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RAJNIKANT T PATEL MD
NPI 1841240835
Internal Medicine - Interventional Cardiology in Sun City West, AZ

Active since May 11, 2006PECOS EnrolledAccepts Medicare Assignment
9.6/100
CMS Quality Rating
14420 W MEEKER BLVD STE 203, SUN CITY WEST, AZ 85375(623) 547-7654(623) 547-7645 Get Directions Write a Review

NPPES record last updated: September 15, 2018. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Sep 15, 2018, Mar 17, 2018, Jul 5, 2017 (3 updates tracked since 2017).

About Rajnikant T Patel Md NPPES

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

RAJNIKANT T PATEL MD (NPI 1841240835) is an individual interventional cardiology provider in Sun City West, Arizona, licensed in Arizona (35169) and active in the NPI registry since May 2006. He is enrolled in Medicare PECOS, is affiliated with Northern Light Eastern Maine Medical Center, and is a graduate of Other (1995).

NPPES Registry Identity

NPI1841240835
Entity TypeIndividualMale
Primary Taxonomy207RI0011X
Provider Legal NameRAJNIKANT T PATELCredential: MD
Location Address14420 W MEEKER BLVD STE 203Sun City West, AZ 85375-5288
Mailing Address14420 W Meeker Blvd Ste 203Sun City West, AZ 85375-5288 · (623) 547-7654 · Fax (623) 547-7645
Phone(623) 547-7654
Fax(623) 547-7645
Sole ProprietorNo
Medical School CMSOtherGraduated 1995
Enumeration DateMay 11, 2006
Last NPPES UpdateSeptember 15, 20183 updates tracked since enumeration
✔ NPI 1841240835 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyInternal Medicine · Interventional CardiologyAllopathic & Osteopathic Physicians
Taxonomy Code207RI0011X
Licenses✔ Licensed in AZ · 35169✔ Licensed in TX · K8809
Definition
An area of medicine within the subspecialty of cardiology, which uses specialized imaging and other diagnostic techniques to evaluate blood flow and pressure in the coronary arteries and chambers of the heart and uses technical procedures and medications to treat abnormalities that impair the function of the cardiovascular system.
Also ListedInternal Medicine · Cardiovascular DiseaseTaxonomy 207RC0000X · License 35169 (AZ)
14420 W MEEKER BLVD STE 203, Sun City West, AZ 85375
Open in Google Maps ↗

Other Identifiers 3

OtherZ213557AZ · Medicare
Other35169AZ · Az Medical License
Medicaid146788AZ

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Blue Cross Blue Shield of Arizona.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

Rajnikant T 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 ID6507879731
PECOS Enrollment IDI20251027002025
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 4

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.

Initial hospital care with moderate level of medical decision making, if using time, at least 75 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.
97 services90 patients
Subsequent hospital care with moderate levelof medical decision making, if using time, at least 35 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.
51 services36 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.
44 services44 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.
22 services22 patients

Hospital Affiliations CMS Care Compare

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

Northern Light Eastern Maine Medical Center

Acute Care Hospitals · Bangor, ME
4/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number200033
Location489 State StreetBangor, ME 04401 · Penobscot County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 85375 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.

9.6/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Individually scored
Quality15
Improvement Activities0

Reported Quality Measures

Care Plan
Percentage of patients aged 65 years and older who have an advance care plan or surrogate decision maker documented in the medical record that an advance care plan was discussed but the patient did not wish or was not able to name a surrogate decision maker…
0%661 patients1/55-star benchmark: 100%
Documentation of Current Medications in the Medical Record
Percentage of visits for patients aged 18 years and older for which the eligible professional or eligible clinician attests to documenting a list of current medications using all immediate resources available on the date of the encounter.
100%1,294 patients5/55-star benchmark: 100%
Ischemic Vascular Disease (IVD): Use of Aspirin or Another Antiplatelet
Percentage of patients 18 years of age and older who were diagnosed with acute myocardial infarction (AMI), coronary artery bypass graft (CABG) or percutaneous coronary interventions (PCI) in the 12 months prior to the measurement period, or who had an active…
84%299 patients4/55-star benchmark: 100%
Preventive Care and Screening: Body Mass Index (BMI) Screening and Follow-Up Plan
Percentage of patients aged 18 years and older with a BMI documented during the current encounter or during the previous twelve months AND with a BMI outside of normal parameters, a follow-up plan is documented during the encounter or during the previous…
24%808 patients1/55-star benchmark: 100%
Preventive Care and Screening: Unhealthy Alcohol Use: Screening & Brief Counseling
Percentage of patients aged 18 years and older who were screened for unhealthy alcohol use using a systematic screening method at least once within the last 24 months AND who received brief counseling if identified as an unhealthy alcohol user
19%311 patients1/55-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 3

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

MIHAELA T ROSETTI MD PLLC
Internal Medicine (Interventional Cardiology)
14420 W MEEKER BLVD STE 203
SUN CITY WEST, AZ 85375
Maricopa County (602) 424-7967
RAJNIKANT T PATEL MD PLLC
Internal Medicine (Interventional Cardiology)
14420 W MEEKER BLVD STE 203
SUN CITY WEST, AZ 85375
Maricopa County (602) 424-7967
MIHAELA T ROSETTI M.D.
Internal Medicine (Interventional Cardiology)
14420 W MEEKER BLVD STE 203
SUN CITY WEST, AZ 85375
Maricopa County (623) 876-3810

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 Rajnikant Patel's NPI number?

The NPI number for Rajnikant Patel is 1841240835. It was assigned to this individual provider in the NPPES registry on May 11, 2006.

Where is Rajnikant Patel located?

Rajnikant Patel practices at 14420 W Meeker Blvd Ste 203, Sun City West, AZ 85375. The listed phone number is (623) 547-7654.

What is Rajnikant Patel's specialty?

The primary specialty registered for this NPI is Internal Medicine, specializing in Interventional Cardiology, with taxonomy code 207RI0011X.

Is Rajnikant Patel enrolled in Medicare?

Yes. Rajnikant 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 Rajnikant Patel accept?

Health plans from Blue Cross Blue Shield of Arizona list Rajnikant 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 Rajnikant Patel affiliated with any hospitals?

According to CMS data, Rajnikant Patel is affiliated with Northern Light Eastern Maine Medical Center.

When was this NPI record last updated?

The NPPES record for Rajnikant Patel was last updated on September 15, 2018. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 7 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.