Individual provider Active NPI

Rajul I Patel, MD

  • Cardiovascular Disease Physician
  • Glendale, AZ
National Provider Identifier
1225024318
Registry record updated Aug 17, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Cardiovascular Disease PhysicianTaxonomy code 207RC0000X
License
21576 Issued in AZ
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

Updated by the provider on Aug 17, 2021

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
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

IdentifierTypeStateIssuer
21576OtherAZAZ MEDICAL LICENSE
136475MedicaidAZ

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
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20080228000447 AZ Practitioner - Cardiovascular Disease (Cardiology) 7214011246 Reassigns benefits to 2 organizations

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 PLLCGroup PAC ID 7113906421, shared by 2 NPIs, 21 clinicians

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 100Reported as group

Procedures performed for Medicare patients

ProcedureNumber 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

LicenseStateTypeSpecialty
21576AZMDInterventional Cardiology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Phoenix Heart, PLLC Cardiovascular Disease CurrentSince Oct 1, 2002 Accepting new patients
Phoenix Heart, PLLC CurrentSince Oct 1, 2002 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 PastSince May 1, 2021 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

  • Direct secure messaging: rajul.patel.1@24503.direct.athenahealth.com
  • Direct secure messaging: rajul.patel.1@24502.direct.athenahealth.com
  • FHIR API: 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.

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": "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

Verify at the official NPI Registry.