1. Home
  2. Directory
  3. Arizona
  4. Scottsdale
  5. Family Medicine
  6. NPI Profile

DR. KEN SHADMAN OTA DO
NPI 1750544276
Family Medicine in Scottsdale, AZ

Active since July 03, 2008PECOS Enrolled
9821 N 95TH ST STE 101, SCOTTSDALE, AZ 85258(480) 365-8035 Get Directions Write a Review

NPPES record last updated: November 22, 2019. Verified against the NPPES registry weekly; last sync: July 26, 2026.

Record update history: Nov 22, 2019, Aug 30, 2019, Mar 5, 2019 and 1 more (4 updates tracked since 2018).

About Dr. Ken Shadman Ota Do NPPES

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

DR. KEN SHADMAN OTA DO (NPI 1750544276) is an individual family medicine provider in Scottsdale, Arizona, licensed in Arizona (5305) and active in the NPI registry since July 2008. He is enrolled in Medicare PECOS, maintains a secondary practice location in Scottsdale, and is a graduate of Other (2008).

NPPES Registry Identity

NPI1750544276
Entity TypeIndividualMale
Primary Taxonomy207Q00000X
Provider Legal NameDR. KEN SHADMAN OTACredential: DO
Location Address9821 N 95TH ST STE 101Scottsdale, AZ 85258-4589
Mailing Address9821 N 95th St Ste 101Scottsdale, AZ 85258-4589 · (480) 365-8035 · Fax (480) 718-7373
Phone(480) 365-8035
Sole ProprietorNo
Medical School CMSOtherGraduated 2008
Enumeration DateJuly 3, 2008
Last NPPES UpdateNovember 22, 20194 updates tracked since enumeration
✔ NPI 1750544276 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyFamily MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207Q00000X
License✔ Licensed in AZ · 5305
Definition

Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity.

9821 N 95TH ST STE 101, Scottsdale, AZ 85258
Open in Google Maps ↗

Secondary Practice Location 1

Location 17975 N Hayden Rd Ste D354Scottsdale, AZ 85258-3243 · Phone (480) 268-2670 · Fax (480) 268-2671

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Imperial Insurance Companies, Inc..Insurance ›

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Dr. Ken Shadman Ota Do is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

PECOS PAC ID2365635935
PECOS Enrollment IDI20101015000585
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 6

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.

Subsequent hospital care with moderate levelof medical decision making, if using time, at least 35 minutes 99232
Follow-up hospital inpatient care involves daily check-ups while you're admitted in the hospital. Typically, a healthcare provider spends about 25 minutes each day reviewing your condition, adjusting treatment if needed, and answering any questions you might have.
2,621 services398 patients
Subsequent hospital care with moderate levelof medical decision making, if using time, at least 50 minutes 99233
Follow-up hospital inpatient care per day typically involves a 35-minute check-up by your healthcare provider. This service includes monitoring your health progress, adjusting your treatment plan if needed, and answering any questions you may have about your condition or care.
441 services260 patients
Initial hospital care with moderate level of medical decision making, if using time, at least 75 minutes 99223
Initial hospital inpatient care per day, typically 70 minutes, refers to the daily medical service provided to patients admitted to the hospital. This includes a comprehensive evaluation, diagnosis, treatment plan, and monitoring of your health condition. It ensures your well-being during your hospital stay.
194 services186 patients
Advance care planning, first 30 minutes 99497
Advance care planning is a process where you discuss your healthcare preferences with your doctor. This conversation, lasting up to 30 minutes, helps ensure your wishes are respected if you're unable to communicate them in the future. It's about your care, your way.
163 services156 patients
Initial hospital care with straightforward or low-level medical decision making, if using time, at least 55 minutes 99222
Initial hospital inpatient care is a service where a healthcare provider spends about 50 minutes per day overseeing your care while you're admitted in the hospital. This includes reviewing your health status, planning your treatment, and ensuring your safety and comfort.
117 services101 patients
Routine electrocardiogram (ecg) using at least 12 leads with interpretation and report only 93010
A routine electrocardiogram (ECG) with 12 leads is a simple, non-invasive test that records the electrical activity of your heart. It helps in identifying heart conditions by detecting irregularities in your heart rhythms. The results are interpreted and a report is provided.
16 services15 patients

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 85258 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
$85.89 typical visit price
range $55.44 – $168.60
Typical copayment $21.47 (range $13.86 – $42.15)
Most-billed visit code 99203
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 2

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

O LONGEVITY & WELLNESS, PLLC
Family Medicine
9821 N 95TH ST STE 101
SCOTTSDALE, AZ 85258
Maricopa County (480) 416-0403
THE CENTER FOR MUSCULOSKELETAL ULTRASOUND OF ARIZONA
Clinic/Center (Multi-Specialty)
9821 N 95TH ST STE 101
SCOTTSDALE, AZ 85258
Maricopa County (480) 239-5539

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 Ken Ota's NPI number?

The NPI number for Ken Ota is 1750544276. It was assigned to this individual provider in the NPPES registry on July 3, 2008.

Where is Ken Ota located?

Ken Ota practices at 9821 N 95th St Ste 101, Scottsdale, AZ 85258. The listed phone number is (480) 365-8035.

What is Ken Ota's specialty?

The primary specialty registered for this NPI is Family Medicine with taxonomy code 207Q00000X.

Is Ken Ota enrolled in Medicare?

Yes. Ken Ota is registered in the Medicare PECOS enrollment system.

What insurance does Ken Ota accept?

Health plans from Imperial Insurance Companies, Inc. list Ken Ota 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 Ken Ota was last updated on November 22, 2019. NPI Profile syncs with the weekly NPPES data releases published by CMS.