Active NPI
Yasmin I Bootwala, M.D.
- Urology Physician
- Scottsdale, AZ
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Urology Physician
- License
- 47818
- Practice address
- 10617 N Hayden Rd Ste B-102
Scottsdale, AZ 85260-5685 - Phone
- (480) 483-9011
- Fax
- (877) 409-2883
- NPI assigned
- Jan 14, 2008
- Last updated
- Nov 18, 2024
- 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 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Urology Physician | 208800000X | P0170 | TX | |
| Urology Physician | 208800000X | 47818 | AZ | Primary |
Addresses
Primary practice location
10617 N Hayden Rd Ste B-102
Scottsdale, AZ 85260-5685
Mailing address
10617 N Hayden Rd Ste B-102
Scottsdale, AZ 85260-5685
Phone (678) 590-1302
Other identifiers 3
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 284518201 | Medicaid | TX | |
| 881079 | Medicaid | AZ | |
| 074851 | Medicaid | AZ |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in AZ, KS, OR
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
Enrollment records 3
Care Compare profile
Medicare Care Compare- Specialty
- Urology
- Education
- Baylor College of Medicine, 2006
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Telehealth
- Offers telehealth services
- Group practices
Practice addresses (Care Compare)
10617 N Hayden Rd
Suite B 102
Scottsdale, AZ 85260-5685
Phone (480) 483-9011
2214 Canterbury Dr
Suite 308
Hays, KS 67601-2375
Phone (785) 628-6014
Hospital & facility affiliations
Merit-based Incentive Payment System (MIPS)
- Final score
- 85.72 of 100
- Quality
- 68.82
- Promoting interoperability
- 100
- Improvement activities
- 40
Procedures performed for Medicare patients
| Procedure | Number of procedures |
|---|---|
| Prostate resection | 1-10 |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 47818 | AZ | MD | Urology Physician |
| P0170 | TX | MD | Urology Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Hays Medical Center, Inc | Current | Accepting new patients | |
| Salem Health | Current | Accepting new patients | |
| Salem Health | Current | Accepting new patients | |
| Salem Health | Current | Accepting new patients | |
| Az Female Urologist, LLC | Urology | Current | Accepting new patients |
| Hays Medical Center, Inc. | Current | Accepting new patients | |
| Hays Medical Center, Inc. | Current | Accepting new patients | |
| Hays Medical Center, Inc. | Urology | Past | Accepting new patients |
Locations
10617 N Hayden Rd
Ste B102
Scottsdale, AZ 85260
Phone (480) 481-0133
2214 Canterbury Dr
Ste 308
Hays, KS 67601
Phone (785) 261-7650
2220 Canterbury Dr
Hays, KS 67601
Phone (785) 623-5000
665 Winter St SE
Salem, OR 97301
Phone (503) 370-5634
890 Oak St SE
Salem, OR 97301
Phone (503) 585-0830
Interoperability endpoints
- https://fhir4.healow.com/fhir/r4/IIEADD/Endpoint/IIEADD
- ybootwala399822@direct.salemhealth.org
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.
-
- Urology Physician
- Scottsdale, AZ
- NPI 1639885304
-
dba Hays Medical Group - DeBakey Heart Institute
- Interventional Cardiology Physician
- Hays, KS
- NPI 1770618258
-
- General Acute Care Hospital
- Salem, OR
- NPI 1265431829
-
dba HaysMed Pathology
- Anatomic Pathology & Clinical Pathology Physician
- Hays, KS
- NPI 1073306221
-
- Durable Medical Equipment & Medical Supplies
- Keizer, OR
- NPI 1487434775
-
- Family Medicine Physician
- Woodburn, OR
- NPI 1578112066
-
dba Hays Medical Group
- Internal Medicine Physician
- Hays, KS
- NPI 1871567479
Urology
Hospital & facility affiliations 3
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
dba HonorHealth Scottsdale Shea Medical Center
- General Acute Care Hospital
- Scottsdale, AZ
- NPI 1386608859
-
- General Acute Care Hospital
- Hays, KS
- NPI 1881697043
-
- Critical Access Hospital
- Norton, KS
- NPI 1801892740
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1200268800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1731888000000",
"number": "1922284579",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "10617 N HAYDEN RD STE B-102",
"city": "SCOTTSDALE",
"state": "AZ",
"postal_code": "852605685",
"telephone_number": "678-590-1302",
"fax_number": "877-409-2883"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "10617 N HAYDEN RD STE B-102",
"city": "SCOTTSDALE",
"state": "AZ",
"postal_code": "852605685",
"telephone_number": "480-483-9011",
"fax_number": "877-409-2883"
}
],
"practiceLocations": [],
"basic": {
"last_name": "BOOTWALA",
"first_name": "YASMIN",
"middle_name": "I",
"name_prefix": "Dr.",
"credential": "M.D.",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2008-01-14",
"last_updated": "2024-11-18",
"certification_date": "2024-11-18",
"status": "A"
},
"taxonomies": [
{
"code": "208800000X",
"taxonomy_group": "",
"desc": "Urology",
"state": "TX",
"license": "P0170",
"primary": false
},
{
"code": "208800000X",
"taxonomy_group": "",
"desc": "Urology",
"state": "AZ",
"license": "47818",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "284518201",
"state": "TX"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "881079",
"state": "AZ"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "074851",
"state": "AZ"
}
],
"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 Nov 18, 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.