DR. AMAR PRAVIN PATEL M.D.
NPI 1700128139
Urology in Phoenix, AZ

Active since March 24, 2013PECOS EnrolledAccepts Medicare Assignment
88.09/100
CMS Quality Rating
9225 N 3RD ST STE 302, PHOENIX, AZ 85020(602) 844-2254(602) 844-2253 Get Directions Write a Review

NPPES record last updated: November 5, 2024. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Nov 5, 2024, Sep 13, 2024, Mar 10, 2022 and 1 more (4 updates tracked since 2019).

About Dr. Amar Pravin Patel M.d. NPPES

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

DR. AMAR PRAVIN PATEL M.D. (NPI 1700128139) is an individual urology provider in Phoenix, Arizona, licensed in Arizona (57027) and active in the NPI registry since March 2013. He is enrolled in Medicare PECOS and is a graduate of University Of Arizona College Of Medicine (2013).

NPPES Registry Identity

NPI1700128139
Entity TypeIndividualMale
Primary Taxonomy208800000X
Provider Legal NameDR. AMAR PRAVIN PATELCredential: M.D.
Location Address9225 N 3RD ST STE 302Phoenix, AZ 85020-2466
Mailing Address9225 N 3rd St Ste 302Phoenix, AZ 85020-2466 · (602) 844-2254
Fax(602) 844-2253
Sole ProprietorNo
Medical School CMSUniversity Of Arizona College Of MedicineGraduated 2013
Enumeration DateMarch 24, 2013
Last NPPES UpdateNovember 5, 20244 updates tracked since enumeration
NPPES CertifiedOctober 10, 2024
NPI 1700128139 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyUrologyAllopathic & Osteopathic Physicians
Taxonomy Code208800000X
Licenses Licensed in AZ · 57027 Licensed in GA · 6080
Definition
A urologist manages benign and malignant medical and surgical disorders of the genitourinary system and the adrenal gland. This specialist has comprehensive knowledge of and skills in endoscopic, percutaneous and open surgery of congenital and acquired conditions of the urinary and reproductive systems and their contiguous structures.
9225 N 3RD ST STE 302, Phoenix, AZ 85020

Accepted 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. Amar Pravin Patel 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 ID3678863545
PECOS Enrollment IDI20190717003315
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 28

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.

Leuprolide injectable, camcevi, 1 mg J1952
Camcevi, containing 1 mg of Leuprolide, is an injectable medication. It's used to manage certain health conditions by influencing hormone levels in your body. It's administered by a healthcare professional, usually once every month or as directed by your doctor.
546 services11 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.
537 services294 patients
Urinalysis, manual test 81002
A urinalysis is a simple, non-invasive test that checks the urine for various elements such as sugar, protein, and signs of infection. It can help detect many common conditions, including kidney disease and diabetes. The manual test involves a lab technician examining a urine sample.
451 services276 patients
Ultrasound measurement of bladder capacity after voiding 51798
Ultrasound measurement of bladder capacity after voiding is a non-invasive test that uses sound waves to create images of your bladder. It's done after you've emptied your bladder to see if there's any leftover urine, which can help diagnose certain conditions.
264 services182 patients
Limited ultrasound scan of pelvis 76857
A limited ultrasound scan of the pelvis is a non-invasive imaging test. It uses high-frequency sound waves to create pictures of the lower abdomen area. This helps doctors view and assess the health of certain internal structures. It's painless and usually takes about 30 minutes.
139 services118 patients
New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more 99204
This is a first-time office or outpatient visit lasting between 45-59 minutes. The healthcare provider evaluates your health, discusses your medical history, and may suggest further tests or treatments. It's an opportunity to ask questions and understand your health better.
121 services121 patients

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 85020 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.

88.09/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Individually scored
Quality92.68
Promoting Interoperability92
Improvement Activities40
Cost74.3

Reported Quality Measures

Advance Care Plan
100%862 patients5/55-star benchmark: 100%
Closing the Referral Loop: Receipt of Specialist Report
92%52 patients5/55-star benchmark: 87%
e-Prescribing
99%437 patients4/55-star benchmark: 100%
Preventive Care and Screening: Tobacco Use: Screening and Cessation Intervention
Patients combinedPopulations: 57% · 922 patients
Patients screened: 57% · 922 patients
100%67 patients5/55-star benchmark: 100%
Provide Patients Electronic Access to Their Health Information
90%697 patients4/55-star benchmark: 100%
Urinary Incontinence: Assessment of Presence or Absence of Urinary Incontinence in Women Aged 65 Years and Older
100%158 patients5/55-star benchmark: 100%
Urinary Incontinence: Plan of Care for Urinary Incontinence in Women Aged 65 Years and Older
100%54 patients5/55-star benchmark: 100%
Use of High-Risk Medications in Older Adults
Lower rates are better for this measure.
Patients appropriateDiagnosis: 0% · 900 patients
Patients totalRate: 0% · 900 patients
0%900 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.

Other Providers at the Same Location NPPES 2

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

Urology
9225 N 3RD ST STE 302
PHOENIX, AZ 85020
Non-Pharmacy Dispensing Site
9225 N 3RD ST STE 302
PHOENIX, AZ 85020

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 Amar Patel's NPI number?

The NPI number for Amar Patel is 1700128139. It was assigned to this individual provider in the NPPES registry on March 24, 2013.

Where is Amar Patel located?

Amar Patel practices at 9225 N 3rd St Ste 302, Phoenix, AZ 85020. The listed phone number is (602) 844-2254.

What is Amar Patel's specialty?

The primary specialty registered for this NPI is Urology with taxonomy code 208800000X.

Is Amar Patel enrolled in Medicare?

Yes. Amar 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 Amar Patel accept?

Health plans from Blue Cross Blue Shield of Arizona and Oscar Health Plan, Inc. list Amar 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 Amar Patel was last updated on November 5, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 20 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.