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
Mailing address1520 S Dobson Rd Ste 203, Mesa, AZ 85202-4726

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