Individual provider Active NPI

Krunal Patel, M.D.

  • Maternal & Fetal Medicine Physician
  • Glendale, AZ
National Provider Identifier
1740558022
Registry record updated Apr 9, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Maternal & Fetal Medicine PhysicianTaxonomy code 207VM0101X
License
57633 Issued in AZ
Practice address
5605 W Eugie Ave Ste 111
Glendale, AZ 85304
Phone
(480) 756-6000
Fax
(855) 636-8770
NPI assigned
Dec 1, 2011
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 9, 2021

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Maternal & Fetal Medicine Physician 207VM0101X 57633 AZ Primary

Addresses

Primary practice location

5605 W Eugie Ave Ste 111
Glendale, AZ 85304

Mailing address

5605 W Eugie Ave Ste 111
Glendale, AZ 85304-1273
Phone (480) 756-6000

Other practice location 1

9440 E Ironwood Square Dr
Scottsdale, AZ 85258-4569
Phone (480) 756-6000

Other practice location 2

1910 W Frye Rd
Chandler, AZ 85224-6236
Phone (480) 756-6000

Other practice location 3

2242 W Southern Ave
Mesa, AZ 85202-4704
Phone (480) 756-6000

Other practice location 4

4864 E Baseline Rd Ste 101
Mesa, AZ 85206-4629
Phone (480) 756-6000

Other practice location 5

2620 N 3rd St Ste 103
Phoenix, AZ 85004-1153
Phone (480) 756-6000

Other practice location 6

9305 W Thomas Rd Ste 150
Phoenix, AZ 85037-3360
Phone (480) 756-6000

Other identifiers 1

IdentifierTypeStateIssuer
548181MedicaidAZ

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address krunal.patel.1@20219.direct.athenahealth.com Direct Valley Perinatal Services, LLC

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NJ, AZ2 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
I20180119000234 NJ Practitioner - Obstetrics/Gynecology 0749549780 Reassigns benefits to 2 organizations
I20191002001293 AZ Practitioner - Obstetrics/Gynecology 0749549780 Reassigns benefits to 3 organizations

Care Compare profile

Medicare Care Compare
Specialty
Obstetrics/Gynecology
Education
Other, 2018
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
High Risk Pregnancy Center of Arizona LLCGroup PAC ID 5496133639, 2 clinicians

Practice addresses (Care Compare)

9250 N 3Rd St
Suite 2007
Phoenix, AZ 85020-2404
Phone (602) 767-5636

Merit-based Incentive Payment System (MIPS)

Final score
81.33 of 100Reported as group
Quality
66.38
Promoting interoperability
100
Improvement activities
40
Cost
71.39

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
57633AZMDMaternal & Fetal Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
High Risk Pregnancy Center of Arizona LLC Maternal & Fetal Medicine CurrentSince Jan 1, 2022 Accepting new patients
Palisades Medical Associates LLC CurrentSince Nov 18, 2017 Accepting new patients
Hera Health Medical Group - Az PLLC Maternal & Fetal Medicine CurrentSince Oct 24, 2022 Accepting new patients
Hackensack Meridian Health Medical Group - Specialty Care PC Maternal & Fetal Medicine CurrentSince Jul 29, 2023 Accepting new patients
Hackensack Meridian Health Medical Group - Specialty Care PC CurrentSince Jul 29, 2023 Accepting new patients
Valley Perinatal Services, LLC Obstetrics & Gynecology CurrentSince Aug 4, 2019 Accepting new patients
Fetal and Women'S Center of Arizona, LLC Past Accepting new patients
Banner - University Medical Center Phoenix Past Accepting new patients
Dignity Health Past Accepting new patients

Locations

1910 W Frye Rd
Chandler, AZ 85224
Phone (480) 467-2145

5605 W Eugie Ave
Ste 111
Glendale, AZ 85304
Phone (480) 306-8195

2242 W Southern Ave
Mesa, AZ 85202
Phone (480) 491-1600

1432 S Dobson Rd
Ste A104
Mesa, AZ 85202

4540 E Baseline Rd
Ste 120
Mesa, AZ 85206

4864 E Baseline Rd
Ste 101
Mesa, AZ 85206
Phone (480) 467-2145

1840 S Stapley Dr
Ste 131
Mesa, AZ 85204
Phone (480) 866-8787

8877 W Union Hills Dr
Ste 240
Peoria, AZ 85382
Phone (602) 584-5444

10240 W Indian School Rd
Ste 100
Phoenix, AZ 85037
Phone (623) 907-2377

9250 N 3rd St
Ste 2007
Phoenix, AZ 85020
Phone (602) 331-5340

9305 W Thomas Rd
Ste 150
Phoenix, AZ 85037
Phone (623) 889-0411

2620 N 3rd St
Ste 103
Phoenix, AZ 85004
Phone (480) 610-6152

2222 E Highland Ave
Ste 210
Phoenix, AZ 85016
Phone (480) 661-1332

8410 W Thomas Rd
Ste 138
Phoenix, AZ 85037
Phone (602) 266-2272

7702 E Doubletree Ranch Rd
Scottsdale, AZ 85258
Phone (480) 519-1721

9440 E Ironwood Square Dr
Scottsdale, AZ 85258
Phone (480) 551-9700

5750 E Highway 90
Ste 300
Sierra Vista, AZ 85635
Phone (520) 263-3620

30 Prospect Ave
Hackensack, NJ 07601
Phone (201) 488-0066

1 Marine Plz
Ste 206
North Bergen, NJ 07047
Phone (201) 710-2772

7650 River Rd
Ste 230
North Bergen, NJ 07047
Phone (201) 224-8831

7600 River Rd
North Bergen, NJ 07047
Phone (201) 854-5000

Interoperability endpoints

  • FHIR API: https://api.platform.athenahealth.com/20219/brand/1/csg/1/fhir/r4
  • Direct secure messaging: krunal.patel.1@25309.direct.athenahealth.com
  • FHIR API: https://api.platform.athenahealth.com/25309/brand/1/csg/1/fhir/r4
  • FHIR API: https://fhir4.healow.com/fhir/r4/IHJHBD

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": "1322697600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1617926400000",
    "number": "1740558022",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5605 W EUGIE AVE STE 111",
            "city": "GLENDALE",
            "state": "AZ",
            "postal_code": "853041273",
            "telephone_number": "480-756-6000",
            "fax_number": "855-636-8770"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5605 W EUGIE AVE STE 111",
            "city": "GLENDALE",
            "state": "AZ",
            "postal_code": "85304",
            "telephone_number": "480-756-6000",
            "fax_number": "855-636-8770"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "9440 E Ironwood Square Dr",
            "address_purpose": "LOCATION",
            "city": "Scottsdale",
            "state": "AZ",
            "postal_code": "852584569",
            "country_code": "US",
            "telephone_number": "480-756-6000",
            "fax_number": "855-636-8770",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "1910 W Frye Rd",
            "address_purpose": "LOCATION",
            "city": "Chandler",
            "state": "AZ",
            "postal_code": "852246236",
            "country_code": "US",
            "telephone_number": "480-756-6000",
            "fax_number": "855-636-8770",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "2242 W Southern Ave",
            "address_purpose": "LOCATION",
            "city": "Mesa",
            "state": "AZ",
            "postal_code": "852024704",
            "country_code": "US",
            "telephone_number": "480-756-6000",
            "fax_number": "855-636-8770",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "4864 E Baseline Rd Ste 101",
            "address_purpose": "LOCATION",
            "city": "Mesa",
            "state": "AZ",
            "postal_code": "852064629",
            "country_code": "US",
            "telephone_number": "480-756-6000",
            "fax_number": "855-636-8770",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "2620 N 3rd St Ste 103",
            "address_purpose": "LOCATION",
            "city": "Phoenix",
            "state": "AZ",
            "postal_code": "850041153",
            "country_code": "US",
            "telephone_number": "480-756-6000",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "9305 W Thomas Rd Ste 150",
            "address_purpose": "LOCATION",
            "city": "Phoenix",
            "state": "AZ",
            "postal_code": "850373360",
            "country_code": "US",
            "telephone_number": "480-756-6000",
            "fax_number": "855-636-8770",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "PATEL",
        "first_name": "KRUNAL",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2011-12-01",
        "last_updated": "2021-04-09",
        "certification_date": "2021-04-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207VM0101X",
            "taxonomy_group": "",
            "desc": "Obstetrics & Gynecology, Maternal & Fetal Medicine",
            "state": "AZ",
            "license": "57633",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "548181",
            "state": "AZ"
        }
    ],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "krunal.patel.1@20219.direct.athenahealth.com",
            "affiliation": "Y",
            "affiliationName": "Valley Perinatal Services, LLC",
            "use": "DIRECT",
            "useDescription": "Direct",
            "address_1": "9440 E Ironwood Square Dr",
            "city": "Scottsdale",
            "state": "AZ",
            "country_code": "US",
            "postal_code": "852584569",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Glendale, AZ

Sources for this page

Verify at the official NPI Registry.