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KRUNAL PATEL M.D.
NPI 1740558022
Obstetrics & Gynecology - Maternal & Fetal Medicine in Glendale, AZ

Active since December 01, 2011PECOS EnrolledAccepts Medicare Assignment
75.8/100
CMS Quality Rating
5605 W EUGIE AVE STE 111, GLENDALE, AZ 85304(480) 756-6000(855) 636-8770 Get Directions Write a Review

NPPES record last updated: April 9, 2021. Verified against the NPPES registry weekly; last sync: November 01, 2026.

Record update history: Apr 9, 2021, Apr 2, 2021, Oct 25, 2019 and 1 more (4 updates tracked since 2016).

About Krunal Patel M.d. NPPES

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

KRUNAL PATEL M.D. (NPI 1740558022) is an individual maternal & fetal medicine provider in Glendale, Arizona, licensed in Arizona (57633) and active in the NPI registry since December 2011. He is enrolled in Medicare PECOS, maintains 6 additional practice locations, and is a graduate of Other (2018).

NPPES Registry Identity

NPI1740558022
Entity TypeIndividualMale
Primary Taxonomy207VM0101X
Provider Legal NameKRUNAL PATELCredential: M.D.
Location Address5605 W EUGIE AVE STE 111Glendale, AZ 85304
Mailing Address5605 W Eugie Ave Ste 111Glendale, AZ 85304-1273 · (480) 756-6000 · Fax (855) 636-8770
Phone(480) 756-6000
Fax(855) 636-8770
Sole ProprietorNo
Medical School CMSOtherGraduated 2018
Enumeration DateDecember 1, 2011
Last NPPES UpdateApril 9, 20214 updates tracked since enumeration
NPPES CertifiedApril 9, 2021
✔ NPI 1740558022 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyObstetrics & Gynecology · Maternal & Fetal MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207VM0101X
License✔ Licensed in AZ · 57633
Definition
An obstetrician/gynecologist who cares for, or provides consultation on, patients with complications of pregnancy. This specialist has advanced knowledge of the obstetrical, medical and surgical complications of pregnancy and their effect on both the mother and the fetus. The specialist also possesses expertise in the most current diagnostic and treatment modalities used in the care of patients with complicated pregnancies.
5605 W EUGIE AVE STE 111, Glendale, AZ 85304
Open in Google Maps ↗

Secondary Practice Locations 6

Location 19440 E Ironwood Square DrScottsdale, AZ 85258-4569 · Phone (480) 756-6000 · Fax (855) 636-8770
Location 21910 W Frye RdChandler, AZ 85224-6236 · Phone (480) 756-6000 · Fax (855) 636-8770
Location 32242 W Southern AveMesa, AZ 85202-4704 · Phone (480) 756-6000 · Fax (855) 636-8770
Location 44864 E Baseline Rd Ste 101Mesa, AZ 85206-4629 · Phone (480) 756-6000 · Fax (855) 636-8770
Location 52620 N 3rd St Ste 103Phoenix, AZ 85004-1153 · Phone (480) 756-6000
Location 69305 W Thomas Rd Ste 150Phoenix, AZ 85037-3360 · Phone (480) 756-6000 · Fax (855) 636-8770

Other Identifiers 1

Medicaid548181AZ

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Ambetter from Arizona Complete Health, Ambetter Health, Blue Cross Blue Shield of Arizona and more.Insurance ›

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare and accepts Medicare assignment

Krunal 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 ID749549780
PECOS Enrollment IDI20191002001293
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

5

Medicare enrollment records show Krunal Patel reassigns Medicare billing to 5 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

High Risk Pregnancy Center Of Arizona LLC
16 mi
Maternal & Fetal Medicine
7702 E DOUBLETREE RANCH RD
Scottsdale, AZ 85258
  • Reassigned Medicare billing, Arizona enrollment
  • 7 clinicians in this Medicare group
NPI 1801559851 (732) 983-1849
Valley Perinatal Services, LLC
28 mi
Maternal & Fetal Medicine
1910 W FRYE RD
Chandler, AZ 85224
  • Reassigned Medicare billing, Arizona enrollment
  • 92 clinicians in this Medicare group
NPI 1174866743 (480) 756-6000
Hera Health Medical Group - Az PLLC
45 mi
Maternal & Fetal Medicine
36375 N GANTZEL RD STE 103
San Tan Valley, AZ 85140
  • Reassigned Medicare billing, Arizona enrollment
  • 30 clinicians in this Medicare group
NPI 1821728916 (480) 987-5500
Hackensack Meridian Health Medical Group - Specialty Care PC
2,141 mi
Surgical Critical Care
331 NEWMAN SPRINGS RD STE 220
Red Bank, NJ 07701
  • Reassigned Medicare billing, New Jersey enrollment
  • 2,844 clinicians in this Medicare group
NPI 1215989249 (732) 807-0800
Palisades Medical Associates LLC
2,145 mi
Internal Medicine
6045 KENNEDY BLVD, PMA
North Bergen, NJ 07047
  • Reassigned Medicare billing, New Jersey enrollment
  • 32 clinicians in this Medicare group
NPI 1558475087 (201) 453-0322

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

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 85304 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.

75.8/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored as part of a group practice
Quality68.65
Promoting Interoperability100
Improvement Activities40
Cost50.69

Other Providers at the Same Location NPPES 7

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

GEMA ELIZABETH FERNANDEZ M.D.
Obstetrics & Gynecology
5605 W EUGIE AVE STE 111
GLENDALE, AZ 85304
Maricopa County (480) 756-6000
DR. BRIDGETTE A BLAZEK M.D.
Obstetrics & Gynecology
5605 W EUGIE AVE STE 111
GLENDALE, AZ 85304
Maricopa County (480) 756-6000
MR. RAVINDU P. GUNATILAKE M.D.
Obstetrics & Gynecology
5605 W EUGIE AVE STE 111
GLENDALE, AZ 85304
Maricopa County (480) 756-6000
DR. JONATHAN E FRANCO MD
Obstetrics & Gynecology
5605 W EUGIE AVE STE 111
GLENDALE, AZ 85304
Maricopa County (480) 756-6000
STEPHEN DAVID FRAUSTO M.D.
Obstetrics & Gynecology
5605 W EUGIE AVE STE 111
GLENDALE, AZ 85304
Maricopa County (480) 756-6000
THOMAS HENRY STRONG JR. M.D.
Obstetrics & Gynecology (Maternal & Fetal Medicine)
5605 W EUGIE AVE STE 111
GLENDALE, AZ 85304
Maricopa County (480) 756-6000
DR. ERICA KAY MCLAUGHLIN M.D.
Obstetrics & Gynecology
5605 W EUGIE AVE STE 111
GLENDALE, AZ 85304
Maricopa County (480) 756-0000

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 Krunal Patel's NPI number?

The NPI number for Krunal Patel is 1740558022. It was assigned to this individual provider in the NPPES registry on December 1, 2011.

Where is Krunal Patel located?

Krunal Patel practices at 5605 W Eugie Ave Ste 111, Glendale, AZ 85304. The listed phone number is (480) 756-6000.

What is Krunal Patel's specialty?

The primary specialty registered for this NPI is Obstetrics & Gynecology, specializing in Maternal & Fetal Medicine, with taxonomy code 207VM0101X.

Is Krunal Patel enrolled in Medicare?

Yes. Krunal 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.

Which organizations bill Medicare for Krunal Patel's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Krunal Patel reassigns Medicare benefits to 5 organizations: High Risk Pregnancy Center Of Arizona LLC (Scottsdale, AZ), Valley Perinatal Services, LLC (Chandler, AZ), Hera Health Medical Group - Az PLLC (San Tan Valley, AZ), Hackensack Meridian Health Medical Group - Specialty Care PC (Red Bank, NJ) and Palisades Medical Associates LLC (North Bergen, NJ). Each reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for Krunal Patel's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Krunal Patel accept?

Health plans from Ambetter Health, Ambetter from Arizona Complete Health, Blue Cross Blue Shield of Arizona, Oscar Health Plan, Inc. and UnitedHealthcare list Krunal 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 Krunal Patel was last updated on April 9, 2021. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 5 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.