Individual provider Active NPI

Achal Patel, M.D.

  • Ophthalmology Physician
  • Phoenix, AZ
National Provider Identifier
1306282389
Registry record updated Nov 2, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Ophthalmology PhysicianTaxonomy code 207W00000X
License
55634 Issued in AZ
Practice address
15600 N Black Canyon Hwy # C-102
Phoenix, AZ 85053-4055
Phone
(623) 232-2762
NPI assigned
May 16, 2013
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Nov 2, 2020

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine Physician 207R00000X R73779 AZ
Ophthalmology Physician 207W00000X A148268 CA
Ophthalmology Physician 207W00000X 55634 AZ Primary

Addresses

Primary practice location

15600 N Black Canyon Hwy # C-102
Phoenix, AZ 85053-4055

Mailing address

15600 N Black Canyon Hwy
# C-102
Phoenix, AZ 85053-4055
Phone (623) 232-2762

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
I20180615001634 AZ Practitioner - Ophthalmology 5193095966 Reassigns benefits to 3 organizations

Care Compare profile

Medicare Care Compare
Specialty
Ophthalmology
Education
Boston University School of Medicine, 2013
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Phoenician Eye SpecialistsGroup PAC ID 8224455662, 2 clinicians

Practice addresses (Care Compare)

15600 N Black Canyon Hwy
C 102
Phoenix, AZ 85053-4055

Merit-based Incentive Payment System (MIPS)

Final score
92.65 of 100Reported as group
Quality
98.47
Improvement activities
40
Cost
77.53

Merit-based Incentive Payment System (MIPS)

Final score
75 of 100Reported as individual

Procedures performed for Medicare patients

ProcedureNumber of procedures
Cataract surgery258

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
R73779AZMDInternal Medicine Physician
55634AZMDOphthalmology Physician
A148268CAMDOphthalmology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Brandon Suedekum MD, PC Ophthalmology CurrentSince Jul 1, 2022 Accepting new patients
Phoenician Eye Specialists CurrentSince Jul 29, 2020 Accepting new patients
Cornea & Cataract Consultants of Arizona PC Ophthalmology CurrentSince Aug 1, 2018 Accepting new patients
Pain Centers Nationwide, PC Past Accepting new patients

Locations

1100 S Dobson Rd
Ste 120
Chandler, AZ 85286
Phone (480) 336-2085

1100 S Dobson Rd
Ste 120
Mesa, AZ 85202

9185 W Thunderbird Rd
Peoria, AZ 85381

3815 E Bell Rd
Ste 2500
Phoenix, AZ 85032
Phone (602) 258-4321

15600 N Black Canyon Hwy
Ste C102
Phoenix, AZ 85053
Phone (602) 661-7006

15600 N Black Canyon Hwy
#C102
Phoenix, AZ 85053
Phone (623) 232-2762

14256 N Northsight Blvd
Ste 120
Scottsdale, AZ 85260
Phone (480) 212-1185

21803 N Scottsdale Rd
Ste 290
Scottsdale, AZ 85255
Phone (602) 258-4321

15033 W Bell Rd
Ste 150
Surprise, AZ 85374
Phone (623) 232-2762

Interoperability endpoints

  • FHIR API: https://fhir4.healow.com/fhir/r4/AEEGCA

Organizations & group practices 4

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.

NPI Registry JSON

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

{
    "created_epoch": "1368662400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1604275200000",
    "number": "1306282389",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "15600 N BLACK CANYON HWY",
            "address_2": "# C-102",
            "city": "PHOENIX",
            "state": "AZ",
            "postal_code": "850534055",
            "telephone_number": "623-232-2762"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "15600 N BLACK CANYON HWY # C-102",
            "city": "PHOENIX",
            "state": "AZ",
            "postal_code": "850534055",
            "telephone_number": "623-232-2762"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PATEL",
        "first_name": "ACHAL",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2013-05-16",
        "last_updated": "2020-11-02",
        "certification_date": "2020-11-02",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "AZ",
            "license": "R73779",
            "primary": false
        },
        {
            "code": "207W00000X",
            "taxonomy_group": "",
            "desc": "Ophthalmology",
            "state": "CA",
            "license": "A148268",
            "primary": false
        },
        {
            "code": "207W00000X",
            "taxonomy_group": "",
            "desc": "Ophthalmology",
            "state": "AZ",
            "license": "55634",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Phoenix, AZ

Sources for this page

Verify at the official NPI Registry.