Individual provider Active NPI

Raxitkumar Bhupendrakumar Patel, M.D.,

  • Gastroenterology Physician
  • Mesa, AZ
National Provider Identifier
1881989820
Registry record updated Oct 1, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Gastroenterology PhysicianTaxonomy code 207RG0100X
License
55827 Issued in AZ
Practice address
4540 E Baseline Rd Ste 115
Mesa, AZ 85206-4617
Phone
(480) 306-6405
Fax
(480) 361-6108
NPI assigned
Jun 17, 2011
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Oct 1, 2025

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Gastroenterology Physician 207RG0100X 55827 AZ Primary

Addresses

Primary practice location

4540 E Baseline Rd Ste 115
Mesa, AZ 85206-4617

Mailing address

4540 E Baseline Rd Ste 115
Mesa, AZ 85206-4617
Phone (480) 306-6405

Other practice location 1

9305 W Thomas Rd Ste 478
Phoenix, AZ 85037-3375
Phone (623) 236-8507

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
I20190717003116 AZ Practitioner - Gastroenterology 1254551237 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
GastroenterologyAlso: Internal Medicine
Education
Other, 2008
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
BHSM Rehabilitation LLCGroup PAC ID 2062773138, shared by 27 NPIs, 450 clinicians
Arizona Gastrointestinal Associates PLCGroup PAC ID 6901054014, 36 clinicians

Practice addresses (Care Compare)

2225 W Southern Ave
Mesa, AZ 85202-4716
Phone (623) 888-3502

4540 E Baseline Rd
Suite 115
Mesa, AZ 85206-4617
Phone (480) 306-6405

Hospital & facility affiliations

Procedures performed for Medicare patients

ProcedureNumber of procedures
Colonoscopy59
Upper gastrointestinal (GI) endoscopy for acid reflux72

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Arizona Gastrointestinal Associates, PLC Gastroenterology CurrentSince May 1, 2022 Accepting new patients
Reddy Gi Associates CurrentSince Jan 10, 2021 Accepting new patients
Brandon Suedekum MD, PC Past Accepting new patients
Central Arizona Gi & Liver Institute LLC Past Accepting new patients
Clinical Associates in Internal Medicine, LTD Past Accepting new patients

Locations

5555 E Baseline Rd
Mesa, AZ 85206
Phone (480) 393-5075

4540 E Baseline Rd
Ste 115
Mesa, AZ 85206
Phone (480) 306-6405

1810 S Crismon Rd
Ste 191
Mesa, AZ 85209
Phone (480) 621-5891

9305 W Thomas Rd
Ste 478
Phoenix, AZ 85037
Phone (623) 236-8507

3124 Willow Creek Rd
Prescott, AZ 86301
Phone (928) 371-4700

8761 E Bell Rd
Ste 105
Scottsdale, AZ 85260
Phone (480) 219-6662

Organizations & group practices 5

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.

Hospital & facility affiliations 1

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": "1308268800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1759276800000",
    "number": "1881989820",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4540 E BASELINE RD STE 115",
            "city": "MESA",
            "state": "AZ",
            "postal_code": "852064617",
            "telephone_number": "480-306-6405"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4540 E BASELINE RD STE 115",
            "city": "MESA",
            "state": "AZ",
            "postal_code": "852064617",
            "telephone_number": "480-306-6405",
            "fax_number": "480-361-6108"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "9305 W Thomas Rd Ste 478",
            "address_purpose": "LOCATION",
            "city": "Phoenix",
            "state": "AZ",
            "postal_code": "850373375",
            "country_code": "US",
            "telephone_number": "623-236-8507",
            "fax_number": "623-236-8508",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "PATEL",
        "first_name": "RAXITKUMAR",
        "middle_name": "BHUPENDRAKUMAR",
        "credential": "M.D.,",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2011-06-17",
        "last_updated": "2025-10-01",
        "certification_date": "2025-10-01",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207RG0100X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Gastroenterology",
            "state": "AZ",
            "license": "55827",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Mesa, AZ

Sources for this page

Verify at the official NPI Registry.