Individual provider Active NPI

Kinjan P Patel, MD

  • Cardiovascular Disease Physician
  • Tucson, AZ
National Provider Identifier
1013302306
Registry record updated Oct 14, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Cardiovascular Disease PhysicianTaxonomy code 207RC0000X
License
V2208 Issued in TX
Practice address
10120 E Old Vail Rd Ste 150
Tucson, AZ 85747-9415
Phone
(520) 545-0953
Fax
(520) 545-0954
NPI assigned
Apr 2, 2015
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 14, 2024

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine Physician 207R00000X 62431 AZ
Cardiovascular Disease Physician 207RC0000X 62431 AZ
Cardiovascular Disease Physician 207RC0000X V2208 TX Primary

Addresses

Primary practice location

10120 E Old Vail Rd Ste 150
Tucson, AZ 85747-9415

Mailing address

10120 E Old Vail Rd Ste 150
Tucson, AZ 85747-9415
Phone (520) 545-0953

Other practice location 1

101 Stadium Dr
Morgantown, WV 26506-7911
Phone (304) 598-4850

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address kinjan.patel.1@1576.direct.athenahealth.com

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in AZ, TX2 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 2

Enrollment IDStateProvider typePAC IDDetails
I20210813002374 AZ Practitioner - Cardiovascular Disease (Cardiology) 7416351358 Reassigns benefits to 1 organization
I20241115004117 TX Practitioner - Cardiovascular Disease (Cardiology) 7416351358 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Cardiovascular Disease (Cardiology)
Education
Other, 2015
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Healthtexas Provider NetworkGroup PAC ID 1355254210, 2,535 clinicians

Practice addresses (Care Compare)

4421 Long Prairie Rd
Suite 200
Flower Mound, TX 75028-1752
Phone (817) 912-8560

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
88.8 of 100Reported as apm
Quality
77.6
Promoting interoperability
100
Improvement activities
40

Procedures performed for Medicare patients

ProcedureNumber of procedures
Prostate resection1-10

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Healthtexas Provider Network Family Medicine CurrentSince Dec 16, 2024 Accepting new patients
Healthtexas Provider Network CurrentSince Dec 16, 2024 Accepting new patients
Healthtexas Provider Network Family Medicine Current Accepting new patients
Northwest Allied Physicians LLC Internal Medicine CurrentSince Sep 1, 2021 Accepting new patients
Northwest Allied Physicians, LLC CurrentSince Sep 1, 2021 Accepting new patients
Healthtexas Provider Network Family Medicine Past Accepting new patients

Locations

10120 E Old Vail Rd
Ste 100
Tucson, AZ 85747
Phone (520) 989-8012

10120 E Old Vail Rd
Ste 150
Tucson, AZ 85747
Phone (520) 545-0953

1622 N Swan Rd
Tucson, AZ 85712
Phone (520) 323-5925

8333 N Silverbell Rd
Ste 161
Tucson, AZ 85743
Phone (520) 202-7770

4001 E Sunrise Dr
Ste 161
Tucson, AZ 85718
Phone (520) 232-5280

4001 Worth St
#A
Dallas, TX 75246
Phone (214) 820-8665

301 N Washington Ave
Fl 5
Dallas, TX 75246
Phone (469) 800-8742

821 N Coleman St
Ste 100
Prosper, TX 75078
Phone (469) 800-5200

Networks

  • NM HMO C-SNP

Interoperability endpoints

  • Direct secure messaging: kinjan.patel.1@1576.direct.athenahealth.com
  • Direct secure messaging: kpatel1354987@direct.sw.org

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.

Hospital & facility affiliations 5

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1427932800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1728864000000",
    "number": "1013302306",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "10120 E OLD VAIL RD STE 150",
            "city": "TUCSON",
            "state": "AZ",
            "postal_code": "857479415",
            "telephone_number": "520-545-0953",
            "fax_number": "520-545-0954"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "10120 E OLD VAIL RD STE 150",
            "city": "TUCSON",
            "state": "AZ",
            "postal_code": "857479415",
            "telephone_number": "520-545-0953",
            "fax_number": "520-545-0954"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "101 Stadium Dr",
            "address_purpose": "LOCATION",
            "city": "Morgantown",
            "state": "WV",
            "postal_code": "265067911",
            "country_code": "US",
            "telephone_number": "304-598-4850",
            "fax_number": "304-598-4871",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "PATEL",
        "first_name": "KINJAN",
        "middle_name": "P",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2015-04-02",
        "last_updated": "2024-10-14",
        "certification_date": "2024-10-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "AZ",
            "license": "62431",
            "primary": false
        },
        {
            "code": "207RC0000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Cardiovascular Disease",
            "state": "AZ",
            "license": "62431",
            "primary": false
        },
        {
            "code": "207RC0000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Cardiovascular Disease",
            "state": "TX",
            "license": "V2208",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "kinjan.patel.1@1576.direct.athenahealth.com",
            "affiliation": "N",
            "address_1": "10120 E Old Vail Rd Ste 150",
            "city": "Tucson",
            "state": "AZ",
            "country_code": "US",
            "postal_code": "857479415",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Tucson, AZ

Sources for this page

Verify at the official NPI Registry.