Individual provider Active NPI

Ruchir Sureshbhai Patel, M.D.

  • Nephrology Physician
  • Mesa, AZ
National Provider Identifier
1154557866
Registry record updated May 18, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
Nephrology PhysicianTaxonomy code 207RN0300X
License
49105 Issued in AZ
Practice address
612 W Baseline Rd
Mesa, AZ 85210-6041
Phone
(480) 834-9039
Fax
(480) 964-7802
NPI assigned
Jun 9, 2009
Last updated
May 18, 2014By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 18, 2014

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Student in an Organized Health Care Education/Training Program 390200000X MD14011 RI
Nephrology Physician 207RN0300X 49105 AZ Primary

Addresses

Primary practice location

612 W Baseline Rd
Mesa, AZ 85210-6041

Mailing address

612 W Baseline Rd
Mesa, AZ 85210-6041
Phone (480) 834-9039

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in AZ, TX2 enrollments
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 2

Enrollment IDStateProvider typePAC IDDetails
I20140606001551 AZ Practitioner - NephrologyPractitioner - Internal Medicine 0446474787 Reassigns benefits to 1 organization
I20150807014870 TX Practitioner - Nephrology 0446474787 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
NephrologyAlso: Internal Medicine
Education
Other, 2006
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Desert Kidney Associates PLCGroup PAC ID 4284611286, 27 clinicians

Practice addresses (Care Compare)

1400 S Dobson Rd
Mesa, AZ 85202-4707
Phone (480) 412-3000

1515 W Chandler Blvd
Chandler, AZ 85224-6141
Phone (480) 389-9529

1637 E Monument Plaza Cir
Suite 1
Casa Grande, AZ 85122-5639
Phone (480) 834-9039

1800 E Florence Blvd
Casa Grande, AZ 85122-5303
Phone (520) 381-6300

1875 E Sabin Dr
Casa Grande, AZ 85122-5405
Phone (520) 836-2566

22715 S Ellsworth Rd
BLDG G
San Tan Valley, AZ 85142-6130
Phone (480) 677-2463

291 W Casa Blanca Rd
Hu Hu Kam Memorial Hospital
Sacaton, AZ 85147-0038
Phone (520) 562-3323

3511 S Mercy Rd
Gilbert, AZ 85297-0443

3555 S Val Vista Dr
Gilbert, AZ 85297-7323
Phone (480) 728-8000

475 S Dobson Rd
Chandler, AZ 85224-6282
Phone (602) 406-3000

483 W Seed Farm Rd
Sacaton, AZ 85147-0038

612 W Baseline Rd
Mesa, AZ 85210-6041
Phone (480) 834-9039

Hospital & facility affiliations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
MD14011RIMDStudent in an Organized Health Care Education/Training Program

Practice roles

OrganizationSpecialtyStatusNew patients
Desert Kidney Associates PLC Nephrology CurrentSince Jul 1, 2014 Accepting new patients
Gila River Health Care Corporation CurrentSince Jun 11, 2015 Accepting new patients
Gila River Health Care Corporation Current Accepting new patients
Gila River Health Care CurrentSince Jun 11, 2015 Accepting new patients
Clinica la Familia, PC Internal Medicine PastSince Aug 1, 2003 Accepting new patients

Locations (25 of 29)

2080 W Southern Ave
Bldg B10
Apache Junction, AZ 85120
Phone (480) 351-2850

1041 N Arizola Rd
Casa Grande, AZ 85122
Phone (520) 836-5883

1828 E Florence Blvd
Casa Grande, AZ 85122
Phone (520) 381-6738

865 N Arizola Rd
Casa Grande, AZ 85122
Phone (520) 381-0363

1600 W Chandler Blvd
Ste 110
Chandler, AZ 85224
Phone (480) 524-0990

2201 W Fairview St
Ste 5
Chandler, AZ 85224
Phone (480) 210-3155

3511 S Mercy Rd
Ste 101
Gilbert, AZ 85297
Phone (480) 857-8338

3511 S Mercy Rd
Ste 102
Gilbert, AZ 85297

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

5860 S Hospital Dr
Ste 102
Globe, AZ 85501
Phone (928) 402-0491

3555 Western Ave
Kingman, AZ 86409
Phone (928) 757-8440

17487 S Healthcare Dr
#H
Laveen, AZ 85339
Phone (520) 550-6000

1830 Mesquite Ave
Ste B
Lk Havasu Cty, AZ 86403
Phone (928) 453-0777

21300 N John Wayne Pkwy
Ste 123
Maricopa, AZ 85139
Phone (520) 494-7778

1400 S Dobson Rd
Mesa, AZ 85202
Phone (480) 412-3000

612 W Baseline Rd
Mesa, AZ 85210
Phone (310) 940-4170

6750 E Baywood Ave
Ste 505
Mesa, AZ 85206

1533 E Willetta St
Phoenix, AZ 85006
Phone (602) 606-7653

4530 E Muirwood Dr
Ste 105
Phoenix, AZ 85048
Phone (480) 961-2303

3124 Willow Creek Rd
Prescott, AZ 86301
Phone (928) 371-4700

21321 E Ocotillo Rd
Ste 134
Queen Creek, AZ 85142
Phone (480) 899-1696

22715 S Ellsworth Rd
Bldg G
San Tan Valley, AZ 85142
Phone (480) 677-2463

37100 N Gantzel Rd
Ste 113
San Tan Valley, AZ 85140
Phone (480) 325-8173

11000 N Scottsdale Rd
Ste 195
Scottsdale, AZ 85254
Phone (480) 300-5388

9953 N 95th St
Ste 105
Scottsdale, AZ 85258
Phone (480) 945-8308

Interoperability endpoints

  • Direct secure messaging: rpatel23275@direct.acumenmd.com

Organizations & group practices 5

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 7

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": "1244505600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1400371200000",
    "number": "1154557866",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "612 W BASELINE RD",
            "city": "MESA",
            "state": "AZ",
            "postal_code": "852106041",
            "telephone_number": "480-834-9039",
            "fax_number": "480-964-7802"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "612 W BASELINE RD",
            "city": "MESA",
            "state": "AZ",
            "postal_code": "852106041",
            "telephone_number": "480-834-9039",
            "fax_number": "480-964-7802"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PATEL",
        "first_name": "RUCHIR",
        "middle_name": "SURESHBHAI",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2009-06-09",
        "last_updated": "2014-05-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "390200000X",
            "taxonomy_group": "",
            "desc": "Student in an Organized Health Care Education/Training Program",
            "state": "RI",
            "license": "MD14011",
            "primary": false
        },
        {
            "code": "207RN0300X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Nephrology",
            "state": "AZ",
            "license": "49105",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Mesa, AZ

Sources for this page

Verify at the official NPI Registry.