Individual provider Active NPI

Rishi Patel, M.D.

  • General Practice Physician
  • Wagner, SD
National Provider Identifier
1154797165
Registry record updated Mar 7, 2017
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice PhysicianTaxonomy code 208D00000X
License
19414 Issued in PR
Practice address
111 Washington Ave NW
Wagner, SD 57380-4300
Phone
(818) 743-3637
NPI assigned
Aug 13, 2015
Sex
Male
Sole proprietor
Yes

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 and National Provider Directory roles.

Hospital & facility affiliations 1

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

Care Compare profile

Medicare Care Compare
Specialty
General Practice
Education
Other, 2013
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
DHHS IHS Phoenix Area 25 clinicians

Practice addresses (Care Compare)

943 Hualapai Way
Peach Springs Health Center
Peach Springs, AZ 86434-0190
Phone (928) 769-2900

943 Hualapai Way P O Box
190 Peach Springs Health Center
Peach Springs, AZ 86434-0190

Hospital & facility affiliations

  • Kingman Regional Medical Center Hospital, Kingman, AZ, CCN 030055

Merit-based Incentive Payment System (MIPS)

Final score
70.2 of 100Reported as group
Quality
74.9
Improvement activities
40
Cost
20.37

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in TX
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.

Medicare enrollment records 1

Medicare enrollment files
Enrollment IDStateProvider typePAC IDDetails
I20161116002196 TX Practitioner - General Practice 9739468604 Reassigns benefits to 3 organizations

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
DHHS IHS Phoenix CurrentSince May 6, 2019 Accepting new patients
DHHS IHS Phoenix Area CurrentSince Dec 1, 2021 Accepting new patients
DHHS IHS Phoenix Area CurrentSince Dec 1, 2021 Accepting new patients
DHHS IHS Phoenix Area CurrentSince May 6, 2019 Accepting new patients
Irene Benn Medical Center CurrentSince Dec 1, 2021 Accepting new patients

Locations

12033 Agency Rd
Parker, AZ 85344
Phone (760) 572-4137

Specialties & licenses 1

NPPES NPI Registry
Specialty (taxonomy)CodeLicenseStatePrimary
General Practice Physician 208D00000X 19414 PR Primary

Addresses

NPPES NPI Registry

Primary practice location

111 Washington Ave NW
Wagner, SD 57380-4300

Mailing address

111 Washington Ave NW
Wagner, SD 57380-4300
Phone (818) 743-3637

Other names 1

NPPES NPI Registry
  • Rishi Patel Professional name

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format, last updated by the provider on Mar 7, 2017.

{
    "created_epoch": "1439424000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1488844800000",
    "number": "1154797165",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "111 WASHINGTON AVE NW",
            "city": "WAGNER",
            "state": "SD",
            "postal_code": "573804300",
            "telephone_number": "818-743-3637"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "111 WASHINGTON AVE NW",
            "city": "WAGNER",
            "state": "SD",
            "postal_code": "573804300",
            "telephone_number": "818-743-3637"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PATEL",
        "first_name": "RISHI",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2015-08-13",
        "last_updated": "2017-03-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208D00000X",
            "taxonomy_group": "",
            "desc": "General Practice",
            "state": "PR",
            "license": "19414",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "RISHI",
            "last_name": "PATEL",
            "credential": "M.D.",
            "code": "2",
            "type": "Professional Name"
        }
    ]
}

Other providers in Wagner, SD

Sources for this page

Verify at the official NPI Registry.