Active NPI
Rima Bharat Patel, MD
- Retina Specialist (Ophthalmology) Physician
- Phoenix, AZ
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Retina Specialist (Ophthalmology) Physician
- License
- 56177
- Practice address
- 1750 E Glendale Ave
Phoenix, AZ 85020-4328 - Phone
- (602) 242-4928
- Fax
- (602) 249-4813
- NPI assigned
- May 20, 2013
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Retina Specialist (Ophthalmology) Physician | 207WX0107X | 56177 | AZ | Primary |
Addresses
Primary practice location
1750 E Glendale Ave
Phoenix, AZ 85020-4328
Mailing address
1750 E Glendale Ave
Phoenix, AZ 85020-5505
Phone (602) 242-4928
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in AZ
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Ophthalmology
- Education
- Other, 2013
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
2517 N Great Western Dr
Prescott Valley, AZ 86314-2597
Phone (602) 242-4928
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 56177 | AZ | MD | Retina Specialist (Ophthalmology) Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| District Medical Group, Inc | Current | Accepting new patients | |
| District Medical Group, Inc | Current | Accepting new patients | |
| Associated Retina Consultants, LTD. | Retina Specialist | Current | Accepting new patients |
| District Medical Group, Inc | Current | Accepting new patients | |
| District Medical Group, Inc | Family Medicine | Past | Accepting new patients |
| Associated Retina Consultants, LTD. | Ophthalmology | Past | Accepting new patients |
Locations
199 S Candy Ln
Ste 2A
Cottonwood, AZ 86326
Phone (928) 632-2883
900 N San Francisco St
Flagstaff, AZ 86001
Phone 928774032219
3513 S Mercy Rd
Gilbert, AZ 85297
Phone (420) 641-5400
1626 N Litchfield Rd
Ste 250
Goodyear, AZ 85395
302 W Main St
Payson, AZ 85541
Phone (928) 474-4126
15353 N 91st Ave
Peoria, AZ 85381
1750 E Glendale Ave
Phoenix, AZ 85020
Phone (602) 216-1144
3141 N 3rd Ave
Phoenix, AZ 85013
Phone (602) 914-1520
2525 E Roosevelt St
Phoenix, AZ 85008
Phone (602) 344-1015
2517 N Great Western Dr
Ste K
Prescott Valley, AZ 86314
2517 N Great Western Dr
Prescott Valley, AZ 86314
Phone 9284451341 ext. 239
Interoperability endpoints
- rpatel222785@direct.valleywisehealth.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.
-
- Retina Specialist (Ophthalmology) Physician
- Phoenix, AZ
- NPI 1164633160
-
- Anatomic Pathology & Clinical Pathology Physician
- Phoenix, AZ
- NPI 1336472448
-
- Psychiatry Physician
- Mesa, AZ
- NPI 1124251020
-
- Emergency Medicine Physician
- Phoenix, AZ
- NPI 1144624339
-
- Ophthalmology Physician
- Prescott, AZ
- NPI 1053592428
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1369008000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1603065600000",
"number": "1013353804",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1750 E GLENDALE AVE",
"city": "PHOENIX",
"state": "AZ",
"postal_code": "850205505",
"telephone_number": "602-242-4928",
"fax_number": "602-249-4813"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1750 E GLENDALE AVE",
"city": "PHOENIX",
"state": "AZ",
"postal_code": "850204328",
"telephone_number": "602-242-4928",
"fax_number": "602-249-4813"
}
],
"practiceLocations": [],
"basic": {
"last_name": "PATEL",
"first_name": "RIMA",
"middle_name": "BHARAT",
"credential": "MD",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2013-05-20",
"last_updated": "2020-10-19",
"certification_date": "2020-10-19",
"status": "A"
},
"taxonomies": [
{
"code": "207WX0107X",
"taxonomy_group": "",
"desc": "Ophthalmology, Retina Specialist",
"state": "AZ",
"license": "56177",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Phoenix, AZ
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 19, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.