Rd
Phoenix, AZ 85016
Phone (602) 532-1000

2000 W Bethany Home Rd
Phoenix, AZ 85015
Phone (480) 209-4000

9201 W Thomas Rd
Phoenix, AZ 85037
Phone (623) 327-4000

17490 N 93rd St
Scottsdale, AZ 85255
Phone (480) 588-5386

8888 E Raintree Dr
Fl 3
Scottsdale, AZ 85260

13991 W Grand Ave
Ste 105
Surprise, AZ 85374
Phone (623) 455-7800

14775 W Yorkshire Dr
Surprise, AZ 85374
Phone (623) 377-9698

Organizations & group practices 8

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

Hospital & facility affiliations 5

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": "1428710400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1555286400000",
    "number": "1861888315",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6811 E SUPERSTITION SPRINGS BLVD",
            "city": "MESA",
            "state": "AZ",
            "postal_code": "852094001",
            "telephone_number": "480-641-4000"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6811 E SUPERSTITION SPRINGS BLVD",
            "city": "MESA",
            "state": "AZ",
            "postal_code": "85209",
            "telephone_number": "480-641-4000"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "RUDHA",
        "first_name": "YASIR",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2015-04-11",
        "last_updated": "2019-04-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "390200000X",
            "taxonomy_group": "",
            "desc": "Student in an Organized Health Care Education/Training Program",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "AZ",
            "license": "56186",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Mesa, AZ

Sources for this page

Verify at the official NPI Registry.