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ASHISH SUDHIR PATEL MD
NPI 1053421636
Pediatrics - Pediatric Gastroenterology in Phoenix, AZ

Active since August 30, 2006PECOS Enrolled
1919 E THOMAS RD, PHOENIX, AZ 85016(602) 933-0940(602) 933-2424 Get Directions Write a Review

NPPES record last updated: December 10, 2020. Verified against the NPPES registry weekly; last sync: October 18, 2026.

About Ashish Sudhir Patel Md NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

ASHISH SUDHIR PATEL MD (NPI 1053421636) is an individual pediatric gastroenterology provider in Phoenix, Arizona, licensed in Arizona (60507) and active in the NPI registry since August 2006. He is enrolled in Medicare PECOS and maintains a secondary practice location in Dallas.

NPPES Registry Identity

NPI1053421636
Entity TypeIndividualMale
Primary Taxonomy2080P0206X
Provider Legal NameASHISH SUDHIR PATELCredential: MD
Location Address1919 E THOMAS RDPhoenix, AZ 85016-7710
Mailing Address3200 E Camelback Rd Ste 250Phoenix, AZ 85018-2327 · (602) 933-1814 · Fax (602) 933-8972
Phone(602) 933-0940
Fax(602) 933-2424
Sole ProprietorNo
Enumeration DateAugust 30, 2006
Last NPPES UpdateDecember 10, 2020
NPPES CertifiedDecember 10, 2020
✔ NPI 1053421636 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPediatrics · Pediatric GastroenterologyAllopathic & Osteopathic Physicians
Taxonomy Code2080P0206X
Licenses✔ Licensed in AZ · 60507✔ Licensed in TX · L6564
Definition
A pediatrician who specializes in the diagnosis and treatment of diseases of the digestive systems of infants, children and adolescents. This specialist treats conditions such as abdominal pain, ulcers, diarrhea, cancer and jaundice and performs complex diagnostic and therapeutic procedures using lighted scopes to see internal organs.
1919 E THOMAS RD, Phoenix, AZ 85016
Open in Google Maps ↗

Secondary Practice Location 1

Location 15323 Harry Hines BlvdDallas, TX 75390-7208 · Phone (214) 730-5437

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Ambetter from Arizona Complete Health, Blue Cross Blue Shield of Arizona.Insurance ›

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Ashish Sudhir Patel Md is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Eligible to Order & Refer✔ Part B Labs & Imaging✔ Durable Medical Equipment✔ Home Health Agency✔ Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

Medicare Billing Reassignments

3

Medicare enrollment records show Ashish Patel reassigns Medicare billing to 3 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

Phoenix Children's Hospital
Same address
Pediatrics
1919 E THOMAS RD
Phoenix, AZ 85016
  • Reassigned Medicare billing, Arizona enrollment
  • 1,416 clinicians in this Medicare group
NPI 1922112044 (602) 933-1000
Northern Arizona Healthcare Corporation
121 mi
Family Medicine
1200 N. BEAVER STREET, ATTN: PAYER CREDENTIALING
Flagstaff, AZ 86001
  • Reassigned Medicare billing, Arizona enrollment
  • 552 clinicians in this Medicare group
NPI 1669914552 (928) 773-2546
University Of Texas Southwestern Medical Center At Dallas
345 mi
Internal Medicine
1625 MEDICAL CENTER DR
El Paso, TX 79902
  • Reassigned Medicare billing, Texas enrollment
  • 5,299 clinicians in this Medicare group
NPI 1235384199 (214) 645-0624

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 85016 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.

New Patient
$127.71 typical visit price
range $55.44 – $168.60
Typical copayment $31.92 (range $13.86 – $42.15)
Most-billed visit code 99204
Established Patient
$98.00 typical visit price
range $17.72 – $137.41
Typical copayment $24.50 (range $4.43 – $34.35)
Most-billed visit code 99214
Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

Other Providers at the Same Location NPPES 20

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

DR. TIMUR RAGHIB M.D.
Hospitalist
1919 E THOMAS RD
PHOENIX, AZ 85016
Maricopa County (602) 933-0777
MRS. MARIA T ESCOBAR CSP, RD
Dietitian, Registered
1919 E THOMAS RD
PHOENIX, AZ 85016
Maricopa County (480) 440-2787
DR. AHMAR HUSAIN MD
Anesthesiology (Pediatric Anesthesiology)
1919 E THOMAS RD
PHOENIX, AZ 85016
Maricopa County (602) 933-4660
MRS. SOLEE R COWLEY LCSW
Social Worker (Clinical)
1919 E THOMAS RD
PHOENIX, AZ 85016
Maricopa County (602) 933-0414
MR. SEAN PATRICK BRADY DO
Anesthesiology (Pediatric Anesthesiology)
1919 E THOMAS RD
PHOENIX, AZ 85016
Maricopa County (602) 933-4660
PRIYA PRASHER M.D.
Pediatrics
1919 E THOMAS RD
PHOENIX, AZ 85016
Maricopa County (602) 933-1900
DR. AMIT RAJARAM D.O.
Pediatrics
1919 E THOMAS RD
PHOENIX, AZ 85016
Maricopa County (602) 933-0198
LAURA GARDNER HAMANT
Pediatrics (Pediatric Gastroenterology)
1919 E THOMAS RD
PHOENIX, AZ 85016
Maricopa County (602) 933-1000

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Ashish Patel's NPI number?

The NPI number for Ashish Patel is 1053421636. It was assigned to this individual provider in the NPPES registry on August 30, 2006.

Where is Ashish Patel located?

Ashish Patel practices at 1919 E Thomas Rd, Phoenix, AZ 85016. The listed phone number is (602) 933-0940.

What is Ashish Patel's specialty?

The primary specialty registered for this NPI is Pediatrics, specializing in Pediatric Gastroenterology, with taxonomy code 2080P0206X.

Is Ashish Patel enrolled in Medicare?

Yes. Ashish Patel is registered in the Medicare PECOS enrollment system.

Which organizations bill Medicare for Ashish Patel's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Ashish Patel reassigns Medicare benefits to 3 organizations: Phoenix Children's Hospital (Phoenix, AZ), Northern Arizona Healthcare Corporation (Flagstaff, AZ) and University Of Texas Southwestern Medical Center At Dallas (El Paso, TX). Each reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for Ashish Patel's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Ashish Patel accept?

Health plans from Ambetter from Arizona Complete Health and Blue Cross Blue Shield of Arizona list Ashish Patel as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

When was this NPI record last updated?

The NPPES record for Ashish Patel was last updated on December 10, 2020. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 5 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.