Kelli Raynell Favata, M.D.

Primary specialty

Vascular Specialist/Technologist CardiovascularTaxonomy code 246XC2903X

License

45344 Issued in AZ

Practice address

3530 S Val Vista Dr Ste B210
Gilbert, AZ 85297-7318

Phone

(800) 991-6117

NPI assigned

Jul 10, 2007

Sex

Female

Sole proprietor

No

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

Specialties & licenses 3

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

Internal Medicine

Education

Other, 2007

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Arizona Uvc Medical PLLC 12 clinicians

Practice addresses (Care Compare)

Procedures performed for Medicare patients

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

Practice roles

Locations

Interoperability endpoints

• Direct secure messaging: kelli.favata@uvvc.eclinicaldirectplus.com

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 Uvc Medical PLLC

  • Vascular Surgery Physician
  • Phoenix, AZ
  • NPI 1548800980

  AZ, Vascular Surgery

  Medicare reassignment Care Compare group NPD
• Advanced Minimally Invasive Surgical

  • Surgery Physician
  • Phoenix, AZ
  • NPI 1295056919

  AZ

  Medicare reassignment NPD
• Center for Vein Restoration Az LLC

  • Surgery Physician
  • Mesa, AZ
  • NPI 1215411970

  AZ

  Medicare reassignment NPD
• Hope Diabetes Center, LLC

  • Internal Medicine Physician
  • Mesa, AZ
  • NPI 1104865757

  AZ, Internal Medicine

  Medicare reassignment NPD
• Michael F Esber DPM PC

  • Foot Surgery Podiatrist
  • Sun City West, AZ
  • NPI 1902907504

  AZ, Vascular Surgery

  Medicare reassignment NPD
• Pulse Cardiovascular Institute LLC

  • Multi-Specialty Clinic/Center
  • Scottsdale, AZ
  • NPI 1730675547

  AZ, Vascular Surgery

  Medicare reassignment NPD
• Pulse Cardiovascular Interventions LLC

  • Ambulatory Surgical Clinic/Center
  • Scottsdale, AZ
  • NPI 1821584632

  AZ

  Medicare reassignment NPD
• Maria Gonzalez Berlari, MD LLC

  • Family Medicine Physician
  • Phoenix, AZ
  • NPI 1699025981

  AZ

  Medicare reassignment
• Advanced Minimally Invasive Surgical

  • Podiatrist
  • Sun City West, AZ
  • NPI 1992486138
  NPD
• Center for Vein Restoration Az LLC

  • Thoracic Surgery (Cardiothoracic Vascular Surgery) Physician
  • Gilbert, AZ
  • NPI 1669340964
  NPD
• New Vida Medical LLC

  • Clinic/Center
  • Mesa, AZ
  • NPI 1508689274
  NPD (past)
• Milagro Vein Solutions LLC

  • Vascular Surgery Physician
  • Santa Fe, NM
  • NPI 1396799110

  Vascular Surgery

  NPD (past)

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

{
    "created_epoch": "1184025600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1739577600000",
    "number": "1184822348",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3820 NORTHDALE BLVD STE 201",
            "city": "TAMPA",
            "state": "FL",
            "postal_code": "336241893",
            "telephone_number": "800-911-6117"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3530 S VAL VISTA DR STE B210",
            "city": "GILBERT",
            "state": "AZ",
            "postal_code": "852977318",
            "telephone_number": "800-991-6117"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "FAVATA",
        "first_name": "KELLI",
        "middle_name": "RAYNELL",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-07-10",
        "last_updated": "2025-02-15",
        "certification_date": "2025-02-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "SC",
            "license": "30177",
            "primary": false
        },
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "AZ",
            "license": "45344",
            "primary": false
        },
        {
            "code": "246XC2903X",
            "taxonomy_group": "",
            "desc": "Specialist/Technologist Cardiovascular, Vascular Specialist",
            "state": "AZ",
            "license": "45344",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "654974",
            "state": "AZ"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Fastmed Urgent Care
• Fastngo Transportation
• Sonia Fatahi
• Janine Patrice Faux
• Regina Fauzey
• Fawzi Kayali
• Jennifer Fay
• Angela Fears, LMT
• Britani Janet Febbie, OTA
• Federal Injury Clinics of Arizona, LLC

• All providers in Gilbert, AZ
• Vascular Specialist/Technologist Cardiovascular in Arizona

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 15, 2025; 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.