Active NPI
Patrick Leroy Flyte, M.D.
- Family Medicine Physician
- Gilbert, AZ
National Provider Identifier
1346260833
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Medicine Physician
- License
- 31870
- Practice address
- 652 E. Warner Rd.
Suite 107
Gilbert, AZ 85296-3073 - Phone
- (480) 539-8680
- Fax
- (480) 539-1763
- NPI assigned
- Jul 20, 2006
- Sex
- Male
- Sole proprietor
- No
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 |
|---|---|---|---|---|
| Family Medicine Physician | 207Q00000X | 31870 | AZ | Primary |
Addresses
Primary practice location
652 E. Warner Rd.
Suite 107
Gilbert, AZ 85296-3073
Mailing address
652 E. Warner Rd.
Suite 107
Gilbert, AZ 85296-3073
Phone (480) 539-8680
Other identifiers 2
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 845026 | Medicaid | AZ | |
| Z159227 | Other | AZ | PTAN |
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
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Harvest Medical Clinic | Family Medicine | Past | Accepting new patients |
| Diduro Chiropractic and Associates PC | Past | Accepting new patients | |
| Regional Care Physicians Grooup | Family Medicine | Past | Accepting new patients |
| Rightway Healthcare LLC | Family Medicine | Past | Accepting new patients |
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.
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NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1153353600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1404172800000",
"number": "1346260833",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "652 E. WARNER RD.",
"address_2": "SUITE 107",
"city": "GILBERT",
"state": "AZ",
"postal_code": "852963073",
"telephone_number": "480-539-8680",
"fax_number": "480-539-1763"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "652 E. WARNER RD.",
"address_2": "SUITE 107",
"city": "GILBERT",
"state": "AZ",
"postal_code": "852963073",
"telephone_number": "480-539-8680",
"fax_number": "480-539-1763"
}
],
"practiceLocations": [],
"basic": {
"last_name": "FLYTE",
"first_name": "PATRICK",
"middle_name": "LEROY",
"credential": "M.D.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-07-20",
"last_updated": "2014-07-01",
"status": "A"
},
"taxonomies": [
{
"code": "207Q00000X",
"taxonomy_group": "",
"desc": "Family Medicine",
"state": "AZ",
"license": "31870",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "845026",
"state": "AZ"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "PTAN",
"identifier": "Z159227",
"state": "AZ"
}
],
"endpoints": [],
"other_names": []
}Other providers in Gilbert, AZ
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 1, 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.