Individual provider Active NPI

Shraddha Satya Patel, M.D.

  • Family Medicine Physician
  • Glendale, AZ
National Provider Identifier
1447408778
Registry record updated Jan 5, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
4301093173 Issued in MI
Practice address
16222 N 59TH Ave
Suite A100
Glendale, AZ 85306-1705
Phone
(623) 334-4000
Fax
(623) 334-4400
NPI assigned
Aug 28, 2008
Last updated
Jan 5, 2016By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 5, 2016

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine Physician 207Q00000X 4301093173 MI Primary

Addresses

Primary practice location

16222 N 59TH Ave
Suite A100
Glendale, AZ 85306-1705

Mailing address

16222 N 59TH Ave
Suite A100
Glendale, AZ 85306-1705
Phone (623) 334-4000

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: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20160202000159 AZ Practitioner - Family Practice 6305003260 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

Practice roles

OrganizationSpecialtyStatusNew patients
Arizona Primary Care Physicians, LLC Family Medicine CurrentSince Jan 1, 2017 Accepting new patients
Summit Medical Group Arizona LLC Family Medicine CurrentSince Jan 1, 2019 Accepting new patients

Locations

18275 N 59th Ave
Ste 162
Glendale, AZ 85308
Phone (602) 547-8184

5620 W Thunderbird Rd
Ste F1
Glendale, AZ 85306
Phone (602) 938-6960

18275 N 59th Ave
Ste 162K
Glendale, AZ 85308
Phone (602) 547-8184

14541 W Indian School Rd
#600
Goodyear, AZ 85395
Phone (623) 535-5599

14050 N 83rd Ave
Ste 270
Peoria, AZ 85381

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.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1219881600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1451952000000",
    "number": "1447408778",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "16222 N 59TH AVE",
            "address_2": "SUITE A100",
            "city": "GLENDALE",
            "state": "AZ",
            "postal_code": "853061705",
            "telephone_number": "623-334-4000",
            "fax_number": "623-334-4400"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "16222 N 59TH AVE",
            "address_2": "SUITE A100",
            "city": "GLENDALE",
            "state": "AZ",
            "postal_code": "853061705",
            "telephone_number": "623-334-4000",
            "fax_number": "623-334-4400"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PATEL",
        "first_name": "SHRADDHA",
        "middle_name": "SATYA",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2008-08-28",
        "last_updated": "2016-01-05",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "MI",
            "license": "4301093173",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Glendale, AZ

Sources for this page

Verify at the official NPI Registry.