Individual provider Active NPI

Vikeen Jaykrishna Patel, M.D., M.B.A.

  • Internal Medicine Physician
  • Mesa, AZ
National Provider Identifier
1346637741
Registry record updated Jul 27, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
License
58541 Issued in AZ
Practice address
1400 S Dobson Rd
Mesa, AZ 85202-4707
Phone
(480) 412-3000
NPI assigned
Apr 23, 2015
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jul 27, 2023

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 ME132399 FL
Hospitalist Physician 208M00000X MD2018-0831 NM
Internal Medicine Physician 207R00000X 58541 AZ Primary

Addresses

Primary practice location

1400 S Dobson Rd
Mesa, AZ 85202-4707

Mailing address

5441 W Libby St
Glendale, AZ 85308-1315
Phone (813) 748-1605

Other practice location 1

650 E Indian School Rd
Phoenix, AZ 85012-1839
Phone (602) 277-5551

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in TX, NM, AZ3 enrollments
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 3

Enrollment IDStateProvider typePAC IDDetails
I20181129000229 TX Practitioner - Internal Medicine 1557661519 Reassigns benefits to 1 organization
I20181130001615 NM Practitioner - Internal Medicine 1557661519 Reassigns benefits to 1 organization
I20220318000084 AZ Practitioner - Internal Medicine 1557661519 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Internal Medicine
Education
Other, 2013
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Banner Hospital Based Physicians Arizona LLCGroup PAC ID 3274782487, 636 clinicians

Practice addresses (Care Compare)

5555 W Thunderbird Rd
Glendale, AZ 85306-4622
Phone (602) 865-5555

Hospital & facility affiliations

  • Banner Thunderbird Medical Center Hospital, Glendale, AZ, CCN 030089

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Master of Business Administration, Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
MD2018-0831NMMDHospitalist Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Banner - University Hospital Based Physicians LLC CurrentSince Nov 1, 2025 Accepting new patients
Rehoboth McKinley Christian Health Care Services, Inc Internal Medicine CurrentSince Nov 8, 2018 Accepting new patients
Banner Hospital Based Physicians Arizona LLC CurrentSince Dec 17, 2021 Accepting new patients
Banner - University Hospital Based Physicians LLC CurrentSince Nov 1, 2025 Accepting new patients
Rehoboth McKinley Christian Health Care Services, Inc. Current Accepting new patients
Banner Hospital Based Physicians Arizona LLC Current Accepting new patients
Rehoboth McKinley Christian Health Care Services, Inc CurrentSince Nov 8, 2018 Accepting new patients
DHHS, PHS, Naihs, Gallup Indian Medical Center CurrentSince Sep 18, 2018 Accepting new patients
Banner Hospital Based Physicians Arizona LLC CurrentSince Dec 17, 2021 Accepting new patients
DHHS,PHS,Naihs, Gallup Indian Medical Center CurrentSince Sep 18, 2018 Accepting new patients

Locations

1405 S Alma School Rd
Chandler, AZ 85286
Phone (480) 256-7000

5555 W Thunderbird Rd
Glendale, AZ 85306
Phone (602) 588-5555

1400 S Dobson Rd
Mesa, AZ 85202
Phone (480) 412-3000

1111 E McDowell Rd
Phoenix, AZ 85006
Phone (602) 239-2000

516 E Nizhoni Blvd
Gallup, NM 87301
Phone (505) 722-1326

1901 Red Rock Dr
Gallup, NM 87301
Phone (505) 863-7000

Organizations & group practices 10

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.

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": "1429747200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1690416000000",
    "number": "1346637741",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5441 W LIBBY ST",
            "city": "GLENDALE",
            "state": "AZ",
            "postal_code": "853081315",
            "telephone_number": "813-748-1605"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1400 S DOBSON RD",
            "city": "MESA",
            "state": "AZ",
            "postal_code": "852024707",
            "telephone_number": "480-412-3000"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "650 E Indian School Rd",
            "address_purpose": "LOCATION",
            "city": "Phoenix",
            "state": "AZ",
            "postal_code": "850121839",
            "country_code": "US",
            "telephone_number": "602-277-5551",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "PATEL",
        "first_name": "VIKEEN",
        "middle_name": "JAYKRISHNA",
        "credential": "M.D., M.B.A.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2015-04-23",
        "last_updated": "2023-07-27",
        "certification_date": "2023-07-26",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "FL",
            "license": "ME132399",
            "primary": false
        },
        {
            "code": "208M00000X",
            "taxonomy_group": "",
            "desc": "Hospitalist",
            "state": "NM",
            "license": "MD2018-0831",
            "primary": false
        },
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "AZ",
            "license": "58541",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Mesa, AZ

Sources for this page

Verify at the official NPI Registry.