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RAJIV PATEL M.D.
NPI 1841484748
Internal Medicine - Critical Care Medicine in Prescott, AZ

Active since September 04, 2007PECOS EnrolledAccepts Medicare Assignment
919 12TH PL STE 12, PRESCOTT, AZ 86305(928) 227-1954(480) 591-8225 Get Directions Write a Review

NPPES record last updated: July 23, 2026. Verified against the NPPES registry weekly; last sync: November 01, 2026.

Record update history: Jul 23, 2026, Jan 5, 2021, Aug 8, 2016 (3 updates tracked since 2016).

About Rajiv Patel M.d. NPPES

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

RAJIV PATEL M.D. (NPI 1841484748) is an individual critical care medicine provider in Prescott, Arizona, licensed in Arizona (59727) and active in the NPI registry since September 2007. He is enrolled in Medicare PECOS, maintains a secondary practice location in Providence, and is a graduate of University Of Illinois College Of Med (chi/peor/rock/chm-urb) (2007).

NPPES Registry Identity

NPI1841484748
Entity TypeIndividualMale
Primary Taxonomy207RC0200X
Provider Legal NameRAJIV PATELCredential: M.D.
Location Address919 12TH PL STE 12Prescott, AZ 86305-1433
Mailing AddressPo Box 967Flagstaff, AZ 86002-0967 · (928) 773-0003 · Fax (928) 773-1170
Phone(928) 227-1954
Fax(480) 591-8225
Sole ProprietorNo
Medical School CMSUniversity Of Illinois College Of Med (chi/peor/rock/chm-urb)Graduated 2007
Enumeration DateSeptember 4, 2007
Last NPPES UpdateJuly 23, 20263 updates tracked since enumeration
NPPES CertifiedJuly 23, 2026
✔ NPI 1841484748 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 4

★ Primary SpecialtyInternal Medicine · Critical Care MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207RC0200X
Licenses✔ Licensed in AZ · 59727✔ Licensed in RI · LP03736
Definition
An internist who diagnoses, treats and supports patients with multiple organ dysfunction. This specialist may have administrative responsibilities for intensive care units and may also facilitate and coordinate patient care among the primary physician, the critical care staff and other specialists.
Also ListedInternal MedicineTaxonomy 207R00000X · License 25MA08977400 (NJ)
Also ListedInternal Medicine · Pulmonary DiseaseTaxonomy 207RP1001X · License 59727 (AZ)
Also ListedStudent in an Organized Health Care Education/Training ProgramTaxonomy 390200000X · License 125052882 (IL)
919 12TH PL STE 12, Prescott, AZ 86305
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Secondary Practice Location 1

Location 1593 Eddy St, APC Building 7th floorProvidence, RI 02903-4923 · Phone (401) 444-3565

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

Rajiv 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 ID7113187113
PECOS Enrollment IDI20120329000124, I20200324003031
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

3

Medicare enrollment records show Rajiv Patel reassigns Medicare billing to 3 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

Tuba City Regional Health Care Corporation
44 mi
Family Medicine
HIGHWAY 89 NORTH AT THE 466 MILE MARKER, 1/8 MILE N OF CAMERON CHAPTER HOUSE
Cameron, AZ 86020
  • Reassigned Medicare billing, Texas enrollment
  • 540 clinicians in this Medicare group
NPI 1134382211 (928) 283-2672
Craig M. Rundbaken, D.O. PLLC
63 mi
Pulmonary Disease
14300 W GRANITE VALLEY DR STE E23
Sun City West, AZ 85375
  • Reassigned Medicare billing, Arizona enrollment
  • Medicare enrollment name: Craig M Rundbaken Do PLLC
  • 16 clinicians in this Medicare group
NPI 1821279308 (623) 975-0500
Signify Health, LLC
907 mi
General Practice
4055 VALLEY VIEW LN STE 700
Dallas, TX 75244
  • Reassigned Medicare billing, Arizona enrollment
  • 556 clinicians in this Medicare group
NPI 1689158487 (469) 466-7007

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

Areas of Expertise CMS Part B claims 5

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.

Subsequent hospital care with straightforward or low level of medical decision making, per day, if using time, at least 25 minutes 99231
Follow-up hospital inpatient care is a daily service where a healthcare professional checks on your health progress during your hospital stay. Each session typically lasts 15 minutes, involving updates on your condition and adjustments to your treatment plan, if necessary.
223 services57 patients
Initial hospital care with straightforward or low level of medical decision making, per day, if using time, at least 40 minutes 99221
Initial hospital inpatient care refers to the first day of your stay in the hospital. This service typically includes a 30-minute check-up with a healthcare professional. They'll assess your health, discuss your condition, and plan your treatment. It's part of ensuring you receive the best possible care.
98 services89 patients
Hospital discharge day management, 30 minutes or less 99238
Hospital discharge day management of 30 minutes or less includes finalizing your treatment, discussing your progress, and planning after-care at home. It ensures you're ready to leave the hospital and continue recovery safely.
49 services45 patients
Established patient office or other outpatient visit with low level od decision making, if using time, 20 minutes or more 99213
This is a routine visit for patients who have already been seen by the healthcare provider. During this approximately 20-29 minute appointment, your health status will be evaluated and any necessary treatments or tests will be discussed. It's a chance to address any health concerns you may have.
38 services23 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.
26 services18 patients

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 86305 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.

Referred Medical Equipment & Supplies CMS DME claims 2

Durable medical equipment, devices and supplies this provider ordered from DME suppliers for patients, from Medicare fee-for-service claims.

Portable gaseous oxygen system, rental; includes portable container, regulator, flowmeter, humidifier, cannula or mask, and tubing E0431
DME-Oxygen and Supplies · category DC000N
3 suppliers16 claims16 services$17.73 avg. paid by Medicare
Oxygen concentrator, single delivery port, capable of delivering 85 percent or greater oxygen concentration at the prescribed flow rate E1390
DME-Oxygen and Supplies · category DC002N
6 suppliers37 claims37 services$93.70 avg. paid by Medicare
Dollar amounts are the average Medicare paid the supplier per service. They are not the cost to the patient.

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.

DRELAN CHE-STEWART FOWLER PA-C
Physician Assistant
919 12TH PL STE 12
PRESCOTT, AZ 86305
Yavapai County (928) 227-1954
DR. RICHARD BOYD SNOW DDS
Dentist (General Practice)
919 12TH PL STE 12
PRESCOTT, AZ 86305
Yavapai County (928) 445-8482

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 Rajiv Patel's NPI number?

The NPI number for Rajiv Patel is 1841484748. It was assigned to this individual provider in the NPPES registry on September 4, 2007.

Where is Rajiv Patel located?

Rajiv Patel practices at 919 12th Pl Ste 12, Prescott, AZ 86305. The listed phone number is (928) 227-1954.

What is Rajiv Patel's specialty?

The primary specialty registered for this NPI is Internal Medicine, specializing in Critical Care Medicine, with taxonomy code 207RC0200X.

Is Rajiv Patel enrolled in Medicare?

Yes. Rajiv 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 Rajiv Patel's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Rajiv Patel reassigns Medicare benefits to 3 organizations: Tuba City Regional Health Care Corporation (Cameron, AZ), Craig M. Rundbaken, D.O. PLLC (Sun City West, AZ) and Signify Health, LLC (Dallas, TX). 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 Rajiv Patel's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Rajiv Patel accept?

Health plans from Ambetter Health, Ambetter from Arizona Complete Health, Blue Cross Blue Shield of Arizona, Oscar Health and Oscar Health Plan, Inc. and 1 other insurer list Rajiv 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 Rajiv Patel was last updated on July 23, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 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.