Active NPI
Chikal A Patel, M.D.
- Hospice and Palliative Medicine (Internal Medicine) Physician
- Mesa, AZ
National Provider Identifier
1477591741
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Hospice and Palliative Medicine (Internal Medicine) Physician
- License
- 49342
- Practice address
- 6644 E Baywood Ave
Mesa, AZ 85206-1747 - Phone
- (480) 321-3900
- Fax
- (480) 321-3840
- NPI assigned
- Jun 2, 2006
- 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 |
|---|---|---|---|---|
| Geriatric Medicine (Internal Medicine) Physician | 207RG0300X | 49342 | AZ | |
| Hospice and Palliative Medicine (Internal Medicine) Physician | 207RH0002X | 49342 | AZ | Primary |
Addresses
Primary practice location
6644 E Baywood Ave
Mesa, AZ 85206-1747
Mailing address
6644 E Baywood Ave
Mesa, AZ 85206-1797
Phone (480) 321-3900
Other identifiers 2
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 683942290B | Medicaid | GA | |
| 683942290A | Medicaid | GA |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1149206400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1548115200000",
"number": "1477591741",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "6644 E BAYWOOD AVE",
"city": "MESA",
"state": "AZ",
"postal_code": "852061797",
"telephone_number": "480-321-3900",
"fax_number": "480-321-3840"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "6644 E BAYWOOD AVE",
"city": "MESA",
"state": "AZ",
"postal_code": "852061747",
"telephone_number": "480-321-3900",
"fax_number": "480-321-3840"
}
],
"practiceLocations": [],
"basic": {
"last_name": "PATEL",
"first_name": "CHIKAL",
"middle_name": "A",
"name_prefix": "Dr.",
"credential": "M.D.",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2006-06-02",
"last_updated": "2019-01-22",
"status": "A"
},
"taxonomies": [
{
"code": "207RG0300X",
"taxonomy_group": "",
"desc": "Internal Medicine, Geriatric Medicine",
"state": "AZ",
"license": "49342",
"primary": false
},
{
"code": "207RH0002X",
"taxonomy_group": "",
"desc": "Internal Medicine, Hospice and Palliative Medicine",
"state": "AZ",
"license": "49342",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "683942290B",
"state": "GA"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "683942290A",
"state": "GA"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Mesa, AZ
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 22, 2019; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.