NPIMap

Individual provider Active NPI

Pratik Kamal Dalal

  • Interventional Cardiology Physician
  • Chandler, AZ
National Provider Identifier
1053639336
Registry record updated May 16, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Interventional Cardiology PhysicianTaxonomy code 207RI0011X
License
57973 Issued in AZ
Practice address
60 N McClintock Dr Ste 3
Chandler, AZ 85226-3766
Phone
(480) 821-3800
Fax
(480) 821-3806
NPI assigned
May 11, 2010
Last updated
May 16, 2025By the provider in NPPES
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on May 16, 2025

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

Specialties & licenses 4

Specialty (taxonomy)CodeLicenseStatePrimary
Student in an Organized Health Care Education/Training Program 390200000X ZZ
Cardiovascular Disease Physician 207RC0000X 57973 AZ
Cardiovascular Disease Physician 207RC0000X 4301111504 MI
Interventional Cardiology Physician 207RI0011X 57973 AZ Primary

Addresses

Primary practice location

60 N McClintock Dr Ste 3
Chandler, AZ 85226-3766

Mailing address

755 E McDowell Rd FL 4
Phoenix, AZ 85006-2506
Phone (602) 521-3090

Other practice location 1

3601 W 13 Mile Rd
Royal Oak, MI 48073-6712
Phone (248) 898-4163

Other practice location 2

750 E Adams St
Syracuse, NY 13210-2342
Phone (315) 464-5136

Other practice location 3

3601 W 13 Mile Rd
Royal Oak, MI 48073-6712
Phone (248) 898-4163

Other practice location 4

755 E McDowell Rd Fl 4
Phoenix, AZ 85006-2506
Phone (602) 521-3090

Other practice location 5

755 E McDowell Rd Fl 4
Phoenix, AZ 85006-2506
Phone (602) 521-3090

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
I20190717001428 AZ Practitioner - Interventional Cardiology 6901049295 Reassigns benefits to 6 organizations

Care Compare profile

Medicare Care Compare
Specialty
Interventional Cardiology
Education
Other, 2009
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Sunstate Cardiology PCGroup PAC ID 7719263789, 7 clinicians

Practice addresses (Care Compare)

60 N McClintock Dr
Suite 3
Chandler, AZ 85226-3766
Phone (480) 821-3800

Hospital & facility affiliations

Procedures performed for Medicare patients

ProcedureNumber of procedures
Coronary angioplasty and stenting19
Pacemaker insertion or repair1-10

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
270767NYMDCertified Registered Nurse Anesthetist

Practice roles

OrganizationSpecialtyStatusNew patients
Honorhealth Ambulatory Family Medicine CurrentSince Jul 8, 2019 Accepting new patients
Exceptional Physicians Group Yuma Hospital PLLC CurrentSince Mar 7, 2025 Accepting new patients
Honorhealth Ambulatory Current Accepting new patients
Exceptional Physicians Group Arizona PLLC CurrentSince Mar 7, 2025 Accepting new patients
Exceptional Physicians Group Bullhead City Hospital PLLC CurrentSince Mar 7, 2025 Accepting new patients
Spine & Sports Rehabilitation Institute CurrentSince Jan 27, 2025 Accepting new patients
Sunstate Cardiology PC Cardiovascular Disease CurrentSince Jan 27, 2025 Accepting new patients
Exceptional Physicians Group Prescott Hospital PLLC CurrentSince Mar 14, 2025 Accepting new patients
Honorhealth Ambulatory CurrentSince Jul 8, 2019 Accepting new patients
Exceptional Health Care Prescott LLC PastSince Aug 1, 2024 Accepting new patients
Exceptional Health Care Maricopa LLC PastSince Jul 25, 2021 Accepting new patients
Exceptional Health Care Bullhead City LLC PastSince Nov 19, 2023 Accepting new patients

Locations

2365 Highway 95
Bullhead City, AZ 86442
Phone (928) 224-2443

60 N McClintock Dr
Ste 3
Chandler, AZ 85226
Phone (480) 821-3800

19060 N John Wayne Pkwy
Maricopa, AZ 85139
Phone (480) 631-0675

4822 E State Route 69
Prescott, AZ 86301
Phone (436) 341-7800

10200 N 92nd St
Ste 150
Scottsdale, AZ 85258
Phone (480) 860-8488

10510 N 92nd St
Ste 200
Scottsdale, AZ 85258
Phone (480) 323-1250

3099 N Civic Center Plz
Scottsdale, AZ 85251
Phone (480) 945-3535

9003 E Shea Blvd
Scottsdale, AZ 85260
Phone (480) 323-3383

2600 E Southern Ave
Ste 1
Tempe, AZ 85282
Phone (480) 706-6151

2600 E Southern Ave
Ste I1
Tempe, AZ 85282
Phone (480) 420-3600

2648 S Araby Rd
Yuma, AZ 85365
Phone 4693417800100

3514 Cedar Springs Rd
Dallas, TX 75219
Phone (281) 415-6687

Interoperability endpoints

  • FHIR API: https://api.platform.athenahealth.com/9401/brand/1/csg/1/fhir/r4
  • Direct secure messaging: pratik.dalal.1@9401.direct.athenahealth.com

Organizations & group practices 12

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 16

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

View all 16

NPI Registry JSON

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

{
    "created_epoch": "1273536000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1747353600000",
    "number": "1053639336",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "755 E MCDOWELL RD FL 4",
            "city": "PHOENIX",
            "state": "AZ",
            "postal_code": "850062506",
            "telephone_number": "602-521-3090",
            "fax_number": "602-521-3661"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "60 N MCCLINTOCK DR STE 3",
            "city": "CHANDLER",
            "state": "AZ",
            "postal_code": "852263766",
            "telephone_number": "480-821-3800",
            "fax_number": "480-821-3806"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "3601 W 13 Mile Rd",
            "address_purpose": "LOCATION",
            "city": "Royal Oak",
            "state": "MI",
            "postal_code": "480736712",
            "country_code": "US",
            "telephone_number": "248-898-4163",
            "fax_number": "248-898-5596",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "750 E Adams St",
            "address_purpose": "LOCATION",
            "city": "Syracuse",
            "state": "NY",
            "postal_code": "132102342",
            "country_code": "US",
            "telephone_number": "315-464-5136",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "3601 W 13 Mile Rd",
            "address_purpose": "LOCATION",
            "city": "Royal Oak",
            "state": "MI",
            "postal_code": "480736712",
            "country_code": "US",
            "telephone_number": "248-898-4163",
            "fax_number": "248-898-5596",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "755 E McDowell Rd Fl 4",
            "address_purpose": "LOCATION",
            "city": "Phoenix",
            "state": "AZ",
            "postal_code": "850062506",
            "country_code": "US",
            "telephone_number": "602-521-3090",
            "fax_number": "602-521-3661",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "755 E McDowell Rd Fl 4",
            "address_purpose": "LOCATION",
            "city": "Phoenix",
            "state": "AZ",
            "postal_code": "850062506",
            "country_code": "US",
            "telephone_number": "602-521-3090",
            "fax_number": "602-521-3661",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "DALAL",
        "first_name": "PRATIK",
        "middle_name": "KAMAL",
        "name_prefix": "Dr.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2010-05-11",
        "last_updated": "2025-05-16",
        "certification_date": "2025-05-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "390200000X",
            "taxonomy_group": "",
            "desc": "Student in an Organized Health Care Education/Training Program",
            "state": "ZZ",
            "license": null,
            "primary": false
        },
        {
            "code": "207RC0000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Cardiovascular Disease",
            "state": "AZ",
            "license": "57973",
            "primary": false
        },
        {
            "code": "207RC0000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Cardiovascular Disease",
            "state": "MI",
            "license": "4301111504",
            "primary": false
        },
        {
            "code": "207RI0011X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Interventional Cardiology",
            "state": "AZ",
            "license": "57973",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Chandler, AZ

Sources for this page

Verify at the official NPI Registry.