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PRIYA ATUL PATEL MD
NPI 1790245280
Pediatrics in Gilbert, AZ

Active since March 21, 2019PECOS Enrolled
2550 E GUADALUPE RD STE 115, GILBERT, AZ 85234(602) 933-4395 Get Directions Write a Review

NPPES record last updated: August 18, 2022. Verified against the NPPES registry weekly; last sync: October 18, 2026.

Record update history: Aug 18, 2022, Mar 21, 2019 (2 updates tracked since 2019).

About Priya Atul Patel Md NPPES

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

PRIYA ATUL PATEL MD (NPI 1790245280) is an individual pediatrics provider in Gilbert, Arizona, licensed in Arizona (65171) and active in the NPI registry since March 2019. She is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1790245280
Entity TypeIndividualFemale
Primary Taxonomy208000000X
Provider Legal NamePRIYA ATUL PATELCredential: MD
Location Address2550 E GUADALUPE RD STE 115Gilbert, AZ 85234-5114
Mailing Address2108 E Thomas Rd Ste 130Phoenix, AZ 85016-7761 · (602) 933-3124
Phone(602) 933-4395
Sole ProprietorNo
Enumeration DateMarch 21, 2019
Last NPPES UpdateAugust 18, 20222 updates tracked since enumeration
NPPES CertifiedAugust 18, 2022
✔ NPI 1790245280 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPediatricsAllopathic & Osteopathic Physicians
Taxonomy Code208000000X
License✔ Licensed in AZ · 65171
Definition
A pediatrician is concerned with the physical, emotional and social health of children from birth to young adulthood. Care encompasses a broad spectrum of health services ranging from preventive healthcare to the diagnosis and treatment of acute and chronic diseases. A pediatrician deals with biological, social and environmental influences on the developing child, and with the impact of disease and dysfunction on development.
2550 E GUADALUPE RD STE 115, Gilbert, AZ 85234
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Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Priya Atul Patel Md is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

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 Reassignment

Medicare enrollment records show Priya Patel reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.

Phoenix Children's Medical Group
2.1 mi
Multi-Specialty
5131 E SOUTHERN AVE
Mesa, AZ 85206
  • Reassigned Medicare billing, Arizona enrollment
  • Medicare enrollment name: Phoenix Children's Hospital
  • 1,416 clinicians in this Medicare group
NPI 1487814240 (602) 933-0002

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 85234 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.

Other Providers at the Same Location NPPES 4

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

GRACE E HANNON PA
Physician Assistant
2550 E GUADALUPE RD STE 115
GILBERT, AZ 85234
Maricopa County (480) 632-1544
CHIA HSIANG TUNG MD
Pediatrics
2550 E GUADALUPE RD STE 115
GILBERT, AZ 85234
Maricopa County (480) 632-1544
DR. IVIA ITSA HESS M.D.
Pediatrics
2550 E GUADALUPE RD STE 115
GILBERT, AZ 85234
Maricopa County (480) 632-1544
ASHLEY NAVARRO M.D.
Pediatrics
2550 E GUADALUPE RD STE 115
GILBERT, AZ 85234
Maricopa County (480) 632-1544

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 Priya Patel's NPI number?

The NPI number for Priya Patel is 1790245280. It was assigned to this individual provider in the NPPES registry on March 21, 2019.

Where is Priya Patel located?

Priya Patel practices at 2550 E Guadalupe Rd Ste 115, Gilbert, AZ 85234. The listed phone number is (602) 933-4395.

What is Priya Patel's specialty?

The primary specialty registered for this NPI is Pediatrics with taxonomy code 208000000X.

Is Priya Patel enrolled in Medicare?

Yes. Priya Patel is registered in the Medicare PECOS enrollment system.

Which organization bills Medicare for Priya Patel's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Priya Patel reassigns Medicare benefits to Phoenix Children's Medical Group (Mesa, AZ). The 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 Priya Patel's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

When was this NPI record last updated?

The NPPES record for Priya Patel was last updated on August 18, 2022. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 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.