Active NPI
Kandarp R Patel, DO
- Gastroenterology Physician
- Phoenix, AZ
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Gastroenterology Physician
- License
- 005243
- 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
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 3
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| 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
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 100366576 | Medicaid | WI |
Electronic endpoints 1
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| Direct Messaging Address | kpatel484817@ewd.direct.hshs.org | Direct |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in AZ, WI, AR
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
Enrollment records 3
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
- Privia Medical Group Arizona, LLC
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
- St Bernards Medical Center
- St Vincent Hospital
- St Marys Hospital Medical Ctr
- Banner Estrella Medical Center
Procedures performed for Medicare patients
| Procedure | Number of procedures |
|---|---|
| Colonoscopy | 77 |
| Upper gastrointestinal (GI) endoscopy for acid reflux | 92 |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Osteopathy
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| CDR.0005159 | CO | MD | Gastroenterology Physician |
Practice roles
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
- 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.
-
- General Acute Care Hospital
- Yuma, AZ
- NPI 1194706655
-
- General Practice Physician
- Green Bay, WI
- NPI 1285613638
Family Medicine
-
- Surgery Physician
- Jonesboro, AR
- NPI 1447923438
-
- Gastroenterology Physician
- Gilbert, AZ
- NPI 1568975316
-
- Internal Medicine Physician
- Sheboygan, WI
- NPI 1275799413
Family Medicine
-
- Thoracic Surgery (Cardiothoracic Vascular Surgery) Physician
- Colorado Springs, CO
- NPI 1356783351
-
- Medical Oncology Physician
- Westminster, CO
- NPI 1740099126
-
- Orthopaedic Surgery Physician
- Longmont, CO
- NPI 1891675294
-
- Internal Medicine Physician
- Sheboygan, WI
- NPI 1447737762
-
- Durable Medical Equipment & Medical Supplies
- Green Bay, WI
- NPI 1245042530
-
- Ambulatory Surgical Clinic/Center
- Phoenix, AZ
- NPI 1790093813
Hospital & facility affiliations 9
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- General Acute Care Hospital
- Phoenix, AZ
- NPI 1275566200
-
- General Acute Care Hospital
- Yuma, AZ
- NPI 1194706655
-
- General Acute Care Hospital
- Jonesboro, AR
- NPI 1922043686
-
- General Acute Care Hospital
- Green Bay, WI
- NPI 1649246877
-
- General Acute Care Hospital
- Green Bay, WI
- NPI 1114908001
-
- Hematology & Oncology Physician
- Sheboygan, WI
- NPI 1831784636
Hospital
-
- Hematology & Oncology Physician
- Green Bay, WI
- NPI 1184004236
Hospital
-
- Hematology & Oncology Physician
- Oconto Falls, WI
- NPI 1750760740
Hospital
-
- Hematology & Oncology Physician
- Sturgeon Bay, WI
- NPI 1760861751
Hospital
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
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 10, 2025; 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.