Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
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Mr. Ameet Tarunkumar Shukla, PA-C

Individual provider Physician Assistant · NPI 1447307921

Mr. Ameet Tarunkumar Shukla, PA-C is a Physician Assistant in Surprise, Arizona. Qualified in 2003, 23 years ago. Practices with Greater Phoenix Collaborative Care PC, a 111-clinician group, accepts Medicare assignment and offers telehealth. Licensed in Arizona.

Years since qualifying
23
Licensed in
AZ
In the registry since
2007
What do these letters mean?
PA-C — Physician Assistant, Certified
A physician assistant who holds current national certification.

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Practice location Address checks out

15021 W Bell Rd Ste 125
Surprise, AZ 85374-3916
Phone: (623) 476-7880
Fax: (623) 476-7890
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Physician Assistant (primary) Taxonomy 363A00000X · Licence 2898 (AZ)

Record details

NPI number1447307921
Entity typeIndividual (Type 1)
GenderMale
Credentials PA-C
Sole proprietorNo
NPI enumeratedJanuary 5, 2007
Last updated in NPPESDecember 29, 2025
Certification dateDecember 29, 2025
Mailing addressPo Box 35380, Las Vegas, NV 89133-5380

Medicare enrollment

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

Medicare specialtyPHYSICIAN ASSISTANT
Medical schoolOTHER
Graduated 2003 (23 years in practice)
Group practice Greater Phoenix Collaborative Care Pc — 111 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
TelehealthOffers telehealth services
Practice locations2 on file with Medicare

Other providers in Surprise