Individual provider Active NPI

Nirav Y Patel, MD

  • Trauma Surgery Physician
  • Phoenix, AZ
National Provider Identifier
1215939566
Registry record updated Nov 20, 2017
On this page

Key facts

NPPES NPI Registry
Primary specialty
Trauma Surgery PhysicianTaxonomy code 2086S0127X
License
45334 Issued in AZ
Practice address
1441 N 12TH St FL 1
Phoenix, AZ 85006-2837
Phone
(608) 385-1303
NPI assigned
Jun 1, 2005
Last updated
Nov 20, 2017By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Nov 20, 2017

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Trauma Surgery Physician 2086S0127X 45334 AZ Primary

Addresses

Primary practice location

1441 N 12TH St FL 1
Phoenix, AZ 85006-2837

Mailing address

1836 South Ave
La Crosse, WI 54601-5429
Phone (608) 782-7300

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in AZ, CO, WY3 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 3

Enrollment IDStateProvider typePAC IDDetails
I20111202000694 AZ Practitioner - Other (Physician)Practitioner - General Surgery 9537292693 Reassigns benefits to 3 organizations
I20200204000350 CO Practitioner - General Surgery 9537292693 Reassigns benefits to 1 organization
I20220118002508 WY Practitioner - General Surgery 9537292693 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Undefined Physician Type (Specify)
Education
University of Wisconsin School of Medicine, 1992
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices

Practice addresses (Care Compare)

1111 E McDowell Rd
Phoenix, AZ 85006-2612
Phone (602) 839-2000

1300 N 12TH St
Suite 508
Phoenix, AZ 85006-2849
Phone (602) 839-3927

Hospital & facility affiliations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled
HHS exclusion list flag
CMS’s directory marks this NPI as on an HHS exclusion list; no matching OIG record was found. The OIG exclusions file (LEIE) holds no record for this NPI, and the directory does not say which list the flag comes from. How exclusions are shown Confirm with the OIG exclusions search.
Credentials
Doctor of Medicine

Practice roles

OrganizationSpecialtyStatusNew patients
Banner Health Physicians West LLC CurrentSince Nov 1, 2023 Accepting new patients
Banner Health Physicians Colorado LLC Current Accepting new patients
Banner Health Physicians West LLC CurrentSince Nov 1, 2023 Accepting new patients
Banner - University Physician Specialists LLC CurrentSince Jan 1, 2016 Accepting new patients
Banner Health Physicians Colorado LLC CurrentSince Dec 18, 2019 Accepting new patients
Banner Physician Specialists Arizona LLC CurrentSince Apr 3, 2024 Accepting new patients
Banner Physician Specialists Arizona LLC CurrentSince Apr 3, 2024 Accepting new patients
Banner - University Physician Specialists LLC CurrentSince Jan 1, 2016 Accepting new patients
Banner - University Hospital Based Physicians LLC CurrentSince Sep 13, 2023 Accepting new patients
Banner - University Hospital Based Physicians LLC CurrentSince Sep 13, 2023 Accepting new patients
Banner Health Physicians Colorado LLC CurrentSince Dec 18, 2019 Accepting new patients
Banner - University Medical Center Phoenix Past Accepting new patients

Locations

5757 W Thunderbird Rd
Ste E151
Glendale, AZ 85306
Phone (602) 843-3811

120 E Main St
Ste A
Payson, AZ 85541
Phone (928) 474-9744

1111 E McDowell Rd
Phoenix, AZ 85006
Phone (602) 239-2000

1300 N 12th St
Ste 320
Phoenix, AZ 85006
Phone (602) 521-3050

1300 N 12th St
Ste 508
Phoenix, AZ 85006
Phone (602) 839-3927

1300 N 12th St
Ste 512
Phoenix, AZ 85006
Phone (602) 258-1519

1441 N 12th St
Fl 1
Phoenix, AZ 85006
Phone (602) 521-5968

1441 N 12th St
Fl 3
Phoenix, AZ 85006
Phone (602) 521-5700

9201 W Thomas Rd
Phoenix, AZ 85037
Phone (623) 327-4000

925 E McDowell Rd
Phoenix, AZ 85006
Phone (602) 239-4498

925 E McDowell Rd
Fl 3
Phoenix, AZ 85006
Phone (602) 839-5895

1800 15th St
Ste 200
Greeley, CO 80631
Phone (970) 348-0020

1801 16th St
Greeley, CO 80631
Phone (970) 352-4121

1801 16th St
Ste C2B
Greeley, CO 80631
Phone (970) 810-4121

1020 S Conwell St
Casper, WY 82601
Phone (307) 265-3622

1233 E 2nd St
Casper, WY 82601
Phone (307) 577-2171

1106 Big Horn Ave
Worland, WY 82401
Phone (307) 347-3221

Organizations & group practices 13

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

View all 13

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": "1117584000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1511136000000",
    "number": "1215939566",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1836 SOUTH AVE",
            "city": "LA CROSSE",
            "state": "WI",
            "postal_code": "546015429",
            "telephone_number": "608-782-7300"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1441 N 12TH ST FL 1",
            "city": "PHOENIX",
            "state": "AZ",
            "postal_code": "850062837",
            "telephone_number": "608-385-1303"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PATEL",
        "first_name": "NIRAV",
        "middle_name": "Y",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2005-06-01",
        "last_updated": "2017-11-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2086S0127X",
            "taxonomy_group": "",
            "desc": "Surgery, Trauma Surgery",
            "state": "AZ",
            "license": "45334",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Phoenix, AZ

Sources for this page

Verify at the official NPI Registry.