Individual provider Active NPI

Rajendrakumar Mangaldas Patel, MD

  • Interventional Cardiology Physician
  • Tucson, AZ
National Provider Identifier
1982780995
Registry record updated Sep 20, 2017
On this page

Key facts

NPPES NPI Registry
Primary specialty
Interventional Cardiology PhysicianTaxonomy code 207RI0011X
License
46297 Issued in AZ
Practice address
6567 E Carondelet Dr Ste 225
Tucson, AZ 85710-6154
Phone
(520) 886-3432
Fax
(520) 886-0169
NPI assigned
Oct 31, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 20, 2017

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Cardiovascular Disease Physician 207RC0000X 46297 AZ
Interventional Cardiology Physician 207RI0011X 46297 AZ Primary

Addresses

Primary practice location

6567 E Carondelet Dr Ste 225
Tucson, AZ 85710-6154

Mailing address

2202 N Forbes Blvd
Tucson, AZ 85745-1412
Phone (520) 872-7536

Other identifiers 1

IdentifierTypeStateIssuer
PENDINGMedicaidAZ

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
I20121015000161 AZ Practitioner - Interventional CardiologyPractitioner - Internal Medicine 2365457942 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Interventional CardiologyAlso: Internal Medicine
Education
Other, 1992
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Tucson Physician Group Holdings LLCGroup PAC ID 0547560070, 200 clinicians

Practice addresses (Care Compare)

6567 E Carondelet Dr
Suite 225
Tucson, AZ 85710-6154
Phone (520) 886-3432

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
84.74 of 100Reported as group
Quality
79.16
Promoting interoperability
100
Improvement activities
40
Cost
69.96

Procedures performed for Medicare patients

ProcedureNumber of procedures
Coronary angioplasty and stenting20

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
46297AZMDCardiovascular Disease Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Tucson Physician Group Holdings, LLC Internal Medicine CurrentSince Dec 20, 2015 Accepting new patients
Arizona Diagnostic Pathology Associates PLLC CurrentSince Oct 27, 2024 Accepting new patients
Arizona Inpatient Medicine Associates LLC Internal Medicine CurrentSince Jun 1, 2012 Accepting new patients
Carondelet Medical Group, Inc Internal Medicine Past Accepting new patients

Locations

1209 W Target Range Rd
Nogales, AZ 85621
Phone (520) 285-3135

7383 E Tanque Verde Rd
Tucson, AZ 85715
Phone (520) 318-3434

3987 E Paradise Falls Dr
Tucson, AZ 85712
Phone (520) 400-9936

395 N Silverbell Rd
Ste 355
Tucson, AZ 85745
Phone (520) 622-5912

6567 E Carondelet Dr
Ste 225
Tucson, AZ 85710
Phone (520) 886-3432

445 N Silverbell Rd
Ste 201
Tucson, AZ 85745
Phone (520) 396-1370

350 N Wilmot Rd
Tucson, AZ 85711
Phone (520) 873-3000

355 N Wilmot Rd
Tucson, AZ 85711
Phone (520) 322-4412

2202 N Forbes Blvd
Tucson, AZ 85745
Phone (520) 872-7265

Interoperability endpoints

  • Direct secure messaging: rajendrakumar.patel.1@600.direct.athenahealth.com
  • FHIR API: https://fhir-myrecord.cerner.com/r4/MmWbh382tKlbvAIA1_DeLlIjYVSwroch/

Organizations & group practices 4

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.

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": "1162252800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1505865600000",
    "number": "1982780995",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2202 N FORBES BLVD",
            "city": "TUCSON",
            "state": "AZ",
            "postal_code": "857451412",
            "telephone_number": "520-872-7536",
            "fax_number": "520-872-7929"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6567 E CARONDELET DR STE 225",
            "city": "TUCSON",
            "state": "AZ",
            "postal_code": "857106154",
            "telephone_number": "520-886-3432",
            "fax_number": "520-886-0169"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PATEL",
        "first_name": "RAJENDRAKUMAR",
        "middle_name": "MANGALDAS",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-10-31",
        "last_updated": "2017-09-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207RC0000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Cardiovascular Disease",
            "state": "AZ",
            "license": "46297",
            "primary": false
        },
        {
            "code": "207RI0011X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Interventional Cardiology",
            "state": "AZ",
            "license": "46297",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "PENDING",
            "state": "AZ"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Tucson, AZ

Sources for this page

Verify at the official NPI Registry.