NPIMap

Organization Active NPI

Effideen Ameerally MD PC

Doing business as The Medical Clinic

  • Family Medicine Physician
  • Mesa, AZ
National Provider Identifier
1891740296
Registry record updated Sep 15, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
17561 Issued in AZ
Legal business name
EFFIDEEN AMEERALLY MD PC
Doing business as
The Medical Clinic
Practice address
7436 E Main St
Ste 2
Mesa, AZ 85207-8338
Phone
(480) 325-9600
Fax
(480) 907-2355
NPI assigned
May 23, 2006
Last updated
Sep 15, 2026By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 15, 2026

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

Authorized official

Name
Dr. Amit Patel, MDNPI 1811153604
Title
Owner
Phone
(405) 921-2503

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 2

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine Physician 207Q00000X 17561 AZ Primary
Pain Medicine Physician 208VP0000X 17561 AZ

Addresses

Primary practice location

7436 E Main St
Ste 2
Mesa, AZ 85207-8338

Mailing address

7436 E Main St Ste 2
Mesa, AZ 85207-9338
Phone (480) 325-9600

Other identifiers 1

IdentifierTypeStateIssuer
496178MedicaidAZ

Other names 1

  • THE MEDICAL CLINIC Doing business as

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20040610001407 AZ Part B Supplier - Clinic/Group Practice 2264415108 Receives reassigned benefits from 38 practitioners
Practice locations: Mesa, AZ; Prescott, AZ; Scottsdale, AZ

Laboratory certificates & supplier records

Derived by NPIMap

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

CLIA numberLaboratoryCertificateExpires
03D1059705Medical Clinic,the7436 E Main St Ste 2, Mesa, AZ 85207Certificate of waiverOct 3, 2026

National Provider Directory

National Provider Directory

Locations

100 W Apache Trl
Ste 8
Apache Junction, AZ 85120
Phone (480) 288-7700

7436 E Main St
Mesa, AZ 85207
Phone (480) 832-2600

7436 E Main St
Ste 1
Mesa, AZ 85207
Phone (405) 921-2503

1055 Ruth St
Ste 2A
Prescott, AZ 86301

8897 E Desert CV Ave
1St FL
Scottsdale, AZ 85260

Practitioners & affiliated clinicians

Practitioners 43

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

View all 43

NPI Registry JSON

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

{
    "created_epoch": "1148342400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1789430400000",
    "number": "1891740296",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7436 E MAIN ST STE 2",
            "city": "MESA",
            "state": "AZ",
            "postal_code": "852079338",
            "telephone_number": "480-325-9600",
            "fax_number": "480-712-4948"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7436 E MAIN ST",
            "address_2": "STE 2",
            "city": "MESA",
            "state": "AZ",
            "postal_code": "852078338",
            "telephone_number": "480-325-9600",
            "fax_number": "480-907-2355"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "EFFIDEEN AMEERALLY MD PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-05-23",
        "last_updated": "2026-09-15",
        "certification_date": "2026-09-15",
        "status": "A",
        "authorized_official_last_name": "PATEL",
        "authorized_official_first_name": "AMIT",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "405-921-2503",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "AZ",
            "license": "17561",
            "primary": true
        },
        {
            "code": "208VP0000X",
            "taxonomy_group": "",
            "desc": "Pain Medicine, Pain Medicine",
            "state": "AZ",
            "license": "17561",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "496178",
            "state": "AZ"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "THE MEDICAL CLINIC",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "THE MEDICAL CLINIC",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Mesa, AZ

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 15, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • 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.

Verify at the official NPI Registry.