MR. TY SANDERS RUDDELL DC
NPI 1982767349
Chiropractor in Mesa, AZ
About Mr. Ty Sanders Ruddell Dc NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
MR. TY SANDERS RUDDELL DC (NPI 1982767349) is an individual chiropractor in Mesa, Arizona, licensed in Arizona (6023) and active in the NPI registry since December 2006. He is a graduate of Other (1999).
NPPES Registry Identity
Specialties & Licenses 2
Accepted 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
Mr. Ty Sanders Ruddell Dc 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.
Medicare Billing Reassignment
Medicare enrollment records show Ty Ruddell reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.
Mesa, AZ 85206
- Reassigned Medicare billing, Arizona enrollment
Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.
Areas of Expertise CMS Part B claims
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.
Other Providers at the Same Location NPPES 5
Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.
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 Ty Ruddell's NPI number?
The NPI number for Ty Ruddell is 1982767349. It was assigned to this individual provider in the NPPES registry on December 18, 2006.
Where is Ty Ruddell located?
Ty Ruddell practices at 4864 E Baseline Rd Suite #105, Mesa, AZ 85206. The listed phone number is (480) 558-1900.
What is Ty Ruddell's specialty?
The primary specialty registered for this NPI is Chiropractor with taxonomy code 111N00000X.
Is Ty Ruddell enrolled in Medicare?
Yes. Ty Ruddell 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 Ty Ruddell's services?
According to the CMS Revalidation Reassignment List (October 2026 release), Ty Ruddell reassigns Medicare benefits to Everest Medical Group Inc (Mesa, 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 Ty Ruddell's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.
What insurance does Ty Ruddell accept?
Health plans from Ambetter Health, Ambetter from Arizona Complete Health, Cigna HealthCare of Arizona, Inc and Providence Health Plan list Ty Ruddell 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 Ty Ruddell was last updated on April 27, 2009. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 17 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.
# Mr. Ty Sanders Ruddell, DC · NPI 1982767349
Chiropractor provider in Mesa, Arizona. Individual provider, active in the CMS NPPES registry since December 18, 2006.
## Identity
- **NPI:** 1982767349 (Entity type: Individual)
- **Enumerated:** December 18, 2006
- **Primary specialty:** Chiropractor · taxonomy 111N00000X
- **State license:** 6023 (Arizona)
- **Sole proprietor:** No
## Practice location
- **Address:** 4864 E BASELINE RD, SUITE #105, Mesa, AZ 85206-4629
- **Phone:** (480) 558-1900 · **Fax:** (480) 633-6086
## Medicare
- **Medicare:** Enrolled (PECOS); accepts Medicare assignment
- **Bills Medicare through:** Everest Medical Group Inc (NPI 1184103350, Mesa, AZ), under Medicare reassignment (form CMS-855R) · CMS Revalidation Reassignment List, October 2026 release
- **Medical school:** Other, class of 1999
## Record status
- **NPPES last updated:** April 27, 2009
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Source: [NPI Profile](https://npiprofile.com/npi/1982767349) · Data from the CMS NPPES public registry.