Sundeep Shashi Patel, MD

Primary specialty

Thoracic Surgery (Cardiothoracic Vascular Surgery) PhysicianTaxonomy code 208G00000X

License

31155 Issued in AZ

Practice address

18301 N 79TH Ave
Suite C135
Glendale, AZ 85308-8463

Phone

(602) 633-2247

Fax

(602) 633-2347

NPI assigned

Jul 10, 2006

Last updated

Oct 17, 2016By the provider in NPPES

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Other identifiers 1

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

Specialty

Cardiac SurgeryAlso: Thoracic Surgery

Education

New York University School of Medicine, 2003

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Banner Physician Specialists Arizona LLCGroup PAC ID 6204002272, 371 clinicians

Practice addresses (Care Compare)

Hospital & facility affiliations

• Banner Home Care-Arizona Home health agency, Mesa, AZ, CCN 037015
• Banner Thunderbird Medical Center Hospital, Glendale, AZ, CCN 030089
• Banner Boswell Medical Center Hospital, Sun City, AZ, CCN 030061

Merit-based Incentive Payment System (MIPS)

Final score

84.12 of 100Reported as group

Quality

76.35

Promoting interoperability

99

Improvement activities

40

Cost

71.55

Procedures performed for Medicare patients

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

Practice roles

Locations

Interoperability endpoints

• Direct secure messaging: vcvsmain@vcavsp-az.direct.office.nextgen.com

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.

• Banner Physician Specialists Arizona LLC

  • Multi-Specialty Clinic/Center
  • Phoenix, AZ
  • NPI 1821368218
  Medicare reassignment Care Compare group NPD
• Valley Chest & Vascular Surgeons PLLC

  • Thoracic Surgery (Cardiothoracic Vascular Surgery) Physician
  • Glendale, AZ
  • NPI 1134398571
  Authorized official Same address or phone
• Banner Physician Specialists Arizona LLC

  • Multi-Specialty Clinic/Center
  • Phoenix, AZ
  • NPI 1316228802
  NPD
• Banner Physician Specialists Arizona LLC

  • Multi-Specialty Clinic/Center
  • Page, AZ
  • NPI 1366799355
  NPD
• Arizona Cardiovascular Center PLC

  • Surgical Physician Assistant
  • Phoenix, AZ
  • NPI 1407195241
  NPD (past)
• Banner Thunderbird Medical Center

  • General Acute Care Hospital
  • Glendale, AZ
  • NPI 1154355188
  NPD (past)
• Northwest Cardiovascular and Thoracic Surgeons PLLC

  • Thoracic Surgery (Cardiothoracic Vascular Surgery) Physician
  • Sun City, AZ
  • NPI 1336159185
  NPD (past)

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

• Banner Boswell Medical Center

  • General Acute Care Hospital
  • Sun City, AZ
  • NPI 1952560914
  Care Compare affiliation
• Banner Home Care-Arizona

  • Home Health Agency
  • Sun City, AZ
  • NPI 1023051927
  Care Compare affiliation
• Banner Thunderbird Medical Center

  • General Acute Care Hospital
  • Glendale, AZ
  • NPI 1154355188
  Care Compare affiliation

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

{
    "created_epoch": "1152489600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1476662400000",
    "number": "1912931601",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "18301 N 79TH AVE",
            "address_2": "SUITE C135",
            "city": "GLENDALE",
            "state": "AZ",
            "postal_code": "853088463",
            "telephone_number": "602-633-2247",
            "fax_number": "602-633-2347"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "18301 N 79TH AVE",
            "address_2": "SUITE C135",
            "city": "GLENDALE",
            "state": "AZ",
            "postal_code": "853088463",
            "telephone_number": "602-633-2247",
            "fax_number": "602-633-2347"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PATEL",
        "first_name": "SUNDEEP",
        "middle_name": "SHASHI",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-07-10",
        "last_updated": "2016-10-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208G00000X",
            "taxonomy_group": "",
            "desc": "Thoracic Surgery (Cardiothoracic Vascular Surgery)",
            "state": "AZ",
            "license": "31155",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "777162005",
            "state": "AZ"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Rakesh R. Patel, MD
• Sarah Niluka Patel, M.D.
• Seema Patel, PHARM.D
• Shamil Surendra Patel, MD, MBA
• Shraddha Satya Patel, M.D.
• Vinod B Patel, MD
• Yatin Patel, PHARMD
• Pathway Healing Center LLC
• Patricia Birmingham RN, LPC, LLC
• Calie Michelle Patrick, RBT

• Thoracic Surgery (Cardiothoracic Vascular Surgery) Physician in Glendale, AZ
• Providers in Glendale, AZ by specialty
• Thoracic Surgery (Cardiothoracic Vascular Surgery) Physician in Arizona

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 17, 2016; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; 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.

Verify at the official NPI Registry.