Individual provider Active NPI

Meenal V Patel, M.D.

  • Infectious Disease Physician
  • Glendale, AZ
National Provider Identifier
1184706384
Registry record updated Jun 13, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Infectious Disease PhysicianTaxonomy code 207RI0200X
License
32504 Issued in AZ
Practice address
4410 W Union Hills Dr # 7-280
Glendale, AZ 85308-1660
Phone
(623) 974-6611
NPI assigned
Oct 19, 2006
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 13, 2024

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Infectious Disease Physician 207RI0200X 32504 AZ Primary
Infectious Disease Physician 207RI0200X MC-230 GU

Addresses

Primary practice location

4410 W Union Hills Dr # 7-280
Glendale, AZ 85308-1660

Mailing address

4410 W Union Hills Dr # 7-280
Glendale, AZ 85308-1660
Phone (623) 974-6611

Other identifiers 3

IdentifierTypeStateIssuer
1891831228OtherAZGROUP NPI
906620MedicaidAZ
AZ0763740OtherAZBLUE CROSS/SHIELD ID

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in AZ, GU2 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
I20040715001133 AZ Practitioner - Infectious DiseasePractitioner - Internal Medicine 6901884188 Reassigns benefits to 1 organization
I20240701001774 GU Practitioner - Infectious Disease 6901884188 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Infectious Disease
Education
Other, 1999
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices

Practice addresses (Care Compare)

133 Route 3
Dededo, GU 96929-6911
Phone (671) 645-5500

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
94.65 of 100Reported as group
Quality
86.26
Promoting interoperability
100
Improvement activities
40
Cost
74.31

Merit-based Incentive Payment System (MIPS)

Final score
79.22 of 100Reported as group
Quality
78.84
Improvement activities
40
Cost
61.61

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
32504AZMDInfectious Disease Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Arizona Infectious Disease PLLC Infectious Disease CurrentSince Jul 1, 2021 Accepting new patients
Guam Healthcare Development Incorporated CurrentSince Jun 27, 2024 Accepting new patients
Arizona Valley Infectious Diseases PLC Infectious Disease PastSince Apr 26, 2020 Accepting new patients

Locations

5601 W Eugie Ave
Ste 204
Glendale, AZ 85304
Phone (623) 244-0050

1951 Mesquite Ave
Ste I
Lk Havasu Cty, AZ 86403
Phone (928) 208-4300

2899 N 87th St
Ste 110
Scottsdale, AZ 85257
Phone (480) 582-3700

133 Route 3
Dededo, GU 96929
Phone (671) 645-5500

Interoperability endpoints

  • FHIR API: https://api.platform.athenahealth.com/24976/brand/1/csg/1/fhir/r4

Organizations & group practices 3

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.

NPI Registry JSON

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

{
    "created_epoch": "1161216000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1718236800000",
    "number": "1184706384",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4410 W UNION HILLS DR # 7-280",
            "city": "GLENDALE",
            "state": "AZ",
            "postal_code": "853081660",
            "telephone_number": "623-974-6611"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4410 W UNION HILLS DR # 7-280",
            "city": "GLENDALE",
            "state": "AZ",
            "postal_code": "853081660",
            "telephone_number": "623-974-6611"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PATEL",
        "first_name": "MEENAL",
        "middle_name": "V",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-10-19",
        "last_updated": "2024-06-13",
        "certification_date": "2024-06-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207RI0200X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Infectious Disease",
            "state": "AZ",
            "license": "32504",
            "primary": true
        },
        {
            "code": "207RI0200X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Infectious Disease",
            "state": "GU",
            "license": "MC-230",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "GROUP NPI",
            "identifier": "1891831228",
            "state": "AZ"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "906620",
            "state": "AZ"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE CROSS/SHIELD ID",
            "identifier": "AZ0763740",
            "state": "AZ"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Glendale, AZ

Sources for this page

Verify at the official NPI Registry.