Active NPI
Rajul I Patel, MD
- Cardiovascular Disease Physician
- Glendale, AZ
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Cardiovascular Disease Physician
- License
- 21576
- Practice address
- 5859 W Talavi Blvd
Suite 100
Glendale, AZ 85306-1869 - Phone
- (602) 298-7777
- Fax
- (623) 930-6060
- NPI assigned
- Sep 23, 2005
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Interventional Cardiology Physician | 207RI0011X | 21576 | AZ | |
| Cardiovascular Disease Physician | 207RC0000X | 21576 | AZ | Primary |
Addresses
Primary practice location
5859 W Talavi Blvd
Suite 100
Glendale, AZ 85306-1869
Mailing address
PO Box 52886
Phoenix, AZ 85072
Phone (602) 298-7777
Other identifiers 2
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 21576 | Other | AZ | AZ MEDICAL LICENSE |
| 136475 | 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
Care Compare profile
Medicare Care Compare- Specialty
- Cardiovascular Disease (Cardiology)
- Education
- Other, 1985
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
- Phoenix Heart PLLC
Practice addresses (Care Compare)
5859 W Talavi Blvd
Suite 100
Glendale, AZ 85306-1870
Hospital & facility affiliations
Merit-based Incentive Payment System (MIPS)
- Final score
- 75 of 100
Procedures performed for Medicare patients
| Procedure | Number of procedures |
|---|---|
| Leg revascularization (restoring blood flow) | 1-10 |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 21576 | AZ | MD | Interventional Cardiology Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Phoenix Heart, PLLC | Cardiovascular Disease | Current | Accepting new patients |
| Phoenix Heart, PLLC | Current | Accepting new patients | |
| VHS of Phoenix Inc | Cardiovascular Disease | Past | Accepting new patients |
| VHS of Arrowhead Inc | Cardiovascular Disease | Past | Accepting new patients |
| Phoenix Heart Ambulatory Surgery and Electrophysiology, LLC | Cardiovascular Disease | Past | Accepting new patients |
| Anesthesia Partners & Management LLC | Past | Accepting new patients |
Locations
13028 W Rancho Santa Fe Blvd
#A
Avondale, AZ 85392
10320 W McDowell Rd
Ste N1445
Avondale, AZ 85392
Phone (623) 547-2100
13055 W McDowell Rd
Ste E101
Avondale, AZ 85392
Phone (480) 515-0900
19251 E Oasis Dr
Black Cyn Cty, AZ 85324
Phone (602) 298-7777
525 S Watson Rd
Ste 205
Buckeye, AZ 85326
Phone (623) 344-0498
5859 W Talavi Blvd
Ste 100
Glendale, AZ 85306
Phone (602) 298-7777
140 N Litchfield Rd
Ste 104
Goodyear, AZ 85338
Phone (480) 478-0444
7205 S 51st Ave
Ste 103
Laveen, AZ 85339
20542 N Lake Pleasant Rd
Ste 105
Peoria, AZ 85382
Phone (602) 753-2700
41818 N Venture Dr
Ste 110
Phoenix, AZ 85086
Phone (602) 298-7777
2222 E Highland Ave
Ste 225
Phoenix, AZ 85016
Phone (602) 298-7777
10293 N 92nd St
Scottsdale, AZ 85258
Phone (480) 227-8383
Interoperability endpoints
- rajul.patel.1@24503.direct.athenahealth.com
- rajul.patel.1@24502.direct.athenahealth.com
- https://api.platform.athenahealth.com/24502/brand/1/csg/1/fhir/r4
Organizations & group practices 6
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.
-
- Cardiac Rehabilitation Registered Nurse
- Glendale, AZ
- NPI 1578396982
-
- Cardiovascular Disease Physician
- Glendale, AZ
- NPI 1679608095
-
dba PHASE Surgery Center
- Ambulatory Surgical Clinic/Center
- Glendale, AZ
- NPI 1760064885
Cardiovascular Disease
-
dba Abrazo Arrowhead Campus
- Cardiovascular Disease Physician
- Glendale, AZ
- NPI 1326231903
-
dba Abrazo Central Campus
- Cardiovascular Disease Physician
- Phoenix, AZ
- NPI 1659565927
-
dba Arizona Anesthesia Solutions
- Certified Registered Nurse Anesthetist
- Brighton, MI
- NPI 1336530997
Hospital & facility affiliations 1
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- General Acute Care Hospital
- Glendale, AZ
- NPI 1154355188
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1127433600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1629158400000",
"number": "1225024318",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 52886",
"city": "PHOENIX",
"state": "AZ",
"postal_code": "85072",
"telephone_number": "602-298-7777",
"fax_number": "623-930-6060"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "5859 W TALAVI BLVD",
"address_2": "SUITE 100",
"city": "GLENDALE",
"state": "AZ",
"postal_code": "853061869",
"telephone_number": "602-298-7777",
"fax_number": "623-930-6060"
}
],
"practiceLocations": [],
"basic": {
"last_name": "PATEL",
"first_name": "RAJUL",
"middle_name": "I",
"credential": "MD",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2005-09-23",
"last_updated": "2021-08-17",
"certification_date": "2021-08-17",
"status": "A"
},
"taxonomies": [
{
"code": "207RI0011X",
"taxonomy_group": "",
"desc": "Internal Medicine, Interventional Cardiology",
"state": "AZ",
"license": "21576",
"primary": false
},
{
"code": "207RC0000X",
"taxonomy_group": "",
"desc": "Internal Medicine, Cardiovascular Disease",
"state": "AZ",
"license": "21576",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "AZ MEDICAL LICENSE",
"identifier": "21576",
"state": "AZ"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "136475",
"state": "AZ"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Glendale, AZ
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 17, 2021; 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.