Individual provider Active NPI

Neel Patel, MD

  • Procedural Dermatology Physician
  • Phoenix, AZ
National Provider Identifier
1629047345
Registry record updated Apr 5, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Procedural Dermatology PhysicianTaxonomy code 207NS0135X
License
34601 Issued in AZ
Practice address
11130 N Tatum Blvd
Ste. 100
Phoenix, AZ 85028-1662
Phone
(602) 494-1817
Fax
(602) 494-7103
NPI assigned
Mar 15, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 5, 2016

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Procedural Dermatology Physician 207NS0135X 34601 AZ Primary

Addresses

Primary practice location

11130 N Tatum Blvd
Ste. 100
Phoenix, AZ 85028-1662

Mailing address

11130 N Tatum Blvd
Ste. 100
Phoenix, AZ 85028-1662
Phone (602) 494-1817

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
I20060615000294 AZ Practitioner - Dermatology 2466464326 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Dermatology
Education
University of Texas Southwestern Medical School at Dallas, 1999
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Southwest Skin Specialists LLCGroup PAC ID 9739079864, 51 clinicians

Practice addresses (Care Compare)

10200 N 92ND St
Suite 205
Scottsdale, AZ 85258-4536
Phone (602) 494-1817

Merit-based Incentive Payment System (MIPS)

Final score
100 of 100Reported as group
Promoting interoperability
100
Improvement activities
40

Procedures performed for Medicare patients

ProcedureNumber of procedures
Melanoma (skin cancer) excision81
Removal of tissue18
Removal of skin lesions4204
Removal of nail tissue1-10
Removal or shaving of skin growth1-10
Skin biopsy872

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Southwest Skin Specialists LLC CurrentSince Jul 3, 2006 Accepting new patients
Southwest Skin Specialists, LLC CurrentSince Jul 3, 2006 Accepting new patients

Locations

4400 N 32nd St
Ste 140
Phoenix, AZ 85018
Phone (602) 254-1429

11130 N Tatum Blvd
Ste 100
Phoenix, AZ 85028
Phone (602) 494-1817

4845 E Thunderbird Rd
Ste 2
Scottsdale, AZ 85254
Phone (602) 494-1817

10200 N 92nd St
Ste 205
Scottsdale, AZ 85258
Phone (602) 494-1817

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 and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1142380800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1459814400000",
    "number": "1629047345",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "11130 N TATUM BLVD",
            "address_2": "STE. 100",
            "city": "PHOENIX",
            "state": "AZ",
            "postal_code": "850281662",
            "telephone_number": "602-494-1817",
            "fax_number": "602-494-7103"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "11130 N TATUM BLVD",
            "address_2": "STE. 100",
            "city": "PHOENIX",
            "state": "AZ",
            "postal_code": "850281662",
            "telephone_number": "602-494-1817",
            "fax_number": "602-494-7103"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PATEL",
        "first_name": "NEEL",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-03-15",
        "last_updated": "2016-04-05",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207NS0135X",
            "taxonomy_group": "",
            "desc": "Dermatology, Procedural Dermatology",
            "state": "AZ",
            "license": "34601",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Phoenix, AZ

Sources for this page

Verify at the official NPI Registry.