DR. SHIVA K RATUAPLI MD
NPI 1265492060
Internal Medicine - Gastroenterology in Phoenix, AZ

Active since March 24, 2006PECOS EnrolledAccepts Medicare Assignment
88.44/100
CMS Quality Rating
349 E CORONADO RD, PHOENIX, AZ 85004(602) 266-5678(602) 264-5646 Get Directions Write a Review

NPPES record last updated: February 17, 2017. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Dr. Shiva K Ratuapli Md NPPES

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

DR. SHIVA K RATUAPLI MD (NPI 1265492060) is an individual gastroenterology provider in Phoenix, Arizona, licensed in Arizona (34303) and active in the NPI registry since March 2006. He is enrolled in Medicare PECOS and is a graduate of Other (2000).

NPPES Registry Identity

NPI1265492060
Entity TypeIndividualMale
Primary Taxonomy207RG0100X
Provider Legal NameDR. SHIVA K RATUAPLICredential: MD
Location Address349 E CORONADO RDPhoenix, AZ 85004-1525
Mailing Address3020 E Camelback Rd, Suite 301Phoenix, AZ 85016-5059 · (602) 264-9100 · Fax (602) 264-9101
Fax(602) 264-5646
Sole ProprietorNo
Medical School CMSOtherGraduated 2000
Enumeration DateMarch 24, 2006
Last NPPES UpdateFebruary 17, 2017
NPI 1265492060 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyInternal Medicine · GastroenterologyAllopathic & Osteopathic Physicians
Taxonomy Code207RG0100X
License Licensed in AZ · 34303
Definition
An internist who specializes in diagnosis and treatment of diseases of the digestive organs including the stomach, bowels, liver and gallbladder. This specialist treats conditions such as abdominal pain, ulcers, diarrhea, cancer and jaundice and performs complex diagnostic and therapeutic procedures using endoscopes to visualize internal organs.
349 E CORONADO RD, Phoenix, AZ 85004

Other Identifiers 2

Medicaid97345501AZ
Medicare PINZ155223AZ

Accepted Insurance

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

Enrolled in Medicare and accepts Medicare assignment

Dr. Shiva K Ratuapli Md 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 ID4183657471
PECOS Enrollment IDI20050916000420
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.

Areas of Expertise CMS Part B claims 13

Services this provider delivered to Medicare fee-for-service patients, from the CMS Medicare utilization data. Higher counts generally reflect more experience with a service; care delivered outside Medicare is not included.

Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more 99214
This is a routine check-up for patients who have previously visited our clinic. It involves a comprehensive review of your health and any ongoing treatments. The consultation lasts between 30-39 minutes, allowing enough time to discuss any concerns.
192 services116 patients
Study of esophagus to assess movement 91010
This procedure, known as esophageal manometry, involves studying the esophagus or food pipe to evaluate its movement and pressure. It helps understand how well the esophagus can move food to the stomach. Involving a thin, flexible tube, it's a safe, minimally invasive test.
88 services88 patients
Biopsy of esophagus, stomach, and/or upper small bowel using a flexible endoscope 43239
This procedure involves using a thin, flexible tube with a light and camera, known as an endoscope, to examine the esophagus, stomach, and upper part of the small intestine. Small tissue samples are taken for further examination to help diagnose various conditions.
75 services75 patients
Monitoring and recording of esophageal function through nasal tube with electrode 91037
This procedure involves placing a thin tube with an electrode through your nose and into your esophagus. It helps to monitor and record the function of your esophagus, aiding in diagnosing any potential issues.
75 services75 patients
New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more 99204
This is a first-time office or outpatient visit lasting between 45-59 minutes. The healthcare provider evaluates your health, discusses your medical history, and may suggest further tests or treatments. It's an opportunity to ask questions and understand your health better.
48 services48 patients
Removal of polyps or growths of large bowel using an endoscope with mechanical snare 45385
This procedure involves using a thin, flexible tube called an endoscope to examine the large bowel. If any abnormal growths or polyps are found, a tool called a mechanical snare is used to remove them. This is a common method to prevent potential health issues.
45 services44 patients

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 85004 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.

Medicare Quality Performance CMS QPP · MIPS

Performance in the CMS Quality Payment Program: the MIPS final score across four weighted categories, and the individual quality measures reported to Medicare.

88.44/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored as part of a group practice
Promoting Interoperability98
Improvement Activities40
Cost59.36

Other Providers at the Same Location NPPES 15

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

Physician Assistant
349 E CORONADO RD
PHOENIX, AZ 85004
Internal Medicine (Gastroenterology)
349 E CORONADO RD
PHOENIX, AZ 85004
Internal Medicine (Gastroenterology)
349 E CORONADO RD
PHOENIX, AZ 85004
Physician Assistant
349 E CORONADO RD
PHOENIX, AZ 85004
Physician Assistant
349 E CORONADO RD
PHOENIX, AZ 85004
Nurse Anesthetist, Certified Registered
349 E CORONADO RD
PHOENIX, AZ 85004
Internal Medicine (Gastroenterology)
349 E CORONADO RD
PHOENIX, AZ 85004
Nurse Anesthetist, Certified Registered
349 E CORONADO RD
PHOENIX, AZ 85004

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 Shiva Ratuapli's NPI number?

The NPI number for Shiva Ratuapli is 1265492060. It was assigned to this individual provider in the NPPES registry on March 24, 2006.

Where is Shiva Ratuapli located?

Shiva Ratuapli practices at 349 E Coronado Rd, Phoenix, AZ 85004. The listed phone number is (602) 266-5678.

What is Shiva Ratuapli's specialty?

The primary specialty registered for this NPI is Internal Medicine, specializing in Gastroenterology, with taxonomy code 207RG0100X.

Is Shiva Ratuapli enrolled in Medicare?

Yes. Shiva Ratuapli 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.

What insurance does Shiva Ratuapli accept?

Health plans from Ambetter from Arizona Complete Health, Blue Cross Blue Shield of Arizona, Oscar Health Plan, Inc. and UnitedHealthcare list Shiva Ratuapli 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 Shiva Ratuapli was last updated on February 17, 2017. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 9 years 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.