Active NPI
Kajal P Patel, MD
- Pediatrics Physician
- Phoenix, AZ
National Provider Identifier
1467896183
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pediatrics Physician
- License
- 65818
- Practice address
- 3805 E Bell Rd Ste 5100
Phoenix, AZ 85032-2174 - Phone
- (602) 933-3990
- NPI assigned
- Apr 24, 2013
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Pediatrics Physician | 208000000X | A133788 | CA | |
| Pediatrics Physician | 208000000X | 65818 | AZ | Primary |
Addresses
Primary practice location
3805 E Bell Rd Ste 5100
Phoenix, AZ 85032-2174
Mailing address
3805 E Bell Rd Ste 5100
Phoenix, AZ 85032-2174
Phone (602) 933-3990
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
Enrollment records 1
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 133788 | CA | MD | Marriage & Family Therapist |
| 65818 | AZ | MD | Pediatrics Physician |
| A133788 | CA | MD | Pediatrics Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Phoenix Children'S Medical Group | Current | Accepting new patients | |
| Phoenix Children'S Medical Group | Current | Accepting new patients | |
| Phoenix Children'S Hospital | Pediatrics | Current | Accepting new patients |
Locations
3805 E Bell Rd
Ste 5100
Phoenix, AZ 85032
Phone (602) 923-7730
2108 E Thomas Rd
Ste 130
Phoenix, AZ 85016
1919 E Thomas Rd
Phoenix, AZ 85016
Phone (602) 933-0777
Interoperability endpoints
- kpatel574577@direct.ochin.org
Organizations & group practices 3
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.
-
- Pediatrics Physician
- Phoenix, AZ
- NPI 1922112044
-
- Multi-Specialty Clinic/Center
- Mesa, AZ
- NPI 1487814240
-
- Multi-Specialty Clinic/Center
- Glendale, AZ
- NPI 1679703441
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1366761600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1660089600000",
"number": "1467896183",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "3805 E BELL RD STE 5100",
"city": "PHOENIX",
"state": "AZ",
"postal_code": "850322174",
"telephone_number": "602-933-3990"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3805 E BELL RD STE 5100",
"city": "PHOENIX",
"state": "AZ",
"postal_code": "850322174",
"telephone_number": "602-933-3990"
}
],
"practiceLocations": [],
"basic": {
"last_name": "PATEL",
"first_name": "KAJAL",
"middle_name": "P",
"credential": "MD",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2013-04-24",
"last_updated": "2022-08-10",
"certification_date": "2022-08-10",
"status": "A"
},
"taxonomies": [
{
"code": "208000000X",
"taxonomy_group": "",
"desc": "Pediatrics",
"state": "CA",
"license": "A133788",
"primary": false
},
{
"code": "208000000X",
"taxonomy_group": "",
"desc": "Pediatrics",
"state": "AZ",
"license": "65818",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Phoenix, AZ
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 10, 2022; 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.