Active NPI
Shantilal D Patel, M.D.
- Internal Medicine Physician
- Sun City, AZ
National Provider Identifier
1316941248
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Internal Medicine Physician
- License
- 26577
- Practice address
- 13041 N. del Webb Blvd
Sun City, AZ 85351 - Phone
- (623) 977-7201
- Fax
- (623) 876-2318
- NPI assigned
- Jun 9, 2005
- Last updated
- Jan 29, 2014
- Sex
- Male
- 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 |
|---|---|---|---|---|
| Internal Medicine Physician | 207R00000X | 26577 | AZ | Primary |
Addresses
Primary practice location
13041 N. del Webb Blvd
Sun City, AZ 85351
Mailing address
25500 N. Norterra Parkway
BLDG. B
Phoeniz, AZ 85085
Phone (623) 277-1000
Other names 1
- Shantilal D Patel
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 26577 | AZ | MD | Internal Medicine Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Sun Health Corporation | Past | Accepting new patients | |
| Shantilal D Patel MD PLLC | Internal Medicine | Past | Accepting new patients |
Organizations & group practices 2
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.
-
- Internal Medicine Physician
- Sun City, AZ
- NPI 1649460882
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- Clinic/Center
- Sun City, AZ
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NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1118275200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1390953600000",
"number": "1316941248",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "25500 N. NORTERRA PARKWAY",
"address_2": "BLDG. B",
"city": "PHOENIZ",
"state": "AZ",
"postal_code": "85085",
"telephone_number": "623-277-1000",
"fax_number": "623-815-2699"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "13041 N. DEL WEBB BLVD",
"city": "SUN CITY",
"state": "AZ",
"postal_code": "85351",
"telephone_number": "623-977-7201",
"fax_number": "623-876-2318"
}
],
"practiceLocations": [],
"basic": {
"last_name": "PATEL",
"first_name": "SHANTILAL",
"middle_name": "D",
"credential": "M.D.",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2005-06-09",
"last_updated": "2014-01-29",
"status": "A"
},
"taxonomies": [
{
"code": "207R00000X",
"taxonomy_group": "",
"desc": "Internal Medicine",
"state": "AZ",
"license": "26577",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"first_name": "SHANTILAL",
"last_name": "PATEL",
"middle_name": "D",
"credential": "M.D.",
"code": "2",
"type": "Professional Name"
}
]
}
Other providers in Sun City, AZ
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 29, 2014; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.