Samir Purusottam Patel, D.O.

Primary specialty

Pain Medicine (Anesthesiology) PhysicianTaxonomy code 207LP2900X

License

4425 Issued in AZ

Practice address

12480 N Rancho Vistoso Blvd
Ste 180
Oro Valley, AZ 85755-1994

Phone

(520) 742-4008

NPI assigned

Jun 29, 2006

Sex

Male

Sole proprietor

No

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

Specialties & licenses 2

Addresses

Other identifiers 1

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

Specialty

AnesthesiologyAlso: Pain Management

Education

At Still University of Health Sciences, College of Osteo Med, Kirksville, 2002

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Telehealth

Offers telehealth services

Group practices

Arizona Pain Care Center PLLCGroup PAC ID 5496018921, 12 clinicians

Practice addresses (Care Compare)

Hospital & facility affiliations

• Oro Valley Hospital Hospital, Oro Valley, AZ, CCN 030114

Merit-based Incentive Payment System (MIPS)

Final score

89.65 of 100Reported as individual

Quality

95

Promoting interoperability

95

Improvement activities

40

Cost

74.67

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Osteopathy

State licenses

Practice roles

Locations

Interoperability endpoints

• Direct secure messaging: sapatel@ovpm.streamlinemddirect.com
• FHIR API: https://fhir4.healow.com/fhir/r4/BGEIBD

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.

• Arizona Pain Care Center, PLLC

  • Pain Medicine Physician
  • Oro Valley, AZ
  • NPI 1396246013
  Medicare reassignment Care Compare group NPD Authorized official
• Valley Anesthesiology Consultants, Inc.

  • Anesthesiology Physician
  • Phoenix, AZ
  • NPI 1285660704
  Medicare reassignment NPD
• Arizona Pain Care Associates LLC

  • Interventional Pain Medicine Physician
  • Oro Valley, AZ
  • NPI 1417253972
  NPD (past)

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

• Oro Valley Hospital LLC

  • General Acute Care Hospital
  • Oro Valley, AZ
  • NPI 1386697688
  Care Compare affiliation

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

{
    "created_epoch": "1151539200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1550188800000",
    "number": "1184652125",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "12480 N RANCHO VISTOSO BLVD",
            "address_2": "STE 180",
            "city": "ORO VALLEY",
            "state": "AZ",
            "postal_code": "857551994",
            "telephone_number": "520-742-4008"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "12480 N RANCHO VISTOSO BLVD",
            "address_2": "STE 180",
            "city": "ORO VALLEY",
            "state": "AZ",
            "postal_code": "857551994",
            "telephone_number": "520-742-4008"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PATEL",
        "first_name": "SAMIR",
        "middle_name": "PURUSOTTAM",
        "name_prefix": "Dr.",
        "credential": "D.O.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-06-29",
        "last_updated": "2019-02-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207L00000X",
            "taxonomy_group": "",
            "desc": "Anesthesiology",
            "state": "FL",
            "license": "OS 9750",
            "primary": false
        },
        {
            "code": "207LP2900X",
            "taxonomy_group": "",
            "desc": "Anesthesiology, Pain Medicine",
            "state": "AZ",
            "license": "4425",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "275925000",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Sabina Pascaru
• Nycole Pataki, PT, DPT
• Amber Elizabeth Pate-Mozroll, PHARMD
• Achit B Patel, DO
• Himali Patel, DMD
• Tejaskumar B Patel, MD
• Brandy C Patterson, LMT
• Edith Jolene Patterson, R.PH.
• Christopher Robert Paugh-Lawrence, CRNA
• Taylor Allen Pechauer, DPT

• Pain Medicine (Anesthesiology) Physician in Oro Valley, AZ
• Providers in Oro Valley, AZ by specialty
• Pain Medicine (Anesthesiology) Physician in Arizona

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 15, 2019; 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.

Verify at the official NPI Registry.