Active NPI
Dipika Patel-Boolani, MD
- Rheumatology Physician
- Phoenix, AZ
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Rheumatology Physician
- License
- 2011025940
- Practice address
- 2375 E Camelback Rd Ste 600
Phoenix, AZ 85016-3493 - Phone
- (602) 551-8052
- Fax
- (602) 428-7025
- NPI assigned
- May 3, 2007
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Rheumatology Physician | 207RR0500X | 2011025940 | MO | Primary |
Addresses
Primary practice location
2375 E Camelback Rd Ste 600
Phoenix, AZ 85016-3493
Mailing address
4330 Wornall Rd
Suite 40
Kansas City, MO 64111-3201
Phone (816) 531-0930
Other practice location 1
4330 Wornall Rd
Suite 40
Kansas City, MO 64111-3201
Phone (816) 531-0930
Other identifiers 2
| Identifier | Type | State | Issuer |
|---|---|---|---|
| CDR.0004076 | Other | CO | STATE LICENSE |
| 2011025940 | Other | MO | STATE LICENSE |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in AZ, CO
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
Enrollment records 2
Care Compare profile
Medicare Care Compare- Specialty
- Rheumatology
- Education
- University of Missouri, Columbia School of Medicine, 2004
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Telehealth
- Offers telehealth services
- Group practices
Practice addresses (Care Compare)
1830 Blake Ave
Suite 207
Glenwood Springs, CO 81601-4261
Phone (602) 387-4035
2375 E Camelback Rd
Suite 600
Phoenix, AZ 85016-3493
Phone (602) 387-4035
Hospital & facility affiliations
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Einfectionmd PC | Rheumatology | Current | Accepting new patients |
| Saint Luke'S Physician Partners, Inc. | Past | Accepting new patients | |
| Michael P Lewko MD LLC | Rheumatology | Past | Accepting new patients |
Locations
3048 E Baseline Rd
Ste 208A
Mesa, AZ 85204
4120 N 108th Ave
Ste 116
Phoenix, AZ 85037
Phone (602) 881-5430
2375 E Camelback Rd
Ste 600
Phoenix, AZ 85016
Phone (602) 341-5248
1906 Blake Ave
Glenwood Springs, CO 81601
Phone (970) 384-7033
1830 Blake Ave
Ste 207
Glenwood Springs, CO 81601
Phone (602) 387-4035
Interoperability endpoints
- dipika.patel.1@18595.direct.athenahealth.com
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 and National Provider Directory roles.
-
- Rheumatology Physician
- Clifton, NJ
- NPI 1154333979
-
- Geriatric Medicine (Internal Medicine) Physician
- Kansas City, MO
- NPI 1336461276
Hospital & facility affiliations 7
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- Critical Access Hospital
- Aspen, CO
- NPI 1518960814
-
- Durable Medical Equipment & Medical Supplies
- Aspen, CO
- NPI 1942357363
Hospital
-
- Critical Access Hospital
- Rifle, CO
- NPI 1649218991
-
- Ambulatory Surgical Clinic/Center
- Basalt, CO
- NPI 1649885849
Hospital
-
- General Acute Care Hospital
- Glenwood Springs, CO
- NPI 1982668133
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1178150400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1722988800000",
"number": "1316159544",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "4330 WORNALL RD",
"address_2": "SUITE 40",
"city": "KANSAS CITY",
"state": "MO",
"postal_code": "641113201",
"telephone_number": "816-531-0930"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2375 E CAMELBACK RD STE 600",
"city": "PHOENIX",
"state": "AZ",
"postal_code": "850163493",
"telephone_number": "602-551-8052",
"fax_number": "602-428-7025"
}
],
"practiceLocations": [
{
"address_1": "4330 Wornall Rd",
"address_2": "Suite 40",
"address_purpose": "LOCATION",
"city": "Kansas City",
"state": "MO",
"postal_code": "641113201",
"country_code": "US",
"telephone_number": "816-531-0930",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "PATEL-BOOLANI",
"first_name": "DIPIKA",
"credential": "MD",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2007-05-03",
"last_updated": "2024-08-07",
"certification_date": "2024-08-07",
"status": "A"
},
"taxonomies": [
{
"code": "207RR0500X",
"taxonomy_group": "",
"desc": "Internal Medicine, Rheumatology",
"state": "MO",
"license": "2011025940",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "STATE LICENSE",
"identifier": "CDR.0004076",
"state": "CO"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "STATE LICENSE",
"identifier": "2011025940",
"state": "MO"
}
],
"endpoints": [],
"other_names": []
}Other providers in Phoenix, AZ
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 7, 2024; 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.