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DR. KARAN A PATEL
NPI 1932442530
Orthopaedic Surgery - Sports Medicine in Scottsdale, AZ

Active since April 02, 2013PECOS EnrolledAccepts Medicare Assignment
78.58/100
CMS Quality Rating
13400 E SHEA BLVD, SCOTTSDALE, AZ 85259(480) 301-8000 Get Directions Write a Review

NPPES record last updated: September 3, 2020. Verified against the NPPES registry weekly; last sync: October 25, 2026.

About Dr. Karan A Patel NPPES

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

DR. KARAN A PATEL (NPI 1932442530) is an individual sports medicine provider in Scottsdale, Arizona, licensed in Arizona (51682) and active in the NPI registry since April 2013. He is enrolled in Medicare PECOS, maintains a secondary practice location in Phoenix, and is a graduate of University Of Texas Medical Branch At Galveston (2013).

NPPES Registry Identity

NPI1932442530
Entity TypeIndividualMale
Primary Taxonomy207XX0005X
Provider Legal NameDR. KARAN A PATEL
Location Address13400 E SHEA BLVDScottsdale, AZ 85259-5499
Mailing Address3628 Saratoga Downs WayFort Worth, TX 76244-7288 · (817) 403-7977
Phone(480) 301-8000
Sole ProprietorNo
Medical School CMSUniversity Of Texas Medical Branch At GalvestonGraduated 2013
Enumeration DateApril 2, 2013
Last NPPES UpdateSeptember 3, 2020
NPPES CertifiedSeptember 3, 2020
✔ NPI 1932442530 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyOrthopaedic Surgery · Sports MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207XX0005X
License✔ Licensed in AZ · 51682
Definition
An orthopaedic surgeon trained in sports medicine provides appropriate care for all structures of the musculoskeletal system directly affected by participation in sporting activity. This specialist is proficient in areas including conditioning, training and fitness, athletic performance and the impact of dietary supplements, pharmaceuticals, and nutrition on performance and health, coordination of care within the team setting utilizing other health care professionals, field evaluation and management, soft tissue biomechanics and injury healing and repair. Knowledge and understanding of the principles and techniques of rehabilitation, athletic equipment and orthotic devices enables the specialist to prevent and manage athletic injuries.
Also ListedStudent in an Organized Health Care Education/Training ProgramTaxonomy 390200000X
13400 E SHEA BLVD, Scottsdale, AZ 85259
Open in Google Maps ↗

Secondary Practice Location 1

Location 11111 E McDowell RdPhoenix, AZ 85006-2612 · Phone (602) 839-2000

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Sanford Health Plan.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

Dr. Karan A Patel 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 ID5193067387
PECOS Enrollment IDI20190830001733
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 Karan Patel reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.

Mayo Clinic Arizona
0.1 mi
Multi-Specialty
13400 E SHEA BLVD
Scottsdale, AZ 85259
  • Reassigned Medicare billing, Arizona enrollment
  • 1,792 clinicians in this Medicare group
NPI 1558332494 (480) 301-8000

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 3

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.
109 services80 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.
58 services58 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.
51 services39 patients

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.

78.58/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored as part of a group practice
Quality69.05
Promoting Interoperability100
Improvement Activities40
Cost59.56

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.

AMITKUMAR MEHTA MD
Internal Medicine (Hematology & Oncology)
13400 E SHEA BLVD
SCOTTSDALE, AZ 85259
Maricopa County (480) 301-8000
DR. DEBJIT SAHA MBBS
Internal Medicine (Critical Care Medicine)
13400 E SHEA BLVD
SCOTTSDALE, AZ 85259
Maricopa County (480) 301-8000
MICHAL REID M.D.
Internal Medicine (Pulmonary Disease)
13400 E SHEA BLVD
SCOTTSDALE, AZ 85259
Maricopa County (480) 301-8000
DR. DANIEL MARK FRENDL MD, PHD
Urology
13400 E SHEA BLVD
SCOTTSDALE, AZ 85259
Maricopa County (480) 301-8000
BRETT THEODORE TOLPA CRNA
Nurse Anesthetist, Certified Registered
13400 E SHEA BLVD
SCOTTSDALE, AZ 85259
Maricopa County (480) 301-8000
GINA MUNSON CRNA
Nurse Anesthetist, Certified Registered
13400 E SHEA BLVD
SCOTTSDALE, AZ 85259
Maricopa County (480) 301-8000
DR. CATALINA NICOLE FLORES MD
Radiology (Diagnostic Radiology)
13400 E SHEA BLVD
SCOTTSDALE, AZ 85259
Maricopa County (480) 301-8000
NICOLE WARRINGTON MD
Radiology (Diagnostic Radiology)
13400 E SHEA BLVD
SCOTTSDALE, AZ 85259
Maricopa County (480) 301-8000

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 Karan Patel's NPI number?

The NPI number for Karan Patel is 1932442530. It was assigned to this individual provider in the NPPES registry on April 2, 2013.

Where is Karan Patel located?

Karan Patel practices at 13400 E Shea Blvd, Scottsdale, AZ 85259. The listed phone number is (480) 301-8000.

What is Karan Patel's specialty?

The primary specialty registered for this NPI is Orthopaedic Surgery, specializing in Sports Medicine, with taxonomy code 207XX0005X.

Is Karan Patel enrolled in Medicare?

Yes. Karan 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 organization bills Medicare for Karan Patel's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Karan Patel reassigns Medicare benefits to Mayo Clinic Arizona (Scottsdale, 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 Karan Patel's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Karan Patel accept?

Health plans from Sanford Health Plan list Karan 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 Karan Patel was last updated on September 3, 2020. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 6 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.