Active NPI
Sanjay Patel, DO
- Family Medicine Physician
- Tempe, AZ
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Medicine Physician
- License
- 3420
- 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
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| 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
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 478869 | Medicaid | AZ |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in AZ, NV
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
Enrollment records 2
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
| Procedure | Number of procedures |
|---|---|
| Removal of tissue | 86 |
| Removal of skin lesions | 12 |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Osteopathy
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 3420 | AZ | MD | General Practice Dentistry |
| 34520 | AZ | MD | Family Medicine Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Innovative Diabetic Center, LLC | Family Medicine | Current | Accepting new patients |
| Innovative Wound Solutions, LLC | Current | Accepting new patients | |
| NM Pacs 2 LLC | Current | Accepting new patients | |
| CS Pacs 3 West LLC | Current | Accepting new patients | |
| Arizona Post-Acute Medical Services 1 PC | Current | Accepting new patients | |
| Comprehensive Wound Care | Past | Accepting new patients | |
| Comprehensive Wound Care | Family Medicine | Past | 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
- 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.
-
- Hospitalist Physician
- Phoenix, AZ
- NPI 1093254419
-
- Family Medicine Physician
- Scottsdale, AZ
- NPI 1235997602
-
- Multi-Specialty Clinic/Center
- Scottsdale, AZ
- NPI 1649038910
-
- Hospitalist Physician
- Phoenix, AZ
- NPI 1154860674
-
- Family Medicine Physician
- Albuquerque, NM
- NPI 1255199352
NV
-
- Undersea and Hyperbaric Medicine (Preventive Medicine) Physician
- Phoenix, AZ
- NPI 1740489251
-
- Family Medicine Physician
- Pahrump, NV
- NPI 1912377607
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
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 21, 2024; 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.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.