Active NPI
Moneil M Patel, M.D.
- General Practice Physician
- Scottsdale, AZ
National Provider Identifier
1770802928
On this page
Key facts
NPPES NPI Registry- Primary specialty
- General Practice Physician
- License
- 44593
- Practice address
- 10613 North Hayden Rd
Suite J-102
Scottsdale, AZ 85260 - Phone
- (646) 216-8255
- NPI assigned
- May 27, 2010
- Sex
- Male
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Pediatric Pathology Physician | 207ZP0213X | A107791 | CA | |
| General Practice Physician | 208D00000X | 44593 | AZ | Primary |
Addresses
Primary practice location
10613 North Hayden Rd
Suite J-102
Scottsdale, AZ 85260
Mailing address
10613 N Hayden Rd
Suite J102
Scottsdale, AZ 85260-5683
Phone (646) 216-8255
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
- HHS exclusion list flag
- Flagged The directory lists this NPI on an HHS exclusion list.
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 107791 | CA | MD | General Practice Dentistry |
| A107791 | CA | MD | Pediatric Pathology Physician |
| 44593 | AZ | MD | General Practice Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Children'S Hospital Los Angeles Medical Group, Inc. | Past | Accepting new patients |
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 and National Provider Directory roles.
-
- Multi-Specialty Clinic/Center
- Los Angeles, CA
- NPI 1265530653
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1274918400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1435795200000",
"number": "1770802928",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "10613 N HAYDEN RD",
"address_2": "SUITE J102",
"city": "SCOTTSDALE",
"state": "AZ",
"postal_code": "852605683",
"telephone_number": "646-216-8255"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "10613 NORTH HAYDEN RD",
"address_2": "SUITE J-102",
"city": "SCOTTSDALE",
"state": "AZ",
"postal_code": "85260",
"telephone_number": "646-216-8255"
}
],
"practiceLocations": [],
"basic": {
"last_name": "PATEL",
"first_name": "MONEIL",
"middle_name": "M",
"name_prefix": "Dr.",
"credential": "M.D.",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2010-05-27",
"last_updated": "2015-07-02",
"status": "A"
},
"taxonomies": [
{
"code": "207ZP0213X",
"taxonomy_group": "",
"desc": "Pathology, Pediatric Pathology",
"state": "CA",
"license": "A107791",
"primary": false
},
{
"code": "208D00000X",
"taxonomy_group": "",
"desc": "General Practice",
"state": "AZ",
"license": "44593",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Scottsdale, AZ
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 2, 2015; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.