Organization Active NPI

Pravin T. Patel, M.D., P.C.

  • Internal Medicine Physician
  • Sun City, AZ
National Provider Identifier
1467563544
Registry record updated Dec 14, 2009
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
License
24029 Issued in AZ
Legal business name
PRAVIN T. PATEL, M.D., P.C.
Practice address
13000 N 103Rd Ave
79
Sun City, AZ 85351-3024
Phone
(623) 972-8794
Fax
(623) 815-2699
NPI assigned
Aug 31, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Dec 14, 2009

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

Authorized official

Name
Dr. Pravin T Patel, M.D.
Title
MD
Phone
(623) 972-8794

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 207R00000X 24029 AZ Primary

Addresses

Primary practice location

13000 N 103Rd Ave
79
Sun City, AZ 85351-3024

Mailing address

13000 N 103Rd Ave
79
Sun City, AZ 85351-3024
Phone (623) 972-8794

Other identifiers 1

IdentifierTypeStateIssuer
551649MedicaidAZ

National Provider Directory

National Provider Directory

Locations

5700 W Olive Ave
Ste 108
Glendale, AZ 85302
Phone (623) 842-3077

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1156982400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1260748800000",
    "number": "1467563544",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "13000 N 103RD AVE",
            "address_2": "79",
            "city": "SUN CITY",
            "state": "AZ",
            "postal_code": "853513024",
            "telephone_number": "623-972-8794",
            "fax_number": "623-815-2699"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "13000 N 103RD AVE",
            "address_2": "79",
            "city": "SUN CITY",
            "state": "AZ",
            "postal_code": "853513024",
            "telephone_number": "623-972-8794",
            "fax_number": "623-815-2699"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PRAVIN T. PATEL, M.D., P.C.",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-08-31",
        "last_updated": "2009-12-14",
        "status": "A",
        "authorized_official_last_name": "PATEL",
        "authorized_official_first_name": "PRAVIN",
        "authorized_official_middle_name": "T",
        "authorized_official_title_or_position": "MD",
        "authorized_official_telephone_number": "623-972-8794",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Internal Medicine",
            "state": "AZ",
            "license": "24029",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "551649",
            "state": "AZ"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Sun City, AZ

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 14, 2009; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.