DR. KANDARP R PATEL DO
NPI 1801086087
Internal Medicine - Gastroenterology in Phoenix, AZ

Active since July 25, 2007PECOS EnrolledAccepts Medicare Assignment
83/100
CMS Quality Rating
9305 W THOMAS RD, SUITE 478, PHOENIX, AZ 85037(623) 236-8507(623) 236-8508 Get Directions Write a Review

NPPES record last updated: September 10, 2025. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Sep 10, 2025, Aug 5, 2025 (2 updates tracked since 2025).

About Dr. Kandarp R Patel Do NPPES

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

DR. KANDARP R PATEL DO (NPI 1801086087) is an individual gastroenterology provider in Phoenix, Arizona, licensed in Arizona (005243) and active in the NPI registry since July 2007. He is enrolled in Medicare PECOS, is affiliated with St Vincent Hospital, and maintains a secondary practice location in Durango.

NPPES Registry Identity

NPI1801086087
Entity TypeIndividualMale
Primary Taxonomy207RG0100X
Provider Legal NameDR. KANDARP R PATELCredential: DO
Location Address9305 W THOMAS RD, SUITE 478Phoenix, AZ 85037-3328
Mailing Address9305 W Thomas Rd Ste 478Phoenix, AZ 85037-3375 · (623) 236-8507 · Fax (623) 236-8508
Fax(623) 236-8508
Sole ProprietorNo
Medical School CMSTouro Un College Of Osteopathic Medicine, VallejoGraduated 2003
Enumeration DateJuly 25, 2007
Last NPPES UpdateSeptember 10, 20252 updates tracked since enumeration
NPPES CertifiedSeptember 10, 2025
NPI 1801086087 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyInternal Medicine · GastroenterologyAllopathic & Osteopathic Physicians
Taxonomy Code207RG0100X
Licenses Licensed in AZ · 005243 Licensed in CO · CDR.0005159 Licensed in WI · 13109-321
Definition
An internist who specializes in diagnosis and treatment of diseases of the digestive organs including the stomach, bowels, liver and gallbladder. This specialist treats conditions such as abdominal pain, ulcers, diarrhea, cancer and jaundice and performs complex diagnostic and therapeutic procedures using endoscopes to visualize internal organs.

Secondary Practice Location 1

Location 11010 Three Springs Blvd Ste 270Durango, CO 81301-8296 · Phone (970) 764-3800

Other Identifiers 1

Medicaid100366576WI

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. Kandarp R Patel Do 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 ID6800948761
PECOS Enrollment IDI20090723000600, I20250815003329, I20260330000336
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 8

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 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.
86 services59 patients
New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more 99203
This service involves an initial office or outpatient visit for a new patient. The healthcare professional will spend 30-44 minutes understanding your health history, current issues, and discussing possible treatment plans. It's a comprehensive evaluation to start your healthcare journey.
25 services25 patients
Biopsy of esophagus, stomach, and/or upper small bowel using a flexible endoscope 43239
This procedure involves using a thin, flexible tube with a light and camera, known as an endoscope, to examine the esophagus, stomach, and upper part of the small intestine. Small tissue samples are taken for further examination to help diagnose various conditions.
22 services22 patients
Biopsy of large bowel using a flexible endoscope 45380
A biopsy of the large bowel using a flexible endoscope is a procedure where a thin, flexible tube with a camera is inserted through the rectum to examine the bowel. If abnormal tissue is found, a small sample is taken for further examination. This helps in diagnosing conditions like inflammation, polyps, or cancer.
22 services22 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.
21 services21 patients
Removal of polyps or growths of large bowel using an endoscope with mechanical snare 45385
This procedure involves using a thin, flexible tube called an endoscope to examine the large bowel. If any abnormal growths or polyps are found, a tool called a mechanical snare is used to remove them. This is a common method to prevent potential health issues.
19 services19 patients

Hospital Affiliations CMS Care Compare 2

Hospitals where this provider delivers care, identified from recent Medicare claims and place-of-service records.

St Vincent Hospital

Acute Care Hospitals · Green Bay, WI
4/5 CMS rating
OwnershipVoluntary non-profit - Church
CMS Certification Number520075
Location835 S Van Buren StGreen Bay, WI 54301 · Brown County
Emergency services Birthing friendly

St Mary's Hospital Medical Center

Acute Care Hospitals · Green Bay, WI
4/5 CMS rating
OwnershipVoluntary non-profit - Other
CMS Certification Number520097
Location1726 Shawano AveGreen Bay, WI 54303 · Brown County
Emergency services

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 85037 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
$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.

83/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored as part of a group practice
Quality80
Improvement Activities40

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.

Internal Medicine (Rheumatology)
9305 W THOMAS RD, STE 455
PHOENIX, AZ 85037
Durable Medical Equipment & Medical Supplies
9305 W THOMAS RD, SUITE 465
PHOENIX, AZ 85037
Internal Medicine (Infectious Disease)
9305 W THOMAS RD, SUITE 380
PHOENIX, AZ 85037
Internal Medicine
9305 W THOMAS RD, #285
PHOENIX, AZ 85037
Occupational Therapist
9305 W THOMAS RD, SUITE 150
PHOENIX, AZ 85037
Internal Medicine (Gastroenterology)
9305 W THOMAS RD, SUITE #255
PHOENIX, AZ 85037
Physical Therapist
9305 W THOMAS RD, SUITE 150
PHOENIX, AZ 85037
Pediatrics
9305 W THOMAS RD, SUITE 450
PHOENIX, AZ 85037

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 Kandarp Patel's NPI number?

The NPI number for Kandarp Patel is 1801086087. It was assigned to this individual provider in the NPPES registry on July 25, 2007.

Where is Kandarp Patel located?

Kandarp Patel practices at 9305 W Thomas Rd Suite 478, Phoenix, AZ 85037. The listed phone number is (623) 236-8507.

What is Kandarp Patel's specialty?

The primary specialty registered for this NPI is Internal Medicine, specializing in Gastroenterology, with taxonomy code 207RG0100X.

Is Kandarp Patel enrolled in Medicare?

Yes. Kandarp 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 Kandarp Patel accept?

Health plans from Ambetter from Arizona Complete Health, Antidote Health Plan of Arizona, Inc., Blue Cross Blue Shield of Arizona, Oscar Health Plan, Inc. and UnitedHealthcare list Kandarp 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.

Is Kandarp Patel affiliated with any hospitals?

According to CMS data, Kandarp Patel is affiliated with St Vincent Hospital and St Mary's Hospital Medical Center.

When was this NPI record last updated?

The NPPES record for Kandarp Patel was last updated on September 10, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 10 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.