Organization Active NPI

Dr Harshad Patel MD PC

  • Internal Medicine Physician
  • Glendale, AZ
National Provider Identifier
1881852846
Registry record updated Feb 23, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
License
22757 Issued in AZ
Legal business name
DR HARSHAD PATEL MD PC
Practice address
5700 W Olive Ave
Ste 108
Glendale, AZ 85302-3147
Phone
(623) 842-3077
Fax
(623) 934-8773
NPI assigned
May 27, 2008
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Feb 23, 2021

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

Authorized official

Name
Harshad S Patel, MDNPI 1265472757
Title
MD
Phone
(623) 842-3077

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 207R00000X 22757 AZ Primary

Addresses

Primary practice location

5700 W Olive Ave
Ste 108
Glendale, AZ 85302-3147

Mailing address

5700 W Olive Ave
Ste 108
Glendale, AZ 85302-3147
Phone (623) 842-3077

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address DRHARSHADPATEL@OUTLOOK.COM Direct

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in AZ

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20120320000834 AZ Part B Supplier - Clinic/Group Practice 9234121740 Receives reassigned benefits from 1 practitioner
Practice locations: Glendale, AZ

National Provider Directory

National Provider Directory

Locations

5700 W Olive Ave
Glendale, AZ 85302
Phone (480) 226-5652

5036 W Olive Ave
Glendale, AZ 85302

13000 N 103rd Ave
Ste 72
Sun City, AZ 85351
Phone (602) 974-2571

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1211846400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1614038400000",
    "number": "1881852846",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5700 W OLIVE AVE",
            "address_2": "STE 108",
            "city": "GLENDALE",
            "state": "AZ",
            "postal_code": "853023147",
            "telephone_number": "623-842-3077",
            "fax_number": "623-934-8773"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5700 W OLIVE AVE",
            "address_2": "STE 108",
            "city": "GLENDALE",
            "state": "AZ",
            "postal_code": "853023147",
            "telephone_number": "623-842-3077",
            "fax_number": "623-934-8773"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DR HARSHAD PATEL MD PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-05-27",
        "last_updated": "2021-02-23",
        "certification_date": "2021-02-23",
        "status": "A",
        "authorized_official_last_name": "PATEL",
        "authorized_official_first_name": "HARSHAD",
        "authorized_official_middle_name": "S",
        "authorized_official_title_or_position": "MD",
        "authorized_official_telephone_number": "623-842-3077",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Internal Medicine",
            "state": "AZ",
            "license": "22757",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "DRHARSHADPATEL@OUTLOOK.COM",
            "affiliation": "N",
            "endpointDescription": "EMAIL",
            "use": "DIRECT",
            "useDescription": "Direct",
            "contentType": "CSV",
            "contentTypeDescription": "CSV",
            "address_1": "5700 W Olive Ave",
            "address_2": "STE 108",
            "city": "Glendale",
            "state": "AZ",
            "country_code": "US",
            "postal_code": "853023147",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Glendale, AZ

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 23, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.