NPIMap

Individual provider Active NPI

Ankur Ashok Patel, D.O., M. H. A.

  • Nephrology Physician
  • Phoenix, AZ
National Provider Identifier
1043405301
Registry record updated Aug 3, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
Nephrology PhysicianTaxonomy code 207RN0300X
License
4644 Issued in AZ
Practice address
9305 W Thomas Rd Ste 255
Phoenix, AZ 85037-3364
Phone
(480) 610-6100
Fax
(623) 846-0438
NPI assigned
Sep 10, 2007
Last updated
Aug 3, 2015By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 3, 2015

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Nephrology Physician 207RN0300X 4644 AZ Primary

Addresses

Primary practice location

9305 W Thomas Rd Ste 255
Phoenix, AZ 85037-3364

Mailing address

2149 E Warner Rd #102
Tempe, AZ 85284-3495
Phone (480) 610-6100

Other identifiers 1

IdentifierTypeStateIssuer
291846MedicaidAZ

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20071005000119 AZ Practitioner - NephrologyPractitioner - Internal Medicine 4688769649 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
NephrologyAlso: Internal Medicine
Education
At Still University of Health Sciences, College of Osteo Med, Kirksville, 2003
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Southwest Kidney Institute PLCGroup PAC ID 8224930987, 100 clinicians

Practice addresses (Care Compare)

14620 W Encanto Blvd
Suite 100
Goodyear, AZ 85395-1616
Phone (480) 610-6100

Hospital & facility affiliations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
4644AZMDChiropractor

Practice roles

OrganizationSpecialtyStatusNew patients
Southwest Kidney Institute Vascular Center LLC Nephrology PastSince Aug 1, 2012 Accepting new patients
Southwest Kidney Davita Dialysis Partners, LLC PastSince Aug 14, 2019 Accepting new patients
Anesthesia Partners & Management LLC Past Accepting new patients
Sun Desert Dialysis LLC PastSince Jun 1, 2016 Accepting new patients

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

Hospital & facility affiliations 10

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": "1189382400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1438560000000",
    "number": "1043405301",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2149 E WARNER RD #102",
            "city": "TEMPE",
            "state": "AZ",
            "postal_code": "852843495",
            "telephone_number": "480-610-6100"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9305 W THOMAS RD STE 255",
            "city": "PHOENIX",
            "state": "AZ",
            "postal_code": "850373364",
            "telephone_number": "480-610-6100",
            "fax_number": "623-846-0438"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PATEL",
        "first_name": "ANKUR",
        "middle_name": "ASHOK",
        "name_prefix": "Dr.",
        "credential": "D.O., M. H. A.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2007-09-10",
        "last_updated": "2015-08-03",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207RN0300X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Nephrology",
            "state": "AZ",
            "license": "4644",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "291846",
            "state": "AZ"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Phoenix, AZ

Sources for this page

Verify at the official NPI Registry.