Individual provider Active NPI

Yasmin I Bootwala, M.D.

  • Urology Physician
  • Scottsdale, AZ
National Provider Identifier
1922284579
Registry record updated Nov 18, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Urology PhysicianTaxonomy code 208800000X
License
47818 Issued in AZ
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, 2024By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Nov 18, 2024

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
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

IdentifierTypeStateIssuer
284518201MedicaidTX
881079MedicaidAZ
074851MedicaidAZ

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in AZ, KS, OR3 enrollments
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 3

Enrollment IDStateProvider typePAC IDDetails
I20130722000174 AZ Practitioner - Urology 8325217011 Reassigns benefits to 1 organization
I20231019000499 KS Practitioner - Urology 8325217011 Reassigns benefits to 1 organization
I20250408003007 OR Practitioner - Urology 8325217011 Reassigns benefits to 1 organization

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
Hays Medical Center IncGroup PAC ID 1557279676, 188 clinicians

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 100Reported as apm
Quality
68.82
Promoting interoperability
100
Improvement activities
40

Procedures performed for Medicare patients

ProcedureNumber of procedures
Prostate resection1-10

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
47818AZMDUrology Physician
P0170TXMDUrology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Hays Medical Center, Inc CurrentSince Nov 1, 2023 Accepting new patients
Salem Health Current Accepting new patients
Salem Health CurrentSince Mar 10, 2025 Accepting new patients
Salem Health CurrentSince Mar 10, 2025 Accepting new patients
Az Female Urologist, LLC Urology CurrentSince Mar 8, 2023 Accepting new patients
Hays Medical Center, Inc. Current Accepting new patients
Hays Medical Center, Inc. CurrentSince Nov 1, 2023 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

  • FHIR API: https://fhir4.healow.com/fhir/r4/IIEADD/Endpoint/IIEADD
  • Direct secure messaging: 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.

Hospital & facility affiliations 3

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": "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

Verify at the official NPI Registry.