Active NPI
Ishvarlal Patel, M.D.
- General Practice Physician
- Chandler, AZ
National Provider Identifier
1184624181
On this page
Key facts
NPPES NPI Registry- Primary specialty
- General Practice Physician
- License
- 24577
- Practice address
- 124 S Kyrene Rd
Chandler, AZ 85226-4721 - Phone
- (480) 753-5490
- Fax
- (480) 598-9364
- NPI assigned
- Aug 1, 2005
- Sex
- Male
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| General Practice Physician | 208D00000X | 24577 | AZ | Primary |
Addresses
Primary practice location
124 S Kyrene Rd
Chandler, AZ 85226-4721
Mailing address
124 S Kyrene Rd
Chandler, AZ 85226-4721
Phone (480) 753-5490
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 452748 | Medicaid | AZ |
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
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20051012000891 | AZ | Practitioner - General Practice | 7315962982 | Practice locations: Chandler, AZ |
Care Compare profile
Medicare Care Compare- Specialty
- General Practice
- Education
- Other, 1984
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
Practice addresses (Care Compare)
124 S Kyrene Rd
Chandler, AZ 85226-4721
Phone (480) 753-5490
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 24577 | AZ | MD | General Practice Physician |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1122854400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1396137600000",
"number": "1184624181",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "124 S KYRENE RD",
"city": "CHANDLER",
"state": "AZ",
"postal_code": "852264721",
"telephone_number": "480-753-5490",
"fax_number": "480-598-9364"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "124 S KYRENE RD",
"city": "CHANDLER",
"state": "AZ",
"postal_code": "852264721",
"telephone_number": "480-753-5490",
"fax_number": "480-598-9364"
}
],
"practiceLocations": [],
"basic": {
"last_name": "PATEL",
"first_name": "ISHVARLAL",
"name_prefix": "Dr.",
"credential": "M.D.",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2005-08-01",
"last_updated": "2014-03-30",
"status": "A"
},
"taxonomies": [
{
"code": "208D00000X",
"taxonomy_group": "",
"desc": "General Practice",
"state": "AZ",
"license": "24577",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "452748",
"state": "AZ"
}
],
"endpoints": [],
"other_names": []
}Other providers in Chandler, AZ
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 30, 2014; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.