Individual provider Active NPI

Nirav Patel, MD

  • Dermatology Physician
  • Scottsdale, AZ
National Provider Identifier
1003171109
Registry record updated Feb 4, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Dermatology PhysicianTaxonomy code 207N00000X
License
60548 Issued in MN
Practice address
20201 N Scottsdale Healthcare Dr
Ste 260
Scottsdale, AZ 85255-4134
Phone
(480) 398-1550
Fax
(480) 398-1551
NPI assigned
Jul 5, 2012
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Feb 4, 2022

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Pediatrics Physician 208000000X 60548 MN
Dermatology Physician 207N00000X 60548 MN Primary

Addresses

Primary practice location

20201 N Scottsdale Healthcare Dr
Ste 260
Scottsdale, AZ 85255-4134

Mailing address

20201 N Scottsdale Healthcare Dr
Ste 260
Scottsdale, AZ 85255-4134
Phone (480) 398-1550

Electronic endpoints 1

TypeEndpointUseAffiliation
SOAP URL https://careepicwest.kp.org:14430/interconnect-prodnwm/wcf/epic.community.hie/xcpdrespondinggatewaysync.svc/ceq Health Information Exchange (HIE) Northwest Permanente PC

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in AZ, WA, OR3 enrollments
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 3

Enrollment IDStateProvider typePAC IDDetails
I20130924000908 AZ Practitioner - Dermatology 6709020134 Reassigns benefits to 1 organization
I20190613002115 WA Practitioner - Dermatology 6709020134 Reassigns benefits to 1 organization
I20210415002997 OR Practitioner - Dermatology 6709020134 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Dermatology
Education
University of Arizona College of Medicine, 2012
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Kaiser Foundation Health Plan of the NorthwestGroup PAC ID 5799688230, 1,805 clinicians

Practice addresses (Care Compare)

3600 N Interstate Ave
Portland, OR 97227-1106
Phone (800) 813-2000

Procedures performed for Medicare patients

ProcedureNumber of procedures
Removal of skin lesions1-10
Skin biopsy1-10

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

Practice roles

OrganizationSpecialtyStatusNew patients
Kaiser Foundation Health Plan of the Northwest Dermatology CurrentSince Apr 13, 2019 Accepting new patients
Kaiser Foundation Health Plan of the Northwest Dermatology CurrentSince Apr 12, 2021 Accepting new patients
Kaiser Foundation Health Plan of the Northwest CurrentSince Apr 13, 2019 Accepting new patients
Kaiser Foundation Health Plan of the Northwest Dermatology Current Accepting new patients
Brenda Latowsky M.D. P.L.C. CurrentSince Jul 1, 2019 Accepting new patients
Physicians Dermpath Laboratory Past Accepting new patients

Locations

33423 N 32nd Ave
Phoenix, AZ 85085
Phone (623) 474-1600

8841 E Bell Rd
Ste 201
Scottsdale, AZ 85260
Phone (480) 398-1550

20201 N Scottsdale Rd
Ste 260
Scottsdale, AZ 85255
Phone (480) 398-1550

8406 E Shea Blvd
Ste 100
Scottsdale, AZ 85260
Phone (480) 398-1550

20201 N Scottsdale Healthcare Dr
Ste 260
Scottsdale, AZ 85255
Phone (480) 398-1550

10100 SE Sunnyside Rd
Clackamas, OR 97015
Phone (503) 571-2946

7201 N Interstate Ave
Portland, OR 97217
Phone (503) 240-4051

3600 N Interstate Ave
Portland, OR 97227
Phone (503) 285-9321

2400 Lancaster Dr NE
Salem, OR 97305
Phone (503) 361-5400

1230 7th Ave
Longview, WA 98632
Phone (360) 575-4801

7101 NE 137th Ave
Vancouver, WA 98682
Phone (360) 418-6000

Organizations & group practices 6

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1341446400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1643932800000",
    "number": "1003171109",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "20201 N SCOTTSDALE HEALTHCARE DR",
            "address_2": "STE 260",
            "city": "SCOTTSDALE",
            "state": "AZ",
            "postal_code": "852554134",
            "telephone_number": "480-398-1550"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "20201 N SCOTTSDALE HEALTHCARE DR",
            "address_2": "STE 260",
            "city": "SCOTTSDALE",
            "state": "AZ",
            "postal_code": "852554134",
            "telephone_number": "480-398-1550",
            "fax_number": "480-398-1551"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PATEL",
        "first_name": "NIRAV",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2012-07-05",
        "last_updated": "2022-02-04",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208000000X",
            "taxonomy_group": "",
            "desc": "Pediatrics",
            "state": "MN",
            "license": "60548",
            "primary": false
        },
        {
            "code": "207N00000X",
            "taxonomy_group": "",
            "desc": "Dermatology",
            "state": "MN",
            "license": "60548",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "SOAP",
            "endpointTypeDescription": "SOAP URL",
            "endpoint": "https://careepicwest.kp.org:14430/interconnect-prodnwm/wcf/epic.community.hie/xcpdrespondinggatewaysync.svc/ceq",
            "affiliation": "Y",
            "endpointDescription": "Carequality",
            "affiliationName": "Northwest Permanente PC",
            "use": "HIE",
            "useDescription": "Health Information Exchange (HIE)",
            "contentType": "OTHER",
            "contentTypeDescription": "Other",
            "contentOtherDescription": "C-CDA",
            "address_1": "3600 N Interstate Ave",
            "city": "Portland",
            "state": "OR",
            "country_code": "US",
            "postal_code": "972271106",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Scottsdale, AZ

Sources for this page

Verify at the official NPI Registry.