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

Dr. Rick A Shacket, DOMDH

Individual provider Family Medicine Physician · NPI 1467537159

Dr. Rick A Shacket, DOMDH is a Colorectal Surgery (Proctology) in Scottsdale, Arizona. Graduated from Western University of Health Sciences College of Dental Med in 1983, 43 years ago. Accepts Medicare assignment. Licensed in Arizona.

Years since qualifying
43
Trained at
Western University of Health Sciences College of Dental Med
Licensed in
AZ
In the registry since
2006
Specialties on file
2
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Practice location Address checks out

1525 N Granite Reef Rd Ste 12
Scottsdale, AZ 85257-3998
Phone: (602) 492-9919
Fax: (602) 263-3697
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Colon & Rectal Surgery Physician (primary) Taxonomy 208C00000X · Licence 4257 (AZ)
Family Medicine Physician Taxonomy 207Q00000X · Licence 4257 (AZ)

Record details

NPI number1467537159
Entity typeIndividual (Type 1)
GenderMale
Credentials DOMDH
Sole proprietorNo
NPI enumeratedOctober 25, 2006
Last updated in NPPESNovember 22, 2024
Certification dateNovember 22, 2024

Medicare enrollment

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

Medicare specialtyCOLORECTAL SURGERY (PROCTOLOGY)
Also practisesDERMATOLOGY, FAMILY PRACTICE
Medical schoolWESTERN UNIVERSITY OF HEALTH SCIENCES COLLEGE OF DENTAL MED
Graduated 1983 (43 years in practice)
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

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