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DR. KELLI RAYNELL FAVATA M.D.
NPI 1184822348
Specialist/Technologist Cardiovascular - Vascular Specialist in Gilbert, AZ

Active since July 10, 2007PECOS EnrolledAccepts Medicare Assignment
82.49/100
CMS Quality Rating
3530 S VAL VISTA DR STE B210, GILBERT, AZ 85297(800) 991-6117 Get Directions Write a Review

NPPES record last updated: February 15, 2025. Verified against the NPPES registry weekly; last sync: August 16, 2026.

Record update history: Feb 15, 2025, Sep 30, 2022 (2 updates tracked since 2022).

About Dr. Kelli Raynell Favata M.d. NPPES

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

DR. KELLI RAYNELL FAVATA M.D. (NPI 1184822348) is an individual vascular specialist in Gilbert, Arizona, licensed in Arizona (45344) and active in the NPI registry since July 2007. She is enrolled in Medicare PECOS and is a graduate of Other (2007).

NPPES Registry Identity

NPI1184822348
Entity TypeIndividualFemale
Primary Taxonomy246XC2903X
Provider Legal NameDR. KELLI RAYNELL FAVATACredential: M.D.
Location Address3530 S VAL VISTA DR STE B210Gilbert, AZ 85297-7318
Mailing Address3820 Northdale Blvd Ste 201Tampa, FL 33624-1893 · (800) 911-6117
Phone(800) 991-6117
Sole ProprietorNo
Medical School CMSOtherGraduated 2007
Enumeration DateJuly 10, 2007
Last NPPES UpdateFebruary 15, 20252 updates tracked since enumeration
NPPES CertifiedFebruary 15, 2025
✔ NPI 1184822348 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtySpecialist/Technologist Cardiovascular · Vascular SpecialistTechnologists, Technicians & Other Technical Service Providers
Taxonomy Code246XC2903X
License✔ Licensed in AZ · 45344
Definition
A vascular technologist, also known as a vascular sonographer, creates images of blood vessels and collects data that help physicians diagnose disorders affecting blood flow. Vascular technologists often evaluate blood flow and identify blocked arteries or blood clots.
Also ListedInternal MedicineTaxonomy 207R00000X · License 30177 (SC), 45344 (AZ)
3530 S VAL VISTA DR STE B210, Gilbert, AZ 85297
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Other Identifiers 1

Medicaid654974AZ

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, Imperial Insurance Companies, Inc. and more.Insurance ›

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. Kelli Raynell Favata 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 ID1052507241
PECOS Enrollment IDI20120526000028
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 Quality Performance CMS QPP · MIPS

Performance in the CMS Quality Payment Program: the MIPS final score across four weighted categories, and the individual quality measures reported to Medicare.

82.49/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored as part of a group practice
Quality73.09
Promoting Interoperability100
Improvement Activities40
Cost68.54

Reported Quality Measures

Documentation of Current Medications in the Medical Record
73%381 patients3/55-star benchmark: 100%
Falls: Screening for Future Fall Risk
1%142 patients1/55-star benchmark: 100%
Preventive Care and Screening: Body Mass Index (BMI) Screening and Follow-Up Plan
82%268 patients4/55-star benchmark: 98%
Preventive Care and Screening: Screening for High Blood Pressure and Follow-Up Documented
0%293 patients1/55-star benchmark: 61%
Preventive Care and Screening: Tobacco Use: Screening and Cessation Intervention
Patients screened: 98% · 220 patients
97%220 patients
Statin Therapy for the Prevention and Treatment of Cardiovascular Disease
72%32 patients3/55-star benchmark: 91%
Use of High-Risk Medications in Older Adults
Lower rates are better for this measure.
Patients appropriateDiagnosis: 1% · 148 patients
Patients totalRate: 7% · 149 patients
7%149 patients4/55-star benchmark: 100%
Providers report different measures because they deliver different services; reporting more or less information is not a reflection of quality. Star ratings appear only where CMS assigned them.

Other Providers at the Same Location NPPES

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

GERIHEALTH LLC
Clinic/Center (Primary Care)
3530 S VAL VISTA DR STE B210
GILBERT, AZ 85297
Maricopa County (480) 359-3998

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 Kelli Favata's NPI number?

The NPI number for Kelli Favata is 1184822348. It was assigned to this individual provider in the NPPES registry on July 10, 2007.

Where is Kelli Favata located?

Kelli Favata practices at 3530 S Val Vista Dr Ste B210, Gilbert, AZ 85297. The listed phone number is (800) 991-6117.

What is Kelli Favata's specialty?

The primary specialty registered for this NPI is Specialist/Technologist Cardiovascular, specializing in Vascular Specialist, with taxonomy code 246XC2903X.

Is Kelli Favata enrolled in Medicare?

Yes. Kelli Favata 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.

What insurance does Kelli Favata accept?

Health plans from Ambetter from Arizona Complete Health, Blue Cross Blue Shield of Arizona, Imperial Insurance Companies, Inc. and UnitedHealthcare list Kelli Favata 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 Kelli Favata was last updated on February 15, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 18 months 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.