Individual provider Active NPI

Chetan Shaileshkumar Patel, NP-C

  • Family Nurse Practitioner
  • Coolidge, AZ
National Provider Identifier
1053775635
Registry record updated Sep 5, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
AP8584 Issued in AZ
Practice address
171 W Central Ave
Coolidge, AZ 85128-4405
Phone
(520) 723-7726
NPI assigned
Apr 8, 2016
Last updated
Sep 5, 2025By the provider in NPPES
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Sep 5, 2025

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse Practitioner 363LF0000X AP8584 AZ Primary

Addresses

Primary practice location

171 W Central Ave
Coolidge, AZ 85128-4405

Mailing address

171 W Central Ave
Coolidge, AZ 85128-4405
Phone (520) 723-7726

Other practice location 1

153 W Central Ave
Coolidge, AZ 85128-4405
Phone (520) 660-6765

Other identifiers 1

IdentifierTypeStateIssuer
141674MedicaidAZ

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: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20160512000525 AZ Practitioner - Nurse Practitioner 6709175870 Reassigns benefits to 3 organizations

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2015
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

153 W Central Ave
Coolidge, AZ 85128-4405
Phone (520) 660-6765

171 W Central Ave
Coolidge, AZ 85128-4405
Phone (520) 723-7726

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Good Health Medical, PLLC CurrentSince Mar 8, 2017 Accepting new patients
Good Health Medical, PLLC CurrentSince Mar 8, 2017 Accepting new patients
Good Health Medical, PLLC Current Accepting new patients
Allergy and Environmental Treatment Center, LLC CurrentSince Mar 22, 2022 Accepting new patients
Urgentcare of Coolidge PLLC CurrentSince Nov 21, 2024 Accepting new patients
Whispering Palms Medical Inc CurrentSince Jun 1, 2018 Accepting new patients
Keshavjivan PLLC CurrentSince Sep 1, 2019 Accepting new patients
Privia Medical Group Arizona, LLC Past Accepting new patients

Locations

3100 N Alma School Rd
Chandler, AZ 85224
Phone (480) 255-5983

153 W Central Ave
Coolidge, AZ 85128
Phone (480) 671-4086

171 W Central Ave
Coolidge, AZ 85128
Phone (520) 723-7726

428 S Gilbert Rd
Ste 101
Gilbert, AZ 85296
Phone (480) 632-7400

3552 W Baseline Rd
Ste 140
Laveen, AZ 85339
Phone (602) 635-6941

5045 W Baseline Rd
Ste A110
Laveen, AZ 85339

1035 N Ellsworth Rd
Ste 108
Mesa, AZ 85207
Phone (480) 305-2888

1982 W Main St
Ste 101
Mesa, AZ 85201
Phone (480) 295-4880

1108 W Indian School Rd
Ste B
Phoenix, AZ 85013
Phone (602) 773-5600

15600 N Black Canyon Hwy
Ste C103
Phoenix, AZ 85053
Phone (520) 723-7726

2640 W Baseline Rd
Ste 111
Phoenix, AZ 85041
Phone 4803052888 ext. 1109

8618 N 35th Ave
Ste 3
Phoenix, AZ 85051
Phone (602) 249-0999

287 E Hunt Hwy
Ste 105
San Tan Valley, AZ 85143
Phone (480) 667-8282

8776 E Shea Blvd
Ste 106
Scottsdale, AZ 85260
Phone (306) 708-3777

8952 E Desert Cove Ave
Ste 114
Scottsdale, AZ 85260
Phone (480) 634-2985

14827 W Bell Rd
Ste 103
Surprise, AZ 85374
Phone (623) 544-3522

Organizations & group practices 10

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.

NPI Registry JSON

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

{
    "created_epoch": "1460073600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1757030400000",
    "number": "1053775635",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "171 W CENTRAL AVE",
            "city": "COOLIDGE",
            "state": "AZ",
            "postal_code": "851284405",
            "telephone_number": "520-723-7726",
            "fax_number": "520-723-4513"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "171 W CENTRAL AVE",
            "city": "COOLIDGE",
            "state": "AZ",
            "postal_code": "851284405",
            "telephone_number": "520-723-7726"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "153 W Central Ave",
            "address_purpose": "LOCATION",
            "city": "Coolidge",
            "state": "AZ",
            "postal_code": "851284405",
            "country_code": "US",
            "telephone_number": "520-660-6765",
            "fax_number": "520-280-0640",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "PATEL",
        "first_name": "CHETAN",
        "middle_name": "SHAILESHKUMAR",
        "credential": "NP-C",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2016-04-08",
        "last_updated": "2025-09-05",
        "certification_date": "2025-09-05",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "AZ",
            "license": "AP8584",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "141674",
            "state": "AZ"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Coolidge, AZ

Sources for this page

Verify at the official NPI Registry.