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ROHIT K PATEL MD
NPI 1669442398
Internal Medicine - Cardiovascular Disease in Sun City, AZ

Active since January 25, 2006PECOS EnrolledAccepts Medicare Assignment
5.9/100
CMS Quality Rating
10503 W THUNDERBIRD BLVD, SUITE #103, SUN CITY, AZ 85351(623) 974-3649 Get Directions Write a Review

NPPES record last updated: May 17, 2012. Verified against the NPPES registry weekly; last sync: July 19, 2026.

About Rohit K Patel Md NPPES

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

ROHIT K PATEL MD (NPI 1669442398) is an individual cardiovascular disease provider in Sun City, Arizona, licensed in Arizona (13733) and active in the NPI registry since January 2006. He is enrolled in Medicare PECOS and is a graduate of Other (1982).

NPPES Registry Identity

NPI1669442398
Entity TypeIndividualMale
Primary Taxonomy207RC0000X
Provider Legal NameROHIT K PATELCredential: MD
Location Address10503 W THUNDERBIRD BLVD, SUITE #103Sun City, AZ 85351-3022
Mailing Address10503 W Thunderbird Blvd, Suite #103Sun City, AZ 85351-3022 · (623) 974-3649 · Fax (623) 974-8364
Phone(623) 974-3649
Sole ProprietorYes
Medical School CMSOtherGraduated 1982
Enumeration DateJanuary 25, 2006
Last NPPES UpdateMay 17, 2012
✔ NPI 1669442398 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyInternal Medicine · Cardiovascular DiseaseAllopathic & Osteopathic Physicians
Taxonomy Code207RC0000X
License✔ Licensed in AZ · 13733
Definition

An internist who specializes in diseases of the heart and blood vessels and manages complex cardiac conditions such as heart attacks and life-threatening, abnormal heartbeat rhythms.

10503 W THUNDERBIRD BLVD, Sun City, AZ 85351
Open in Google Maps ↗

Other Identifiers 8

Medicare UPINE28389AZ
Medicare ID-Type Unspecified27572AZ
Medicare ID-Type UnspecifiedWCKHJ26AZ
Medicare ID-Type Unspecified27575AZ
Medicaid172255AZ
Medicare ID-Type Unspecified27567AZ
Medicare ID-Type Unspecified27570AZ
Medicare ID-Type Unspecified27578AZ

Accepted Insurance

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

Rohit K Patel Md 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 ID1759440324
PECOS Enrollment IDI20081111000782
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 9

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.

Established patient office or other outpatient visit, 30-39 minutes 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.
269 services143 patients
Initial hospital inpatient care per day, typically 70 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.
130 services122 patients
Follow-up hospital inpatient care per day, typically 25 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.
119 services72 patients
Ultrasound of heart with color-depicted blood flow, rate, direction and valve function 93306
This is a heart ultrasound, also known as an echocardiogram. It uses sound waves to create pictures of your heart, showing how blood flows through it. The color depicts the blood flow's speed and direction. It also checks the heart's valves to ensure they're working properly.
111 services111 patients
Ultrasound of heart with color-depicted blood flow, rate, direction and valve function 93306
This is a heart ultrasound, also known as an echocardiogram. It uses sound waves to create pictures of your heart, showing how blood flows through it. The color depicts the blood flow's speed and direction. It also checks the heart's valves to ensure they're working properly.
45 services43 patients
Routine electrocardiogram (ecg) using at least 12 leads with interpretation and report 93000
An electrocardiogram (ECG) is a non-invasive test that records your heart's electrical activity. Using 12 leads attached to your body, it captures data to help identify heart conditions. A doctor interprets the results and provides a report.
33 services30 patients

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 85351 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
$69.24 typical visit price
range $17.72 – $137.41
Typical copayment $17.31 (range $4.43 – $34.35)
Most-billed visit code 99213
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.

5.9/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Individually scored
Quality0
Improvement Activities0
Cost19.67

Reported Quality Measures

e-Prescribing
At least one permissible prescription written by the MIPS eligible clinician is queried for a drug formulary and transmitted electronically using certified EHR technology.
97%734 patients4/55-star benchmark: 100%
Medication Reconciliation
The MIPS eligible clinician performs medication reconciliation for at least one transition of care in which the patient is transitioned into the care of the MIPS eligible clinician.
25%20 patients1/55-star benchmark: 100%
Patient-Specific Education
The MIPS eligible clinician must use clinically relevant information from CEHRT to identify patient-specific educational resources and provide access to those materials to at least one unique patient seen by the MIPS eligible clinician.
66%362 patients3/55-star benchmark: 99%
Provide Patient Access
At least one patient seen by the MIPS eligible clinician during the performance period is provided timely access to view online, download, and transmit to a third party their health information subject to the MIPS eligible clinician's discretion to withhold…
57%362 patients3/55-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 20

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

KUMAR L RAVI MD
Internal Medicine (Cardiovascular Disease)
10503 W THUNDERBIRD BLVD, STE 103
SUN CITY, AZ 85351
Maricopa County (623) 974-3649
ANIL R SAMANT MD
Internal Medicine (Cardiovascular Disease)
10503 W THUNDERBIRD BLVD, SUITE103
SUN CITY, AZ 85351
Maricopa County (623) 974-3649
DR. MARIO T PARISE M.D.
Internal Medicine (Nephrology)
10503 W THUNDERBIRD BLVD, # 113
SUN CITY, AZ 85351
Maricopa County (623) 583-6420
CARL METZ DDS
Dentist (General Practice)
10503 W THUNDERBIRD BLVD, #384
SUN CITY, AZ 85351
Maricopa County (623) 977-8323
PARAVASTHU S RAMANUJAM MD
Colon & Rectal Surgery
10503 W THUNDERBIRD BLVD, SUITE 114
SUN CITY, AZ 85351
Maricopa County (623) 875-7330
DR. PAUL D CARLSON DDS
Dentist (General Practice)
10503 W THUNDERBIRD BLVD, STE 371
SUN CITY, AZ 85351
Maricopa County (623) 977-4001
LOREN L. FAABORG, MD, PC
Obstetrics & Gynecology
10503 W THUNDERBIRD BLVD, SUITE 301
SUN CITY, AZ 85351
Maricopa County (623) 974-3647
CONSULTANTS IN CARDIOLOGY LTD.
Internal Medicine (Cardiovascular Disease)
10503 W THUNDERBIRD BLVD, SUITE 103
SUN CITY, AZ 85351
Maricopa County (623) 974-3649

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 Rohit Patel's NPI number?

The NPI number for Rohit Patel is 1669442398. It was assigned to this individual provider in the NPPES registry on January 25, 2006.

Where is Rohit Patel located?

Rohit Patel practices at 10503 W Thunderbird Blvd Suite #103, Sun City, AZ 85351. The listed phone number is (623) 974-3649.

What is Rohit Patel's specialty?

The primary specialty registered for this NPI is Internal Medicine, specializing in Cardiovascular Disease, with taxonomy code 207RC0000X.

Is Rohit Patel enrolled in Medicare?

Yes. Rohit Patel 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 Rohit Patel accept?

Health plans from Ambetter from Arizona Complete Health and UnitedHealthcare list Rohit 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 Rohit Patel was last updated on May 17, 2012. NPI Profile syncs with the weekly NPPES data releases published by CMS.