Individual provider Active NPI

Ankit Patel, DO

  • Interventional Pain Medicine Physician
  • Phoenix, AZ
National Provider Identifier
1831535350
Registry record updated Jun 19, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Interventional Pain Medicine PhysicianTaxonomy code 208VP0014X
License
007576 Issued in AZ
Practice address
1641 E Osborn Rd Ste 6
Phoenix, AZ 85016-7146
Phone
(480) 900-7373
Fax
(480) 900-6844
NPI assigned
May 13, 2013
Last updated
Jun 19, 2020By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 19, 2020

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Student in an Organized Health Care Education/Training Program 390200000X NU
Interventional Pain Medicine Physician 208VP0014X 007576 AZ Primary

Addresses

Primary practice location

1641 E Osborn Rd Ste 6
Phoenix, AZ 85016-7146

Mailing address

1641 E Osborn Rd Ste 6
Phoenix, AZ 85016-7146
Phone (480) 900-7373

Other practice location 1

16222 N 59th Ave Ste A100
Glendale, AZ 85306
Phone (480) 325-9600

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
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20180807000948 AZ Practitioner - Pain Management 3173871282 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Pain Management
Education
Arizona College of Osteopathic Medicine Mid Western University, 2013
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Prime Anesthesia Consultants, LLCGroup PAC ID 3274956917, 3 clinicians
Elite Pain and Spine Institute PLCGroup PAC ID 9133558398, 4 clinicians

Practice addresses (Care Compare)

1641 E Osborn Rd
Suite 6
Phoenix, AZ 85016-7146
Phone (480) 900-7373

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
007576AZMDInterventional Pain Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Prime Anesthesia Consultants, LLC CurrentSince May 20, 2019 Accepting new patients
Elite Pain and Spine Institute PLC Pain Medicine CurrentSince Apr 13, 2020 Accepting new patients
Elite Pain and Spine Institute, PLC Pain Medicine CurrentSince Apr 13, 2020 Accepting new patients

Locations

1810 S Crismon Rd
Ste 188
Mesa, AZ 85209
Phone (480) 900-7373

535 E McKellips Rd
Ste 121
Mesa, AZ 85203
Phone (480) 685-1027

1641 E Osborn Rd
Ste 6
Phoenix, AZ 85016
Phone (480) 900-7373

Organizations & group practices 3

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1368403200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1592524800000",
    "number": "1831535350",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1641 E OSBORN RD STE 6",
            "city": "PHOENIX",
            "state": "AZ",
            "postal_code": "850167146",
            "telephone_number": "480-900-7373",
            "fax_number": "480-900-6844"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1641 E OSBORN RD STE 6",
            "city": "PHOENIX",
            "state": "AZ",
            "postal_code": "850167146",
            "telephone_number": "480-900-7373",
            "fax_number": "480-900-6844"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "16222 N 59th Ave Ste A100",
            "address_purpose": "LOCATION",
            "city": "Glendale",
            "state": "AZ",
            "postal_code": "85306",
            "country_code": "US",
            "telephone_number": "480-325-9600",
            "fax_number": "480-493-5336",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "PATEL",
        "first_name": "ANKIT",
        "credential": "DO",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2013-05-13",
        "last_updated": "2020-06-19",
        "certification_date": "2020-06-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "390200000X",
            "taxonomy_group": "",
            "desc": "Student in an Organized Health Care Education/Training Program",
            "state": "NU",
            "license": null,
            "primary": false
        },
        {
            "code": "208VP0014X",
            "taxonomy_group": "",
            "desc": "Pain Medicine, Interventional Pain Medicine",
            "state": "AZ",
            "license": "007576",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Phoenix, AZ

Sources for this page

Verify at the official NPI Registry.