Niyatiben Patel, AGACNP

Primary specialty

Acute Care Nurse PractitionerTaxonomy code 363LA2100X

License

219083 Issued in AZ

Practice address

4475 S I 19 Frontage Rd Ste 255
Green Valley, AZ 85614-6365

Phone

(520) 393-4863

Fax

(833) 605-7237

NPI assigned

Nov 12, 2018

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 2

Addresses

Other identifiers 1

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

Medicare enrollment (NPD)

Enrolled

Credentials

Nurse Practitioner

State licenses

Practice roles

Locations

Interoperability endpoints

• FHIR API: https://fhir.meditouchehr.com/api/fhir/r4/

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.

• Northwest Allied Physicians LLC

  • General Practice Physician
  • Tucson, AZ
  • NPI 1003833179
  Medicare reassignment NPD
• Northwest Allied Physicians, LLC

  • Durable Medical Equipment & Medical Supplies
  • Oro Valley, AZ
  • NPI 1821302910
  NPD
• Arizona Advanced Surgical Associates LLC

  • Surgery Physician
  • Green Valley, AZ
  • NPI 1730746843
  NPD (past)

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

{
    "created_epoch": "1541980800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1607472000000",
    "number": "1457829004",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4455 S I 19 FRONTAGE RD",
            "city": "GREEN VALLEY",
            "state": "AZ",
            "postal_code": "856145884",
            "telephone_number": "520-393-4937"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4475 S I 19 FRONTAGE RD STE 255",
            "city": "GREEN VALLEY",
            "state": "AZ",
            "postal_code": "856146365",
            "telephone_number": "520-393-4863",
            "fax_number": "833-605-7237"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "6814 S Twinberry Dr",
            "address_purpose": "LOCATION",
            "city": "Tucson",
            "state": "AZ",
            "postal_code": "857565152",
            "country_code": "US",
            "telephone_number": "520-405-0447",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "PATEL",
        "first_name": "NIYATIBEN",
        "credential": "AGACNP",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2018-11-12",
        "last_updated": "2020-12-09",
        "certification_date": "2020-12-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "AZ",
            "license": "219083",
            "primary": false
        },
        {
            "code": "363LA2100X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Acute Care",
            "state": "AZ",
            "license": "219083",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "485164",
            "state": "AZ"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Rene' Parke, L.AC. , NCCAOM
• Mary S Parker, MD
• Pasadera Behavioral Health Network, Inc.
• Pasadera Behavioral Health Network, Inc.
• Mary Ellen Passaro, MSW
• Laura Lynn Peters
• Pharmblue Arizona, LLC
• William L Phelps II, M.D.
• Virginia Alix Phillips, D.M.D.
• Pima Heart Physicians, PC

• Acute Care Nurse Practitioner in Green Valley, AZ
• Providers in Green Valley, AZ by specialty
• Acute Care Nurse Practitioner in Arizona

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 9, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.