Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Ruchit Shah

Individual provider Interventional Cardiology Physician · NPI 1104358555

Ruchit Shah is a Cardiovascular Disease (Cardiology) in Mesa, Arizona. Qualified in 2014, 12 years ago. Practices with Banner Physician Specialists Arizona LLC, a 372-clinician group, accepts Medicare assignment and offers telehealth. Licensed in Arizona.

Years since qualifying
12
Licensed in
AZ
In the registry since
2017

Practice location Address checks out

1520 S Dobson Rd Ste 203
Mesa, AZ 85202-4726
Phone: (480) 733-7535
Fax: (480) 896-3374
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Interventional Cardiology Physician (primary) Taxonomy 207RI0011X · Licence 75264 (AZ)

Record details

NPI number1104358555
Entity typeIndividual (Type 1)
GenderMale
Sole proprietorYes
NPI enumeratedApril 3, 2017
Last updated in NPPESApril 2, 2025
Certification dateApril 2, 2025

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyCARDIOVASCULAR DISEASE (CARDIOLOGY)
Medical schoolOTHER
Graduated 2014 (12 years in practice)
Group practice Banner Physician Specialists Arizona Llc — 372 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
TelehealthOffers telehealth services

Other providers in Mesa