Dr Ken Shadman Ota, DO - Medicare Family Practice in Scottsdale, AZ

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Dr Ken Shadman Ota, DO is a medicare enrolled "Family Medicine" physician in Scottsdale, Arizona. He graduated from medical school in 2008 and has 16 years of diverse experience with area of expertise as Family Practice. He is a member of the group practice Aligned Medical Providers Llc and his current practice location is 9821 N 95th St Ste 101, Scottsdale, Arizona. You can reach out to his office (for appointments etc.) via phone at (480) 365-8035.

Dr Ken Shadman Ota is licensed to practice in Arizona (license number 5305) and he also participates in the medicare program. He accepts medicare assignments (which means he accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance) and his NPI Number is 1750544276.

Contact Information

Dr Ken Shadman Ota, DO
9821 N 95th St Ste 101,
Scottsdale, AZ 85258-4589
(480) 365-8035
Not Available

Map and Direction




Physician's Profile

Full NameDr Ken Shadman Ota
GenderMale
SpecialityFamily Practice
Experience16 Years
Location9821 N 95th St Ste 101, Scottsdale, Arizona
Accepts Medicare AssignmentsYes. He accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance.
  Medical Education and Training:
  • Dr Ken Shadman Ota graduated from medical school in 2008
  NPI Data:
  • NPI Number: 1750544276
  • Provider Enumeration Date: 07/03/2008
  • Last Update Date: 11/22/2019
  Medicare PECOS Information:
  • PECOS PAC ID: 2365635935
  • Enrollment ID: I20101015000585

Medical Identifiers

Medical identifiers for Dr Ken Shadman Ota such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1750544276NPI-NPPES

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
207Q00000XFamily Medicine 5305 (Arizona)Primary

Medical Facilities Affiliation

Facility NameLocationFacility Type
Banner Desert Medical CenterMesa, AZHospital
Banner Thunderbird Medical CenterGlendale, AZHospital

Medicare Reassignments

Some practitioners may not bill the customers directly but medicare billing happens through clinics / group practice / hospitals where the provider works. Medicare reassignment of benefits is a mechanism by which practitioners allow third parties to bill and receive payment for medicare services performed by them. Dr Ken Shadman Ota allows following entities to bill medicare on his behalf.
Entity NameSjhmc Physician Services
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1326098005
PECOS PAC ID: 4486646197
Enrollment ID: O20040401001189
Entity NameScottsdale Physicians Group Plc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1689799579
PECOS PAC ID: 8325099385
Enrollment ID: O20050207000876
Entity NameO Longevity & Wellness Pllc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1083111371
PECOS PAC ID: 2961735550
Enrollment ID: O20190613002015
Entity NameAligned Medical Providers Llc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1386267078
PECOS PAC ID: 9234553116
Enrollment ID: O20200724001162

Medicare Part D Prescriber Enrollment

Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. Dr Ken Shadman Ota is enrolled with medicare and thus, if eligible, can prescribe medicare part D drugs to patients with medicare part D benefits.

Mailing Address and Practice Location

Mailing AddressPractice Location Address
Dr Ken Shadman Ota, DO
9821 N 95th St Ste 101,
Scottsdale, AZ 85258-4589

Ph: (480) 365-8035		Dr Ken Shadman Ota, DO
9821 N 95th St Ste 101,
Scottsdale, AZ 85258-4589

Ph: (480) 365-8035

Reviews and Comments


Family Medicine Doctors in Scottsdale, AZ

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Dr. Daniel Andrew Wool, ND
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Helene Wechsler, M.D.
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Natasha Ryan, NMD
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Phone: 480-874-1515    Fax: 480-991-8395
Evan Scot Trost Ix, MD
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Phone: 480-214-9720    Fax: 480-214-9722
Katayoun Baniriah, D.O.
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Practice Location: 4845 E Thunderbird Rd, Scottsdale, AZ 85254
Phone: 480-699-7004    Fax: 480-699-6129
Dr. Ronald Lewis Peters, MD, MPH
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Practice Location: 13951 N Scottsdale Rd, Suite 100, Scottsdale, AZ 85254
Phone: 480-607-7999    Fax: 480-607-7998

Medicare Program: Medicare is a federal government program which provides health insurance to people who are 65 or older. This program also covers certain younger people with disabilities (who receive Social Security Disability Insurance - SSDI), and people with End-Stage Renal Disease (permanent kidney failure requiring dialysis or a transplant, sometimes called ESRD.

Medicare Assignment: Assignment means that your doctor, provider, or supplier agrees (or is required by law) to accept the Medicare-approved amount as full payment for covered services. Most doctors, providers, and suppliers accept assignment, but you should always check to make sure. Participating providers have signed an agreement to accept assignment for all Medicare-covered services.

NPI Number: The National Provider Identifier (NPI) is a unique identification number for covered health care providers. The NPI must be used in lieu of legacy provider identifiers in the HIPAA standards transactions. Covered health care providers and all health plans and health care clearinghouses must use the NPIs in the administrative and financial transactions adopted under HIPAA (Health Insurance Portability and Accountability Act).

Our Data: Information on www.medicarelist.com is built using data sources published by Centers for Medicare & Medicaid Services (CMS) under Freedom of Information Act (FOIA). The information disclosed on the NPI Registry are FOIA-disclosable and are required to be disclosed under the FOIA and the eFOIA amendments to the FOIA. There is no way to 'opt out' or 'suppress' the NPPES record data for health care providers with active NPIs.