Individual provider Active NPI

Srujal Vinubhai Patel, MD

  • Cardiovascular Disease Physician
  • Phoenix, AZ
National Provider Identifier
1700133998
Registry record updated Aug 19, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Cardiovascular Disease PhysicianTaxonomy code 207RC0000X
License
55567 Issued in AZ
Practice address
9520 W Palm LN Ste 150
Phoenix, AZ 85037-4454
Phone
(602) 584-5444
Fax
(602) 584-6202
NPI assigned
Aug 7, 2012
Last updated
Aug 19, 2024By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 19, 2024

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Cardiovascular Disease Physician 207RC0000X 55567 AZ Primary

Addresses

Primary practice location

9520 W Palm LN Ste 150
Phoenix, AZ 85037-4454

Mailing address

9520 W Palm LN Ste 150
Phoenix, AZ 85037-4454
Phone (602) 584-5444

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
I20180626000427 AZ Practitioner - Cardiovascular Disease (Cardiology) 0244585651 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Cardiovascular Disease (Cardiology)
Education
Other, 2009
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Heart One Associates LLCGroup PAC ID 0446585897, 20 clinicians

Practice addresses (Care Compare)

9520 W Palm LN
Suite 150
Phoenix, AZ 85037-4454
Phone (602) 584-5444

Hospital & facility affiliations

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Heart One Associates LLC Internal Medicine CurrentSince Jun 17, 2023 Accepting new patients

Locations

21360 N 75th Ave
Glendale, AZ 85308
Phone (623) 663-0006

6677 W Thunderbird Rd
Ste G116
Glendale, AZ 85306
Phone (623) 435-1954

13677 W McDowell Rd
Goodyear, AZ 85395
Phone (623) 536-4200

4220 N 20th Ave
Ste 300
Phoenix, AZ 85015
Phone (602) 704-4050

9520 W Palm Ln
Ste 150
Phoenix, AZ 85037
Phone (602) 584-5444

Interoperability endpoints

  • FHIR API: https://fhir4.healow.com/fhir/r4/HAHHBD

Organizations & group practices 1

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

Hospital & facility affiliations 6

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1344297600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1724025600000",
    "number": "1700133998",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9520 W PALM LN STE 150",
            "city": "PHOENIX",
            "state": "AZ",
            "postal_code": "850374454",
            "telephone_number": "602-584-5444",
            "fax_number": "602-584-6202"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9520 W PALM LN STE 150",
            "city": "PHOENIX",
            "state": "AZ",
            "postal_code": "850374454",
            "telephone_number": "602-584-5444",
            "fax_number": "602-584-6202"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PATEL",
        "first_name": "SRUJAL",
        "middle_name": "VINUBHAI",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2012-08-07",
        "last_updated": "2024-08-19",
        "certification_date": "2024-08-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207RC0000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Cardiovascular Disease",
            "state": "AZ",
            "license": "55567",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Phoenix, AZ

Sources for this page

Verify at the official NPI Registry.