Individual provider Active NPI

Kirit N Patel, MD

  • Internal Medicine Physician
  • Mesa, AZ
National Provider Identifier
1265497218
Registry record updated Aug 1, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
License
26495 Issued in AZ
Practice address
6828 E Brown Rd Ste 102
Mesa, AZ 85207-3761
Phone
(480) 981-8650
Fax
(480) 981-1563
NPI assigned
Apr 20, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 1, 2008

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine Physician 207R00000X 26495 AZ Primary

Addresses

Primary practice location

6828 E Brown Rd Ste 102
Mesa, AZ 85207-3761

Mailing address

6828 E Brown Rd Ste 102
Mesa, AZ 85207-3761
Phone (480) 981-8650

Other identifiers 3

IdentifierTypeStateIssuer
482464MedicaidAZ
AZ0898020OtherAZBCBS
1Z8564OtherHEALTHNET

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
I20110503000397 AZ Practitioner - Internal MedicinePractitioner - Pediatric Medicine 3274534532

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
26495AZMDInternal Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Kirit N Patel MDPC Internal Medicine PastSince Jun 10, 2003 Accepting new patients
Summit Medical Group Arizona LLC Internal Medicine PastSince Dec 15, 2025 Accepting new patients

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1145491200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1217548800000",
    "number": "1265497218",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6828 E BROWN RD STE 102",
            "city": "MESA",
            "state": "AZ",
            "postal_code": "852073761",
            "telephone_number": "480-981-8650",
            "fax_number": "480-981-1563"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6828 E BROWN RD STE 102",
            "city": "MESA",
            "state": "AZ",
            "postal_code": "852073761",
            "telephone_number": "480-981-8650",
            "fax_number": "480-981-1563"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PATEL",
        "first_name": "KIRIT",
        "middle_name": "N",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-04-20",
        "last_updated": "2008-08-01",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "AZ",
            "license": "26495",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "482464",
            "state": "AZ"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS",
            "identifier": "AZ0898020",
            "state": "AZ"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "HEALTHNET",
            "identifier": "1Z8564",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Mesa, AZ

Sources for this page

Verify at the official NPI Registry.