Individual provider Active NPI

Kinjal Patel, FNP

  • Family Nurse Practitioner
  • Gilbert, AZ
National Provider Identifier
1346077815
Registry record updated Sep 18, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
313751 Issued in AZ
Practice address
5249 S Red Rock St
Gilbert, AZ 85298-0733
Phone
(551) 666-9992
NPI assigned
Sep 18, 2024
Last updated
Sep 18, 2024By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Sep 18, 2024

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse Practitioner 363LF0000X 313751 AZ Primary

Addresses

Primary practice location

5249 S Red Rock St
Gilbert, AZ 85298-0733

Mailing address

5249 S Red Rock St
Gilbert, AZ 85298-0733
Phone (551) 666-9992

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: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20250214002787 AZ Practitioner - Nurse Practitioner 5799215018 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2025
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Rajiv Siddaramu MD PLLCGroup PAC ID 9638480593, 10 clinicians

Practice addresses (Care Compare)

4742 N 24TH St
Suite 300
Phoenix, AZ 85016-9107
Phone (918) 977-1830

Hospital & facility affiliations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Rajiv Siddaramu MD PLLC CurrentSince Feb 6, 2025 Accepting new patients

Locations

3219 E Camelback Rd
Phoenix, AZ 85018
Phone (480) 561-6185

4742 N 24th St
Ste 300
Phoenix, AZ 85016
Phone (480) 522-2046

436 E Southern Ave
Tempe, AZ 85282
Phone (480) 336-2039

Organizations & group practices 1

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": "1726617600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1726617600000",
    "number": "1346077815",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5249 S RED ROCK ST",
            "city": "GILBERT",
            "state": "AZ",
            "postal_code": "852980733",
            "telephone_number": "551-666-9992"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5249 S RED ROCK ST",
            "city": "GILBERT",
            "state": "AZ",
            "postal_code": "852980733",
            "telephone_number": "551-666-9992"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PATEL",
        "first_name": "KINJAL",
        "credential": "FNP",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2024-09-18",
        "last_updated": "2024-09-18",
        "certification_date": "2024-09-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "AZ",
            "license": "313751",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Gilbert, AZ

Sources for this page

Verify at the official NPI Registry.