Individual provider Active NPI

Arun S. Patil, M.D.

  • Cardiovascular Disease Physician
  • Avondale, AZ
National Provider Identifier
1093955908
Registry record updated Jul 29, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Cardiovascular Disease PhysicianTaxonomy code 207RC0000X
License
46136 Issued in AZ
Practice address
10815 W McDowell Rd
Suite 202
Avondale, AZ 85392
Phone
(623) 433-0202
Fax
(623) 433-0204
NPI assigned
Mar 5, 2009
Last updated
Jul 29, 2024By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 29, 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 251021 NY
Cardiovascular Disease Physician 207RC0000X 46136 AZ Primary
Nuclear Cardiology Physician 207UN0901X 46136 AZ

Addresses

Primary practice location

10815 W McDowell Rd
Suite 202
Avondale, AZ 85392

Mailing address

3815 E Bell Rd Ste 4500
Phoenix, AZ 85032-2171
Phone (602) 633-3848

Other identifiers 1

IdentifierTypeStateIssuer
695171MedicaidAZ

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
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20120628000052 AZ Practitioner - Interventional CardiologyPractitioner - Cardiovascular Disease (Cardiology) 3971653130 Reassigns benefits to 7 organizations

Care Compare profile

Medicare Care Compare
Specialty
Interventional CardiologyAlso: Cardiovascular Disease (Cardiology)
Education
Other, 1988
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Summit Healthcare AssociationGroup PAC ID 3779568647, 78 clinicians
Sjhmc Physician ServicesGroup PAC ID 4486646197, 645 clinicians

Practice addresses (Care Compare)

10815 W McDowell Rd
Suite 202
Avondale, AZ 85392-5010
Phone (623) 433-0202

2200 E Show Low Lake Rd
Show Low, AZ 85901-7831
Phone (928) 537-4375

350 W Thomas Rd
Phoenix, AZ 85013-4409
Phone (602) 406-3000

4951 S White Mountain Rd
BLDG a
Show Low, AZ 85901-7801
Phone (928) 537-6700

500 W Thomas Rd
680 DHMG St Joseph's Pelvic Pain and Surg
Phoenix, AZ 85013-4235
Phone (602) 406-6017

Hospital & facility affiliations

Procedures performed for Medicare patients

ProcedureNumber of procedures
Coronary angioplasty and stenting11
Pacemaker insertion or repair1-10
Varicose vein removal35

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled
HHS exclusion list flag
CMS’s directory marks this NPI as on an HHS exclusion list; no matching OIG record was found. The OIG exclusions file (LEIE) holds no record for this NPI, and the directory does not say which list the flag comes from. How exclusions are shown Confirm with the OIG exclusions search.
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
46136AZMDNuclear Cardiology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Sierra Vista Regional Health Center Medical Group LLC Internal Medicine CurrentSince Apr 14, 2016 Accepting new patients
La Paz Regional Hospital Inc Current Accepting new patients
Summit Healthcare Medical Associates CurrentSince Jan 1, 2020 Accepting new patients
Summit Healthcare Association Cardiovascular Disease CurrentSince Feb 1, 2020 Accepting new patients
Privia Medical Group Arizona, LLC CurrentSince Jun 1, 2012 Accepting new patients
St. Joseph's Hospital and Medical Center CurrentSince Aug 15, 2023 Accepting new patients
Sjhmc Physician Services CurrentSince Jan 1, 2018 Accepting new patients
Summit Healthcare Medical Associates Internal Medicine CurrentSince Jan 1, 2020 Accepting new patients
La Paz Regional Hospital Inc CurrentSince Sep 27, 2021 Accepting new patients
La Paz Regional Hospital Inc CurrentSince Sep 27, 2021 Accepting new patients
Privia Medical Group Arizona, LLC Internal Medicine CurrentSince Jun 1, 2012 Accepting new patients
Summit Healthcare Association Past Accepting new patients
Privia Medical Group Arizona, LLC Past Accepting new patients

Locations (25 of 30)

10815 W McDowell Rd
Ste 2
Avondale, AZ 85392

10815 W McDowell Rd
Ste 202
Avondale, AZ 85392

10815 W McDowell Rd
Ste 203
Avondale, AZ 85392
Phone (623) 907-4400

5601 W Eugie Ave
Ste 203
Glendale, AZ 85304
Phone (602) 548-1600

7330 N 99th Ave
Ste 200A
Glendale, AZ 85307
Phone (602) 406-3400

7330 N 99th Ave
Ste 200B
Glendale, AZ 85307

7734 N 59th Ave
Glendale, AZ 85301
Phone (602) 371-2515

14415 W McDowell Rd
Ste D102
Goodyear, AZ 85395
Phone (623) 512-4190

1200 W Mohave Rd
Parker, AZ 85344
Phone (928) 669-7300

1713 S Kofa Ave
Ste A
Parker, AZ 85344
Phone (928) 669-7380

111 W Cedar Ln
Ste A
Payson, AZ 85541
Phone (928) 472-4675

124 W Thomas Rd
Ste 320
Phoenix, AZ 85013
Phone (602) 406-3560

1301 S 7th Ave
Ste 400
Phoenix, AZ 85007
Phone (602) 824-3358

3306 W Roosevelt St
Phoenix, AZ 85009
Phone (602) 826-2634

350 W Thomas Rd
Phoenix, AZ 85013
Phone (480) 339-5001

3540 E Baseline Rd
Ste 131
Phoenix, AZ 85042
Phone (623) 251-7559

3815 E Bell Rd
Ste 2200
Phoenix, AZ 85032
Phone (602) 931-4689

3815 E Bell Rd
Ste 3300
Phoenix, AZ 85032
Phone (602) 867-2505

3815 E Bell Rd
Ste 4500
Phoenix, AZ 85032
Phone (602) 633-3838

500 W Thomas Rd
Ste 460
Phoenix, AZ 85013
Phone (602) 824-4155

500 W Thomas Rd
Ste 480
Phoenix, AZ 85013
Phone (602) 234-0295

500 W Thomas Rd
Ste 680
Phoenix, AZ 85013
Phone (602) 406-6017

500 W Thomas Rd
Ste 750
Phoenix, AZ 85013
Phone (602) 406-1150

6036 N 19th Ave
Ste 510
Phoenix, AZ 85015
Phone (602) 246-3223

9250 N 3rd St
Ste 4010
Phoenix, AZ 85020
Phone (602) 633-3838

Interoperability endpoints

  • Direct secure messaging: arun.patil.2@33227.direct.athenahealth.com
  • Direct secure messaging: arunpatil@shrmcshma.allscriptsdirect.net

Organizations & group practices 13

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.

View all 13

Hospital & facility affiliations 8

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": "1236211200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1722211200000",
    "number": "1093955908",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3815 E BELL RD STE 4500",
            "city": "PHOENIX",
            "state": "AZ",
            "postal_code": "850322171",
            "telephone_number": "602-633-3848",
            "fax_number": "602-633-3841"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "10815 W MCDOWELL RD",
            "address_2": "SUITE 202",
            "city": "AVONDALE",
            "state": "AZ",
            "postal_code": "85392",
            "telephone_number": "623-433-0202",
            "fax_number": "623-433-0204"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PATIL",
        "first_name": "ARUN",
        "middle_name": "S.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2009-03-05",
        "last_updated": "2024-07-29",
        "certification_date": "2024-07-29",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "NY",
            "license": "251021",
            "primary": false
        },
        {
            "code": "207RC0000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Cardiovascular Disease",
            "state": "AZ",
            "license": "46136",
            "primary": true
        },
        {
            "code": "207UN0901X",
            "taxonomy_group": "",
            "desc": "Nuclear Medicine, Nuclear Cardiology",
            "state": "AZ",
            "license": "46136",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "695171",
            "state": "AZ"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Avondale, AZ

Sources for this page

Verify at the official NPI Registry.