Individual provider Active NPI

Kandarp R Patel, DO

  • Gastroenterology Physician
  • Phoenix, AZ
National Provider Identifier
1801086087
Registry record updated Sep 10, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Gastroenterology PhysicianTaxonomy code 207RG0100X
License
005243 Issued in AZ
Practice address
9305 W Thomas Rd
Suite 478
Phoenix, AZ 85037-3328
Phone
(623) 236-8507
Fax
(623) 236-8508
NPI assigned
Jul 25, 2007
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 10, 2025

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Gastroenterology Physician 207RG0100X 005243 AZ Primary
Gastroenterology Physician 207RG0100X CDR.0005159 CO
Gastroenterology Physician 207RG0100X 13109-321 WI

Addresses

Primary practice location

9305 W Thomas Rd
Suite 478
Phoenix, AZ 85037-3328

Mailing address

9305 W Thomas Rd Ste 478
Phoenix, AZ 85037-3375
Phone (623) 236-8507

Other practice location 1

1010 Three Springs Blvd Ste 270
Durango, CO 81301-8296
Phone (970) 764-3800

Other identifiers 1

IdentifierTypeStateIssuer
100366576MedicaidWI

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address kpatel484817@ewd.direct.hshs.org Direct

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in AZ, WI, AR3 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 3

Enrollment IDStateProvider typePAC IDDetails
I20090723000600 AZ Practitioner - GastroenterologyPractitioner - Internal Medicine 6800948761 Reassigns benefits to 2 organizations
I20250815003329 WI Practitioner - Gastroenterology 6800948761 Reassigns benefits to 2 organizations
I20260330000336 AR Practitioner - Gastroenterology 6800948761 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Gastroenterology
Education
Touro Un College of Osteopathic Medicine, Vallejo, 2003
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
St Bernards Physician Clinics IncGroup PAC ID 7012311269, 211 clinicians
Yuma Regional Medical CenterGroup PAC ID 2062314826, 367 clinicians
Privia Medical Group Arizona, LLCGroup PAC ID 1052328408, shared by 2 NPIs, 94 clinicians

Practice addresses (Care Compare)

1005 E Matthews Ave
Jonesboro, AR 72401-4308
Phone (870) 935-1242

1007 E Matthews Ave
Jonesboro, AR 72401-4308
Phone (870) 336-0472

1390 W 16TH St
Yuma, AZ 85364-4430
Phone (928) 344-4325

1860 Shawano Ave
Green Bay, WI 54303-2667
Phone (920) 496-4700

9305 W Thomas Rd
Suite 500
Phoenix, AZ 85037-3354
Phone (623) 242-7997

Hospital & facility affiliations

  • Yuma Regional Medical Center Hospital, Yuma, AZ, CCN 030013
  • St Bernards Medical Center Hospital, Jonesboro, AR, CCN 040020
  • St Vincent Hospital Hospital, Green Bay, WI, CCN 520075
  • St Marys Hospital Medical Ctr Hospital, Green Bay, WI, CCN 520097
  • Banner Estrella Medical Center Hospital, Phoenix, AZ, CCN 030115

Procedures performed for Medicare patients

ProcedureNumber of procedures
Colonoscopy77
Upper gastrointestinal (GI) endoscopy for acid reflux92

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
CDR.0005159COMDGastroenterology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Catholic Health Initiatives Colorado CurrentSince Sep 8, 2025 Accepting new patients
Arizona Centers for Digestive Health LLC Gastroenterology CurrentSince Jan 1, 2018 Accepting new patients
Yuma Regional Medical Center CurrentSince Jun 22, 2025 Accepting new patients
St Nicholas Hospital-Sisters of the Third Order of St Francis Internal Medicine CurrentSince Aug 1, 2025 Accepting new patients
St Vincent Hospital-Hospital Sisters-Third Order of St Francis Family Medicine CurrentSince Aug 1, 2025 Accepting new patients
Yuma Regional Medical Center Internal Medicine CurrentSince Jun 22, 2025 Accepting new patients
Catholic Health Initiatives Colorado CurrentSince Sep 8, 2025 Accepting new patients
Catholic Health Initiatives Colorado Current Accepting new patients
St Vincent Hospital-Hospital Sisters-Third Order of St Francis CurrentSince Aug 1, 2025 Accepting new patients
St. Nicholas Hospital-Sisters of the Third Order of St Francis Family Medicine CurrentSince Aug 1, 2025 Accepting new patients
Az West Endoscopy Center LLC PastSince Apr 8, 2010 Accepting new patients
Catholic Health Initiatives Colorado Past Accepting new patients

Locations

13555 W McDowell Rd
Ste 302
Goodyear, AZ 85395

9201 W Thomas Rd
Phoenix, AZ 85037
Phone (623) 327-4000

9305 W Thomas Rd
Ste 478
Phoenix, AZ 85037
Phone (623) 236-8507

9321 W Thomas Rd
Ste 405
Phoenix, AZ 85037
Phone (623) 236-8507

5111 N Scottsdale Rd
Ste 108
Scottsdale, AZ 85250
Phone (480) 219-6662

10181 N 92nd St
Ste 101
Scottsdale, AZ 85258
Phone (480) 657-3400

1390 W 16th St
Yuma, AZ 85364
Phone (928) 344-4325

2400 S Avenue A
Yuma, AZ 85364
Phone (928) 336-7100

9100 E Mineral Cir
Centennial, CO 80112
Phone (303) 561-5193

1010 Three Springs Blvd
Ste 270
Durango, CO 81301
Phone (970) 764-3800

41 State Highway 67
Woodland Park, CO 80863
Phone (719) 686-0551

835 S Van Buren St
Green Bay, WI 54301
Phone (888) 901-7246

1860 Shawano Ave
Green Bay, WI 54303
Phone (920) 405-1414

3100 Superior Ave
Sheboygan, WI 53081
Phone (800) 472-6710

Interoperability endpoints

  • Direct secure messaging: kpatel484817@ewd.direct.hshs.org

Organizations & group practices 13

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.

View all 13

Hospital & facility affiliations 9

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": "1185321600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1757462400000",
    "number": "1801086087",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9305 W THOMAS RD STE 478",
            "city": "PHOENIX",
            "state": "AZ",
            "postal_code": "850373375",
            "telephone_number": "623-236-8507",
            "fax_number": "623-236-8508"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9305 W THOMAS RD",
            "address_2": "SUITE 478",
            "city": "PHOENIX",
            "state": "AZ",
            "postal_code": "850373328",
            "telephone_number": "623-236-8507",
            "fax_number": "623-236-8508"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1010 Three Springs Blvd Ste 270",
            "address_purpose": "LOCATION",
            "city": "Durango",
            "state": "CO",
            "postal_code": "813018296",
            "country_code": "US",
            "telephone_number": "970-764-3800",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "PATEL",
        "first_name": "KANDARP",
        "middle_name": "R",
        "name_prefix": "Dr.",
        "credential": "DO",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2007-07-25",
        "last_updated": "2025-09-10",
        "certification_date": "2025-09-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207RG0100X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Gastroenterology",
            "state": "AZ",
            "license": "005243",
            "primary": true
        },
        {
            "code": "207RG0100X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Gastroenterology",
            "state": "CO",
            "license": "CDR.0005159",
            "primary": false
        },
        {
            "code": "207RG0100X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Gastroenterology",
            "state": "WI",
            "license": "13109-321",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "100366576",
            "state": "WI"
        }
    ],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "kpatel484817@ewd.direct.hshs.org",
            "affiliation": "N",
            "use": "DIRECT",
            "useDescription": "Direct",
            "contentType": "OTHER",
            "contentTypeDescription": "Other",
            "contentOtherDescription": "CDA/CCD/TXT",
            "address_1": "1860 Shawano Ave",
            "city": "Green Bay",
            "state": "WI",
            "country_code": "US",
            "postal_code": "543032667",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Phoenix, AZ

Sources for this page

Verify at the official NPI Registry.