DR. SANJAY PATEL DO
NPI 1669418331
Family Medicine in Tempe, AZ

Q: What is Sanjay Patel's NPI number?

The NPI number for Sanjay Patel is 1669418331. It was assigned to this individual provider in the NPPES registry on June 21, 2006.

Q: What is Sanjay Patel's specialty?

The primary specialty registered for this NPI is Family Medicine with taxonomy code 207Q00000X.

Q: When was this NPI record last updated?

The NPPES record for Sanjay Patel was last updated on October 21, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 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.

Active since June 21, 2006PECOS Enrolled

222 S MILL AVE STE 800, TEMPE, AZ 85281(888) 402-0202 Get Directions Write a Review

NPPES record last updated: October 21, 2024. Verified against the NPPES registry weekly; last sync: October 25, 2026.

Record update history: Feb 20, 2023, Jul 21, 2022, Mar 17, 2018 and 1 more (4 updates tracked since 2017).

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About Dr. Sanjay Patel Do NPPES

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

DR. SANJAY PATEL DO (NPI 1669418331) is an individual family medicine provider in Tempe, Arizona, licensed in Arizona (3420) and active in the NPI registry since June 2006. He is enrolled in Medicare PECOS and is a graduate of Chicago College Of Osteopathy (1997).

NPPES Registry Identity

NPI1669418331

Entity TypeIndividualMale

Primary Taxonomy207Q00000X

Provider Legal NameDR. SANJAY PATELCredential: DO

Location Address222 S MILL AVE STE 800Tempe, AZ 85281-2899

Mailing Address222 S Mill Ave Ste 800Tempe, AZ 85281-2899 · (888) 402-0202

Phone(888) 402-0202

Sole ProprietorNo

Medical School CMSChicago College Of OsteopathyGraduated 1997

Enumeration DateJune 21, 2006

Last NPPES UpdateOctober 21, 20244 updates tracked since enumeration

NPPES CertifiedOctober 21, 2024

✔ NPI 1669418331 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyFamily MedicineAllopathic & Osteopathic Physicians

Taxonomy Code207Q00000X

License✔ Licensed in AZ · 3420

Definition

Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity.

222 S MILL AVE STE 800, Tempe, AZ 85281

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Other Identifiers 1

Medicaid478869AZ

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Oscar Health Plan, Inc..Insurance ›

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Dr. Sanjay Patel Do is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

PECOS PAC ID2466435631

PECOS Enrollment IDI20040609000771

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

Medicare enrollment records show Sanjay Patel reassigns Medicare billing to 7 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

Arizona Post-Acute Medical Services 1 PC

6.1 mi

Hospitalist

2509 N 24TH ST
Phoenix, AZ 85008

Reassigned Medicare billing, Arizona enrollment
66 clinicians in this Medicare group

NPI 1093254419 (602) 789-0344

Arizona Acute Medical Services 1 PC

6.8 mi

Hospitalist

1930 E THOMAS RD
Phoenix, AZ 85016

Reassigned Medicare billing, Arizona enrollment
302 clinicians in this Medicare group

NPI 1154860674 (602) 532-1000

Innovative Wound Solutions, LLC

11 mi

Multi-Specialty

10210 N 92ND ST STE 104
Scottsdale, AZ 85258

Reassigned Medicare billing, Arizona enrollment
23 clinicians in this Medicare group

NPI 1649038910 (480) 493-0900

Innovative Diabetic Center, LLC

11 mi

Family Medicine

10210 N 92ND ST STE 104
Scottsdale, AZ 85258

Reassigned Medicare billing, Arizona enrollment
15 clinicians in this Medicare group

NPI 1235997602 (480) 493-0900

United Wound & Vascular Institute New Mexico

329 mi

Family Medicine

100 SUN AVE NE STE 650
Albuquerque, NM 87109

Reassigned Medicare billing, Nevada enrollment
6 clinicians in this Medicare group

NPI 1255199352 (888) 402-0202

Nm Pacs 2 LLC

331 mi

Hospitalist

10101 LAGRIMA DE ORO RD NE
Albuquerque, NM 87111

Reassigned Medicare billing, Arizona enrollment
64 clinicians in this Medicare group

NPI 1366928749 (865) 693-1000

Cs Pacs 3 West LLC

631 mi

Hospitalist

1002 W FREMONT AVE
Sunnyvale, CA 94087

Reassigned Medicare billing, Arizona enrollment
56 clinicians in this Medicare group

NPI 1073378238 (408) 739-2383

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

Areas of Expertise CMS Part B claims 11

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 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.

445 services150 patients

Initial nursing facility care with straightforward or low level of medical decision making, per day, if using time, at least 25 minutes 99304

An initial nursing facility visit is a daily check-up to monitor your health status. This service, lasting typically 25 minutes, involves a nurse assessing your overall wellbeing, discussing concerns, and updating your care plan as needed.

157 services154 patients

Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more 99214

This is a routine check-up for patients who have previously visited our clinic. It involves a comprehensive review of your health and any ongoing treatments. The consultation lasts between 30-39 minutes, allowing enough time to discuss any concerns.

138 services22 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.

106 services44 patients

Subsequent nursing facility care with straightforward level of medical decision making, per day, if using time, at least 10 minutes 99307

A follow-up nursing facility visit per day typically lasts about 10 minutes. This service involves a healthcare professional checking on your health status, answering any questions you may have, and monitoring your progress. This routine check ensures your recovery is on track and any concerns are addressed promptly.

54 services38 patients

Removal of tissue from wound, 20.0 sq cm or less 97597

This procedure involves the careful removal of damaged or infected tissue from a wound that's 20.0 square cm or less. It's done to promote healing and prevent further infection. The process is carried out under local anesthesia, ensuring minimal discomfort.

51 services13 patients

Established patient office or other outpatient visit with low level od decision making, if using time, 20 minutes or more 99213

This is a routine visit for patients who have already been seen by the healthcare provider. During this approximately 20-29 minute appointment, your health status will be evaluated and any necessary treatments or tests will be discussed. It's a chance to address any health concerns you may have.

50 services20 patients

Initial nursing facility care with moderate level of medical decision making, per day, if using time, at least 35 minutes 99305

An initial nursing facility visit per day is a service where a healthcare professional spends about 35 minutes assessing a patient's health status. This includes reviewing medical history, conducting a physical exam, and developing a care plan based on the patient's needs.

43 services43 patients

Removal of skin and tissue, 20.0 sq cm or less 11042

This procedure involves the surgical removal of skin and tissue, up to 20.0 square cm in size. It's often performed to treat conditions like skin cancer or to remove moles, warts, and other skin lesions. The area is numbed and the unwanted tissue is carefully cut out.

37 services26 patients

Subsequent nursing facility care with straightforward level of medical decision making, per day, if using time, 20 minutes or more 99308

37 services11 patients

Application of skin substitute graft to wound of trunk, arms, or legs, 25.0 sq cm or less of wound 100.0 sq cm or less 15271

This procedure involves applying a skin substitute graft to a wound on the trunk, arms, or legs. The graft, a lab-grown skin, is used to cover a wound area of 25.0 sq cm or less, within a total wound area of 100.0 sq cm or less. It aids in healing and regeneration.

26 services13 patients

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 85281 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

$85.89 typical visit price

range $55.44 – $168.60

Typical copayment $21.47 (range $13.86 – $42.15)

Most-billed visit code 99203

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.

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.

Reported Quality Measures

Care Plan

Percentage of patients aged 65 years and older who have an advance care plan or surrogate decision maker documented in the medical record that an advance care plan was discussed but the patient did not wish or was not able to name a surrogate decision maker…

100%308 patients5/55-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.

Referred Medical Equipment & Supplies CMS DME claims 13

Durable medical equipment, devices and supplies this provider ordered from DME suppliers for patients, from Medicare fee-for-service claims.

Tape, waterproof, per 18 square inches A4452

DME-Medical/Surgical Supplies · category DA000N

3 suppliers24 claims2,128 services$0.35 avg. paid by Medicare

Collagen based wound filler, dry form, sterile, per gram of collagen A6010

DME-Medical/Surgical Supplies · category DA023N

1 supplier22 claims605 services$29.92 avg. paid by Medicare

Alginate or other fiber gelling dressing, wound cover, sterile, pad size 16 sq. in. or less, each dressing A6196

DME-Medical/Surgical Supplies · category DA023N

3 suppliers30 claims947 services$7.07 avg. paid by Medicare

Alginate or other fiber gelling dressing, wound filler, sterile, per 6 inches A6199

DME-Medical/Surgical Supplies · category DA023N

1 supplier15 claims744 services$5.09 avg. paid by Medicare

Foam dressing, wound cover, sterile, pad size 16 sq. in. or less, with any size adhesive border, each dressing A6212

DME-Medical/Surgical Supplies · category DA023N

2 suppliers44 claims722 services$9.21 avg. paid by Medicare

Gauze, impregnated with other than water, normal saline, or hydrogel, sterile, pad size 16 sq. in. or less, without adhesive border, each dressing A6222

DME-Medical/Surgical Supplies · category DA023N

3 suppliers13 claims271 services$1.84 avg. paid by Medicare

Dollar amounts are the average Medicare paid the supplier per service. They are not the cost to the patient.

Other Providers at the Same Location NPPES 6

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

KAREN LEE HEMMES RDN

Dietitian, Registered