DR. VIPUL GANATRA M.D.
NPI 1093769689
Internal Medicine - Infectious Disease in Phoenix, AZ

Active since May 19, 2006PECOS EnrolledAccepts Medicare Assignment
350 W THOMAS RD, PHOENIX, AZ 85013(602) 900-9466 Get Directions Write a Review

NPPES record last updated: March 7, 2023. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Dr. Vipul Ganatra M.d. NPPES

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

DR. VIPUL GANATRA M.D. (NPI 1093769689) is an individual infectious disease provider in Phoenix, Arizona, licensed in Arizona (34690) and active in the NPI registry since May 2006. He is enrolled in Medicare PECOS and is a graduate of Other (1996).

NPPES Registry Identity

NPI1093769689
Entity TypeIndividualMale
Primary Taxonomy207RI0200X
Provider Legal NameDR. VIPUL GANATRACredential: M.D.
Location Address350 W THOMAS RDPhoenix, AZ 85013-4409
Mailing AddressPo Box 11773Chandler, AZ 85248-0013 · (480) 907-7707 · Fax (480) 907-7097
Sole ProprietorNo
Medical School CMSOtherGraduated 1996
Enumeration DateMay 19, 2006
Last NPPES UpdateMarch 7, 2023
NPI 1093769689 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

Primary SpecialtyInternal Medicine · Infectious DiseaseAllopathic & Osteopathic Physicians
Taxonomy Code207RI0200X
License Licensed in AZ · 34690
Definition
An internist who deals with infectious diseases of all types and in all organ systems. Conditions requiring selective use of antibiotics call for this special skill. This physician often diagnoses and treats AIDS patients and patients with fevers which have not been explained. Infectious disease specialists may also have expertise in preventive medicine and travel medicine.
Also ListedInternal MedicineTaxonomy 207R00000X · License 34690 (AZ)
350 W THOMAS RD, Phoenix, AZ 85013

Other Identifiers 1

Medicaid104773-01AZ

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

Enrolled in Medicare and accepts Medicare assignment

Dr. Vipul Ganatra M.d. is registered in PECOS and agrees to accept the Medicare-approved amount as full payment. Medicare patients are not billed beyond the standard deductible and coinsurance.

PECOS PAC ID941203384
PECOS Enrollment IDI20060824000397
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.

Areas of Expertise CMS Part B claims 7

Services this provider delivered to Medicare fee-for-service patients, from the CMS Medicare utilization data. Higher counts generally reflect more experience with a service; care delivered outside Medicare is not included.

Subsequent hospital care with moderate levelof medical decision making, if using time, at least 50 minutes 99233
Follow-up hospital inpatient care per day typically involves a 35-minute check-up by your healthcare provider. This service includes monitoring your health progress, adjusting your treatment plan if needed, and answering any questions you may have about your condition or care.
513 services89 patients
Subsequent hospital care with moderate levelof medical decision making, if using time, at least 35 minutes 99232
Follow-up hospital inpatient care involves daily check-ups while you're admitted in the hospital. Typically, a healthcare provider spends about 25 minutes each day reviewing your condition, adjusting treatment if needed, and answering any questions you might have.
205 services46 patients
Initial hospital care with moderate level of medical decision making, if using time, at least 75 minutes 99223
Initial hospital inpatient care per day, typically 70 minutes, refers to the daily medical service provided to patients admitted to the hospital. This includes a comprehensive evaluation, diagnosis, treatment plan, and monitoring of your health condition. It ensures your well-being during your hospital stay.
99 services86 patients
Subsequent nursing facility care with moderate level of medical decision making, per day, if using time, at least 30 minutes 99309
A follow-up nursing facility visit per day is a daily check-in by a healthcare professional. This 25-minute visit typically involves monitoring your health progress, addressing any concerns, and adjusting treatment plans as necessary. It's a vital part of ensuring your ongoing wellbeing.
60 services16 patients
Subsequent nursing facility care with straightforward level of medical decision making, per day, if using time, 20 minutes or more 99308
A follow-up nursing facility visit per day is a daily check-up service provided by healthcare professionals. It lasts around 15 minutes and involves assessing your health status, monitoring your recovery progress, and addressing any concerns you may have about your health or treatment.
27 services13 patients
Initial nursing facility care with high level of medical decision making, per day, if using time, 50 minutes or more 99306
An initial nursing facility visit is your first meeting with your healthcare team at a nursing facility. Lasting typically 45 minutes, this appointment involves a comprehensive health assessment and the creation of your personalized care plan. It's a crucial step to ensure your health and well-being.
21 services19 patients

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 85013 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.

Student in an Organized Health Care Education/Training Program
350 W THOMAS RD
PHOENIX, AZ 85013
Psychiatry & Neurology (Vascular Neurology)
350 W THOMAS RD
PHOENIX, AZ 85013
Student in an Organized Health Care Education/Training Program
350 W THOMAS RD
PHOENIX, AZ 85013
Radiology (Diagnostic Radiology)
350 W THOMAS RD
PHOENIX, AZ 85013
Hospitalist
350 W THOMAS RD
PHOENIX, AZ 85013
Radiology (Diagnostic Radiology)
350 W THOMAS RD, RADIOLOGY DEPARTMENT
PHOENIX, AZ 85013
Hospitalist
350 W THOMAS RD
PHOENIX, AZ 85013
Radiology (Diagnostic Radiology)
350 W THOMAS RD
PHOENIX, AZ 85013

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 Vipul Ganatra's NPI number?

The NPI number for Vipul Ganatra is 1093769689. It was assigned to this individual provider in the NPPES registry on May 19, 2006.

Where is Vipul Ganatra located?

Vipul Ganatra practices at 350 W Thomas Rd, Phoenix, AZ 85013. The listed phone number is (602) 900-9466.

What is Vipul Ganatra's specialty?

The primary specialty registered for this NPI is Internal Medicine, specializing in Infectious Disease, with taxonomy code 207RI0200X.

Is Vipul Ganatra enrolled in Medicare?

Yes. Vipul Ganatra is registered in the Medicare PECOS system and accepts Medicare assignment, which means accepting the Medicare-approved amount as payment in full for covered services.

When was this NPI record last updated?

The NPPES record for Vipul Ganatra was last updated on March 7, 2023. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 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.