Individual provider Active NPI

Sanjay Patel, DO

  • Family Medicine Physician
  • Tempe, AZ
National Provider Identifier
1669418331
Registry record updated Oct 21, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
3420 Issued in AZ
Practice address
222 S Mill Ave Ste 800
Tempe, AZ 85281-2899
Phone
(888) 402-0202
NPI assigned
Jun 21, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 21, 2024

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine Physician 207Q00000X 3420 AZ Primary

Addresses

Primary practice location

222 S Mill Ave Ste 800
Tempe, AZ 85281-2899

Mailing address

222 S Mill Ave Ste 800
Tempe, AZ 85281-2899
Phone (888) 402-0202

Other identifiers 1

IdentifierTypeStateIssuer
478869MedicaidAZ

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in AZ, NV2 enrollments
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 2

Enrollment IDStateProvider typePAC IDDetails
I20040609000771 AZ Practitioner - Internal MedicinePractitioner - Family Practice 2466435631 Reassigns benefits to 6 organizations
I20250226003033 NV Practitioner - Family Practice 2466435631 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Internal Medicine
Education
Other, 1997
Medicare assignment
May accept Medicare assignment

Practice addresses (Care Compare)

1643 NW 136TH Ave BLDG H
Sunrise, FL 33323-2857

2510 W Dunlap Ave
Suite 290
Phoenix, AZ 85021-2759

5870 Hiatus Rd
Tamarac, FL 33321

5870 Hiatus Rd
Tamarac, FL 33321-6424

5870 N Hiatus Rd
Tamarac, FL 33321-6424

90 Tulip Ave
Belgrade, MT 59714-7540

Procedures performed for Medicare patients

ProcedureNumber of procedures
Removal of tissue86
Removal of skin lesions12

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
3420AZMDGeneral Practice Dentistry
34520AZMDFamily Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Innovative Diabetic Center, LLC Family Medicine CurrentSince Jan 1, 2026 Accepting new patients
Innovative Wound Solutions, LLC CurrentSince Jan 1, 2026 Accepting new patients
NM Pacs 2 LLC CurrentSince Jan 1, 2021 Accepting new patients
CS Pacs 3 West LLC CurrentSince Oct 4, 2024 Accepting new patients
Arizona Post-Acute Medical Services 1 PC CurrentSince Apr 1, 2017 Accepting new patients
Comprehensive Wound Care Past Accepting new patients
Comprehensive Wound Care Family Medicine PastSince Jun 3, 2003 Accepting new patients

Locations

2121 W Elgin St
Chandler, AZ 85224
Phone (480) 478-9029

1081 Kathleen Ave
Kingman, AZ 86401
Phone (928) 718-0777

1400 S Dobson Rd
Mesa, AZ 85202
Phone (480) 412-3000

255 W Brown Rd
Mesa, AZ 85201
Phone (480) 833-3988

5755 E Main St
Mesa, AZ 85205
Phone (480) 214-2400

1119 E Rancho Vistoso Blvd
Oro Valley, AZ 85755
Phone (520) 825-4669

350 W Thomas Rd
Phoenix, AZ 85013
Phone (480) 339-5001

8825 S 7th St
Phoenix, AZ 85042
Phone (602) 243-6121

3929 E Bell Rd
Phoenix, AZ 85032
Phone (602) 923-5000

2510 W Dunlap Ave
Ste 290
Phoenix, AZ 85021

864 Dougherty St
Prescott, AZ 86305
Phone (928) 778-9666

3380 N Windsong Dr
Prescott Vly, AZ 86314
Phone (928) 775-0045

10210 N 92nd St
Ste 104
Scottsdale, AZ 85258
Phone (480) 493-0900

2401 E Hunt Dr
Show Low, AZ 85901
Phone (928) 537-5333

1921 W Hospital Dr
Tucson, AZ 85704
Phone (520) 544-5200

5870 N Hiatus Rd
Tamarac, FL 33321
Phone (957) 377-2954

Interoperability endpoints

  • Direct secure messaging: sanjay.patel.1@24172.direct.athenahealth.com

Organizations & group practices 9

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": "1150848000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1729468800000",
    "number": "1669418331",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "222 S MILL AVE STE 800",
            "city": "TEMPE",
            "state": "AZ",
            "postal_code": "852812899",
            "telephone_number": "888-402-0202"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "222 S MILL AVE STE 800",
            "city": "TEMPE",
            "state": "AZ",
            "postal_code": "852812899",
            "telephone_number": "888-402-0202"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PATEL",
        "first_name": "SANJAY",
        "name_prefix": "Dr.",
        "credential": "DO",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-06-21",
        "last_updated": "2024-10-21",
        "certification_date": "2024-10-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "AZ",
            "license": "3420",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "478869",
            "state": "AZ"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Tempe, AZ

Sources for this page

Verify at the official NPI Registry.