DR RICK SHACKET PLLC
NPI 1215263850
Colon & Rectal Surgery in Scottsdale, AZ

Q: What is Dr Rick Shacket PLLC's NPI number?

The NPI number for Dr Rick Shacket PLLC is 1215263850. It was assigned to this organization in the NPPES registry on November 1, 2009.

Q: What is Dr Rick Shacket PLLC's specialty?

The primary specialty registered for this NPI is Colon & Rectal Surgery with taxonomy code 208C00000X.

Active since November 01, 2009

1525 N GRANITE REEF RD STE 12, SCOTTSDALE, AZ 85257(602) 492-9919(602) 263-3697 Get Directions Write a Review

NPPES record last updated: November 22, 2024. Verified against the NPPES registry weekly; last sync: November 08, 2026.

Record update history: Nov 22, 2024, Oct 4, 2021, Jan 16, 2020 (3 updates tracked since 2020).

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About Dr Rick Shacket Pllc NPPES

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

DR RICK SHACKET PLLC (NPI 1215263850) is a healthcare organization registered as a colon & rectal surgery in Scottsdale, Arizona and active in the NPI registry since November 2009. The organization lists Rick Shacket, Owner, as its authorized official.

NPPES Registry Identity

NPI1215263850

Entity TypeOrganization

Primary Taxonomy208C00000X

Legal Business NameDR RICK SHACKET PLLC

Location Address1525 N GRANITE REEF RD STE 12Scottsdale, AZ 85257-3998

Mailing Address8 Biltmore Est Unit 201Phoenix, AZ 85016-2839 · (602) 920-1023 · Fax (602) 263-3697

Phone(602) 492-9919

Fax(602) 263-3697

Organization SubpartNo

Authorized OfficialRick ShacketOwner · (602) 492-9919

Enumeration DateNovember 1, 2009

Last NPPES UpdateNovember 22, 20243 updates tracked since enumeration

NPPES CertifiedNovember 22, 2024

✔ NPI 1215263850 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 3

★ Primary SpecialtyColon & Rectal SurgeryAllopathic & Osteopathic Physicians

Taxonomy Code208C00000X

License✔ Licensed in AZ · 4257

Definition

A colon and rectal surgeon is trained to diagnose and treat various diseases of the intestinal tract, colon, rectum, anal canal and perianal area by medical and surgical means. This specialist also deals with other organs and tissues (such as the liver, urinary and female reproductive system) involved with primary intestinal disease.

Also ListedDermatologyTaxonomy 207N00000X

Also ListedFamily MedicineTaxonomy 207Q00000X · License 4257 (AZ)

1525 N GRANITE REEF RD STE 12, Scottsdale, AZ 85257

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Group Practice 1

Group TaxonomyThis provider is a business group of one or more individual practitioners, who practice with different areas of specialization.193200000X MULTI-SPECIALTY GROUP

Medicare Participation & PECOS CMS

Medicare enrollment and the clinicians who bill Medicare through this organization, from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Dr Rick Shacket Pllc is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Clinicians Billing Medicare Through This Organization

Medicare enrollment records show 1 clinician reassigns Medicare billing to Dr Rick Shacket PLLC, which bills Medicare for the services this clinician delivers.

Clinician (1)

Rick Shacket, DO MD H

Colorectal Surgery (Proctology)

NPI 1467537159

1525 N GRANITE REEF RD STE 12
Scottsdale, AZ 85257

(602) 492-9919

✔ PECOS✔ Accepts MedicareSame address

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

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 Dr Rick Shacket PLLC's NPI number?

The NPI number for Dr Rick Shacket PLLC is 1215263850. It was assigned to this organization in the NPPES registry on November 1, 2009.

Where is Dr Rick Shacket PLLC located?

Dr Rick Shacket PLLC is located at 1525 N Granite Reef Rd Ste 12, Scottsdale, AZ 85257. The listed phone number is (602) 492-9919.

What is Dr Rick Shacket PLLC's specialty?

The primary specialty registered for this NPI is Colon & Rectal Surgery with taxonomy code 208C00000X.

Is Dr Rick Shacket PLLC enrolled in Medicare?

Yes. Dr Rick Shacket PLLC is registered in the Medicare PECOS enrollment system.

How many clinicians bill Medicare through Dr Rick Shacket PLLC?

According to the CMS Revalidation Reassignment List (October 2026 release), 1 clinician (Colorectal Surgery (Proctology)) reassigns their Medicare billing to Dr Rick Shacket PLLC. A 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 the clinician's services. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

When was this NPI record last updated?

The NPPES record for Dr Rick Shacket PLLC was last updated on November 22, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 23 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.