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RUCHIT SHAH
NPI 1104358555
Internal Medicine - Interventional Cardiology in Mesa, AZ

Active since April 03, 2017PECOS EnrolledAccepts Medicare Assignment
1520 S DOBSON RD STE 203, MESA, AZ 85202(480) 733-7535(480) 896-3374 Get Directions Write a Review

NPPES record last updated: April 2, 2025. Verified against the NPPES registry weekly; last sync: October 18, 2026.

Record update history: Apr 2, 2025, Dec 28, 2024 (2 updates tracked since 2024).

About Ruchit Shah NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

RUCHIT SHAH (NPI 1104358555) is an individual interventional cardiology provider in Mesa, Arizona, licensed in Arizona (75264) and active in the NPI registry since April 2017. He is enrolled in Medicare PECOS and is a graduate of Other (2014).

NPPES Registry Identity

NPI1104358555
Entity TypeIndividualMale
Primary Taxonomy207RI0011X
Provider Legal NameRUCHIT SHAH
Location Address1520 S DOBSON RD STE 203Mesa, AZ 85202-4726
Mailing Address1520 S Dobson Rd Ste 203Mesa, AZ 85202-4726 · (480) 733-7535 · Fax (480) 896-3374
Phone(480) 733-7535
Fax(480) 896-3374
Sole ProprietorYes
Medical School CMSOtherGraduated 2014
Enumeration DateApril 3, 2017
Last NPPES UpdateApril 2, 20252 updates tracked since enumeration
NPPES CertifiedApril 2, 2025
✔ NPI 1104358555 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyInternal Medicine · Interventional CardiologyAllopathic & Osteopathic Physicians
Taxonomy Code207RI0011X
License✔ Licensed in AZ · 75264
Definition
An area of medicine within the subspecialty of cardiology, which uses specialized imaging and other diagnostic techniques to evaluate blood flow and pressure in the coronary arteries and chambers of the heart and uses technical procedures and medications to treat abnormalities that impair the function of the cardiovascular system.
1520 S DOBSON RD STE 203, Mesa, AZ 85202
Open in Google Maps ↗

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Ambetter from Arizona Complete Health, Blue Cross Blue Shield of Arizona, Oscar Health Plan, Inc. and more.Insurance ›

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare and accepts Medicare assignment

Ruchit Shah is registered in PECOS and agrees to accept the Medicare-approved amount as full payment. Medicare patients are not billed beyond the standard deductible and coinsurance.

PECOS PAC ID7618214131
PECOS Enrollment IDI20250115002815
Eligible to Order & Refer✔ Part B Labs & Imaging✔ Durable Medical Equipment✔ Home Health Agency✔ Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

Medicare Billing Reassignment

Medicare enrollment records show Ruchit Shah reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.

Banner Physician Specialists Arizona LLC
13 mi
Multi-Specialty
2901 N CENTRAL AVE STE 160
Phoenix, AZ 85012
  • Reassigned Medicare billing, Arizona enrollment
  • 538 clinicians in this Medicare group
NPI 1033730429 (602) 747-4000

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 85202 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.

New Patient
$127.71 typical visit price
range $55.44 – $168.60
Typical copayment $31.92 (range $13.86 – $42.15)
Most-billed visit code 99204
Established Patient
$98.00 typical visit price
range $17.72 – $137.41
Typical copayment $24.50 (range $4.43 – $34.35)
Most-billed visit code 99214
Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

Other Providers at the Same Location NPPES 6

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

DR. JOHNATHAN KIRUPAKARAN DO
Internal Medicine (Cardiovascular Disease)
1520 S DOBSON RD STE 203
MESA, AZ 85202
Maricopa County (480) 733-7535
DR. JAMEE NOELLE NICOLETTI PH.D.
Clinical Neuropsychologist
1520 S DOBSON RD STE 203
MESA, AZ 85202
Maricopa County (480) 412-8080
JAKE CORDELL MARTINEZ DO
Internal Medicine (Clinical Cardiac Electrophysiology)
1520 S DOBSON RD STE 203
MESA, AZ 85202
Maricopa County (807) 337-5354
DR. MOHAMED SAMEH TELEB M.D.
Psychiatry & Neurology (Vascular Neurology)
1520 S DOBSON RD STE 203
MESA, AZ 85202
Maricopa County (480) 412-8080
JOEL MICHAEL STARY M.D., PH.D.
Neurological Surgery
1520 S DOBSON RD STE 203
MESA, AZ 85202
Maricopa County (217) 721-3930
JENNIFER LYNN BERRY ACNP
Nurse Practitioner (Acute Care)
1520 S DOBSON RD STE 203
MESA, AZ 85202
Maricopa County (480) 412-8080

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Ruchit Shah's NPI number?

The NPI number for Ruchit Shah is 1104358555. It was assigned to this individual provider in the NPPES registry on April 3, 2017.

Where is Ruchit Shah located?

Ruchit Shah practices at 1520 S Dobson Rd Ste 203, Mesa, AZ 85202. The listed phone number is (480) 733-7535.

What is Ruchit Shah's specialty?

The primary specialty registered for this NPI is Internal Medicine, specializing in Interventional Cardiology, with taxonomy code 207RI0011X.

Is Ruchit Shah enrolled in Medicare?

Yes. Ruchit Shah is registered in the Medicare PECOS system and accepts Medicare assignment, which means accepting the Medicare-approved amount as payment in full for covered services.

Which organization bills Medicare for Ruchit Shah's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Ruchit Shah reassigns Medicare benefits to Banner Physician Specialists Arizona LLC (Phoenix, AZ). The reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for Ruchit Shah's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Ruchit Shah accept?

Health plans from Ambetter from Arizona Complete Health, Blue Cross Blue Shield of Arizona, Oscar Health Plan, Inc. and UnitedHealthcare list Ruchit Shah as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

When was this NPI record last updated?

The NPPES record for Ruchit Shah was last updated on April 2, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 18 months ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.