Active NPI
Ashwin R Patel, M.D.
- Internal Medicine Physician
- Phoenix, AZ
National Provider Identifier
1811984255
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Internal Medicine Physician
- License
- 30254
- Practice address
- 2315 W Bethany Home Rd
Suite 102
Phoenix, AZ 85015 - Phone
- (602) 249-2848
- Fax
- (602) 249-6038
- NPI assigned
- Sep 30, 2005
- 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 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Internal Medicine Physician | 207R00000X | 30254 | AZ | Primary |
Addresses
Primary practice location
2315 W Bethany Home Rd
Suite 102
Phoenix, AZ 85015
Mailing address
2315 W Bethany Home Rd
Suite 102
Phoenix, AZ 85015
Phone (602) 249-2848
Other identifiers 9
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1Z6634 | Other | AZ | HEALTH NET |
| 4631274 | Other | AZ | AETNA |
| 5210281003 | Other | AZ | CIGNA |
| 733536 | Medicaid | AZ | |
| Z70632 | Other | AZ | MEDICARE PTAN |
| 160762 | Other | AZ | ONE HEALTH PLAN |
| 105670 | Other | AZ | PACIFICARE |
| 0714800 | Other | AZ | BCBS |
| 110246968 | Other | AZ | RAILROAD MEDICARE |
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
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Internal Medicine
- Education
- Other, 1993
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
Practice addresses (Care Compare)
2315 W Bethany Home Rd
Suite 102
Phoenix, AZ 85015-1855
Phone (602) 249-2848
Procedures performed for Medicare patients
| Procedure | Number of procedures |
|---|---|
| Removal of nail tissue | 1-10 |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Urgent Care of Arizona, LLC | Current | Accepting new patients | |
| Advocate Health Centers, Inc. | Past | Accepting new patients | |
| Dvma, LLC | Internal Medicine | Past | Accepting new patients |
Locations
2315 W Bethany Home Rd
Ste 101
Phoenix, AZ 85015
Phone (602) 249-2848
2315 W Bethany Home Rd
Ste 102
Phoenix, AZ 85015
Phone (602) 249-2847
Organizations & group practices 4
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.
-
- Urgent Care Clinic/Center
- Phoenix, AZ
- NPI 1457588006
-
- Internal Medicine Physician
- Phoenix, AZ
- NPI 1407026347
-
- Internal Medicine Physician
- Peoria, AZ
- NPI 1194893800
-
- Multi-Specialty Clinic/Center
- Chicago, IL
- NPI 1639111933
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1128038400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1476403200000",
"number": "1811984255",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2315 W BETHANY HOME RD",
"address_2": "SUITE 102",
"city": "PHOENIX",
"state": "AZ",
"postal_code": "85015",
"telephone_number": "602-249-2848",
"fax_number": "602-249-6038"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2315 W BETHANY HOME RD",
"address_2": "SUITE 102",
"city": "PHOENIX",
"state": "AZ",
"postal_code": "85015",
"telephone_number": "602-249-2848",
"fax_number": "602-249-6038"
}
],
"practiceLocations": [],
"basic": {
"last_name": "PATEL",
"first_name": "ASHWIN",
"middle_name": "R",
"name_prefix": "Dr.",
"credential": "M.D.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2005-09-30",
"last_updated": "2016-10-14",
"status": "A"
},
"taxonomies": [
{
"code": "207R00000X",
"taxonomy_group": "",
"desc": "Internal Medicine",
"state": "AZ",
"license": "30254",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "HEALTH NET",
"identifier": "1Z6634",
"state": "AZ"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "AETNA",
"identifier": "4631274",
"state": "AZ"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "CIGNA",
"identifier": "5210281003",
"state": "AZ"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "733536",
"state": "AZ"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "MEDICARE PTAN",
"identifier": "Z70632",
"state": "AZ"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "ONE HEALTH PLAN",
"identifier": "160762",
"state": "AZ"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "PACIFICARE",
"identifier": "105670",
"state": "AZ"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BCBS",
"identifier": "0714800",
"state": "AZ"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "RAILROAD MEDICARE",
"identifier": "110246968",
"state": "AZ"
}
],
"endpoints": [],
"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 Oct 14, 2016; 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.