Active NPI
Disha Patel, D.O.
- Physical Medicine & Rehabilitation Physician
- Tucson, AZ
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Medicine & Rehabilitation Physician
- License
- 008869
- Practice address
- 2650 N Wyatt Dr
Tucson, AZ 85712-6108 - Phone
- (520) 325-1300
- NPI assigned
- Jun 27, 2016
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Physical Medicine & Rehabilitation Physician | 208100000X | 125.069085 | IL | |
| Physical Medicine & Rehabilitation Physician | 208100000X | 008869 | AZ | Primary |
Addresses
Primary practice location
2650 N Wyatt Dr
Tucson, AZ 85712-6108
Mailing address
4841 E Placita Abrevadero
Tucson, AZ 85712-1253
Phone (978) 551-3427
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
- Physical Medicine and Rehabilitation
- Education
- Arizona College of Osteopathic Medicine Mid Western University, 2016
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
Practice addresses (Care Compare)
2650 N Wyatt Dr
Tucson, AZ 85712-6106
Phone (978) 551-3427
Hospital & facility affiliations
- Valley Care Hospice, Inc
Merit-based Incentive Payment System (MIPS)
- Final score
- 50 of 100
- Quality
- 90
- Improvement activities
- 0
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Osteopathy
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 125.069085 | IL | MD | Physical Medicine & Rehabilitation Physician |
| 008869 | AZ | MD | Certified Respiratory Therapist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Children'S Clinics for Rehabilitative Services | Current | Accepting new patients | |
| Patel Physiatry, PLLC | Physical Medicine & Rehabilitation | Current | Accepting new patients |
| Athena Medical Group | Past | Accepting new patients |
Locations
2600 N Wyatt Dr
Tucson, AZ 85712
Phone (520) 324-3600
2650 N Wyatt Dr
Tucson, AZ 85712
Phone (520) 320-6230
Ownership & related parties
All facility ownership & control disclosures 1
Facilities whose Medicare enrollment lists this provider’s PECOS associate ID as an owner or managing party.
| Facility | Type | Role | Since |
|---|---|---|---|
| Valley Care Hospice Inc | Hospice | Contracted Managing Employee | Apr 1, 2021 |
Owned or controlled facilities with NPI records 1
Facilities whose Medicare enrollment lists this provider as an owner, officer, director or managing party.
-
- Community Based Hospice Care Agency
- Chandler, AZ
- NPI 1881215945
Contracted Managing Employee
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 and National Provider Directory roles.
-
- Physical Medicine & Rehabilitation Physician
- Tucson, AZ
- NPI 1023686631
-
- Multi-Specialty Clinic/Center
- Tucson, AZ
- NPI 1063454346
-
- Family Medicine Physician
- Phoenix, AZ
- NPI 1164918124
Hospital & facility affiliations 1
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- Community Based Hospice Care Agency
- Chandler, AZ
- NPI 1881215945
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1466985600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1620950400000",
"number": "1851742282",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "4841 E PLACITA ABREVADERO",
"city": "TUCSON",
"state": "AZ",
"postal_code": "857121253",
"telephone_number": "978-551-3427"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2650 N WYATT DR",
"city": "TUCSON",
"state": "AZ",
"postal_code": "857126108",
"telephone_number": "520-325-1300"
}
],
"practiceLocations": [],
"basic": {
"last_name": "PATEL",
"first_name": "DISHA",
"name_prefix": "Dr.",
"credential": "D.O.",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2016-06-27",
"last_updated": "2021-05-14",
"certification_date": "2021-05-14",
"status": "A"
},
"taxonomies": [
{
"code": "208100000X",
"taxonomy_group": "",
"desc": "Physical Medicine & Rehabilitation",
"state": "IL",
"license": "125.069085",
"primary": false
},
{
"code": "208100000X",
"taxonomy_group": "",
"desc": "Physical Medicine & Rehabilitation",
"state": "AZ",
"license": "008869",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Tucson, AZ
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 14, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; facility enrollments, owners and changes of ownership; Provider of Services certification data; 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.