Individual provider Active NPI

Rajiv Patel, M.D.

  • Critical Care Medicine (Internal Medicine) Physician
  • Prescott, AZ
National Provider Identifier
1841484748
Registry record updated Jul 23, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Critical Care Medicine (Internal Medicine) PhysicianTaxonomy code 207RC0200X
License
59727 Issued in AZ
Practice address
919 12TH PL Ste 12
Prescott, AZ 86305-1433
Phone
(928) 227-1954
Fax
(480) 591-8225
NPI assigned
Sep 4, 2007
Last updated
Jul 23, 2026By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 23, 2026

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

Specialties & licenses 5

Specialty (taxonomy)CodeLicenseStatePrimary
Pulmonary Disease Physician 207RP1001X 59727 AZ
Student in an Organized Health Care Education/Training Program 390200000X 125052882 IL
Internal Medicine Physician 207R00000X 25MA08977400 NJ
Critical Care Medicine (Internal Medicine) Physician 207RC0200X LP03736 RI
Critical Care Medicine (Internal Medicine) Physician 207RC0200X 59727 AZ Primary

Addresses

Primary practice location

919 12TH PL Ste 12
Prescott, AZ 86305-1433

Mailing address

PO Box 967
Flagstaff, AZ 86002-0967
Phone (928) 773-0003

Other practice location 1

593 Eddy St
APC Building 7th floor
Providence, RI 02903-4923
Phone (401) 444-3565

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in TX, NM, AZ, IL4 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 4

Enrollment IDStateProvider typePAC IDDetails
I20120329000124 TX Practitioner - Internal MedicinePractitioner - Pulmonary DiseasePractitioner - Critical Care (Intensivists) 7113187113 Reassigns benefits to 1 organization
I20190731004042 NM Practitioner - Pulmonary DiseasePractitioner - Internal Medicine 7113187113 Reassigns benefits to 1 organization
I20200324003031 AZ Practitioner - Internal MedicinePractitioner - Pulmonary DiseasePractitioner - Critical Care (Intensivists) 7113187113 Reassigns benefits to 2 organizations
Practice locations: Flagstaff, AZ
I20230130000114 IL Practitioner - Pulmonary DiseasePractitioner - Critical Care (Intensivists) 7113187113

Care Compare profile

Medicare Care Compare
Specialty
Internal MedicineAlso: Critical Care (Intensivists), Pulmonary Disease
Education
University of Illinois College of Med (CHI/Peor/Rock/CHM-Urb), 2007
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Craig M Rundbaken DO PLLCGroup PAC ID 8628982741, 11 clinicians

Practice addresses (Care Compare)

167 N Main St
Tuba City Indian Medical Center
Tuba City, AZ 86045-0600
Phone (928) 283-2094

919 12TH PL
Suite 12
Prescott, AZ 86305-1433
Phone (928) 227-1954

Hospital & facility affiliations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
25MA08977400NJMDInternal Medicine Physician
LP03736RIMDCritical Care Medicine (Internal Medicine) Physician
125052882ILMDStudent in an Organized Health Care Education/Training Program

Practice roles

OrganizationSpecialtyStatusNew patients
Tuba City Regional Health Care Corporation Family Medicine CurrentSince Aug 14, 2023 Accepting new patients
Tuba City Regional Health Care Corporation Family Medicine Current Accepting new patients
Signify Health, LLC CurrentSince Sep 23, 2022 Accepting new patients
Rehoboth McKinley Christian Health Care Services, Inc Family Medicine CurrentSince Aug 1, 2019 Accepting new patients
Rehoboth McKinley Christian Health Care Services, Inc Pulmonary Disease CurrentSince Aug 1, 2019 Accepting new patients
Tuba City Regional Health Care Corporation Family Medicine CurrentSince Aug 14, 2023 Accepting new patients
Rehoboth McKinley Christian Health Care Services, Inc. Current Accepting new patients
Flagstaff Pulmonology PLLC Critical Care Medicine CurrentSince Jul 22, 2025 Accepting new patients
Craig M. Rundbaken, D.O. PLLC Pulmonary Disease CurrentSince May 4, 2026 Accepting new patients
Flagstaff Intensive Care Specialists, PLLC PastSince Jan 10, 2021 Accepting new patients
Tuba City Regional Health Care Corporation Family Medicine Past Accepting new patients
DRH Medical Group Past Accepting new patients

Locations

2705 S Alma School Rd
Chandler, AZ 85286
Phone (480) 820-7246

2501 N 4th St
Ste 21
Flagstaff, AZ 86004
Phone (847) 942-2703

919 12th Pl
Ste 12
Prescott, AZ 86305
Phone (928) 227-1954

14300 W Granite Valley Dr
Ste E23
Sun City West, AZ 85375
Phone (623) 975-0500

1900 Red Rock Dr
Gallup, NM 87301
Phone (505) 863-1820

1901 Red Rock Dr
Gallup, NM 87301
Phone (505) 726-6875

2111 College Dr
Gallup, NM 87301
Phone (505) 397-5172

405 W Country Club Rd
Roswell, NM 88201
Phone (505) 622-8170

4055 Valley View Ln
Ste 400
Dallas, TX 75244
Phone (469) 466-7037

Interoperability endpoints

  • FHIR API: https://fhir4.healow.com/fhir/r4/CEIIDD/Endpoint/CEIIDD

Organizations & group practices 12

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.

Hospital & facility affiliations 5

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": "1188864000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1784764800000",
    "number": "1841484748",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 967",
            "city": "FLAGSTAFF",
            "state": "AZ",
            "postal_code": "860020967",
            "telephone_number": "928-773-0003",
            "fax_number": "928-773-1170"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "919 12TH PL STE 12",
            "city": "PRESCOTT",
            "state": "AZ",
            "postal_code": "863051433",
            "telephone_number": "928-227-1954",
            "fax_number": "480-591-8225"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "593 Eddy St",
            "address_2": "APC Building 7th floor",
            "address_purpose": "LOCATION",
            "city": "Providence",
            "state": "RI",
            "postal_code": "029034923",
            "country_code": "US",
            "telephone_number": "401-444-3565",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "PATEL",
        "first_name": "RAJIV",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2007-09-04",
        "last_updated": "2026-07-23",
        "certification_date": "2026-07-23",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207RP1001X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Pulmonary Disease",
            "state": "AZ",
            "license": "59727",
            "primary": false
        },
        {
            "code": "390200000X",
            "taxonomy_group": "",
            "desc": "Student in an Organized Health Care Education/Training Program",
            "state": "IL",
            "license": "125052882",
            "primary": false
        },
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "NJ",
            "license": "25MA08977400",
            "primary": false
        },
        {
            "code": "207RC0200X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Critical Care Medicine",
            "state": "RI",
            "license": "LP03736",
            "primary": false
        },
        {
            "code": "207RC0200X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Critical Care Medicine",
            "state": "AZ",
            "license": "59727",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Prescott, AZ

Sources for this page

Verify at the official NPI Registry.