Nilay Kavathia, M.D
NPI 1174796999 · Gastroenterology Physician · Mesa, AZ
Enrolled with Medicare as Practitioner - Gastroenterology · source: CMS PECOS Public Provider Enrollment (2026.04.01)
Nilay Kavathia, M.D is a Gastroenterology Physician provider in Mesa, AZ (NPI 1174796999).
Provider details
- NPI number
- 1174796999
- Entity type
- Individual
- Primary specialty
- Gastroenterology PhysicianAllopathic & Osteopathic Physicians
- Credential
- M.D
- Sex
- Male
- Sole proprietor
- No
- License
- 49317 (AZ)
Specialties & taxonomies
Allopathic & Osteopathic Physicians
Profile Score
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure25% of score
18 yrs in NPPES registry
- Profile completeness25% of score
100% of core fields populated
- Practice footprint15% of score
2 documented practice locations
- Medicare service volume (vs. specialty peers)25% of score
1,124 Medicare services, 2024 (ranked within specialty)
- Open Payments transparency10% of score
Has Open Payments disclosures (2024)
Medicare volume is ranked against active providers in the same specialty. Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our .
What this provider does (Medicare)
Based on Medicare fee-for-service claims, 2024; not all care is captured.
| Service (HCPCS) | Medicare services | Typical Medicare-allowed (2024) |
|---|---|---|
| Established Patient Office Or Other Outpatient Visit With Moderate Level of Decision Making, If Using Time, 30 Minutes Or More99214 | 344 | $123 |
| Biopsy of Esophagus, Stomach, And/Or Upper Small Bowel Using a Flexible Endoscope43239 | 142 | $94 |
| Removal of Polyps Or Growths of Large Bowel Using an Endoscope With Mechanical Snare45385 | 137 | $240 |
| New Patient Office Or Other Outpatient Visit With Moderate Level of Medical Decision Making, If Using Time, 45 Minutes Or More99204 | 115 | $159 |
| Biopsy of Large Bowel Using a Flexible Endoscope45380 | 82 | $117 |
What this provider prescribes (Medicare Part D)
Top drugs by Medicare Part D claim volume, 2024 · 28 distinct drugs on file.
| Drug | Part D claims (2024) | Beneficiaries |
|---|---|---|
| Pantoprazole Sodium | 642 | 244 |
| Sodium, Potassium,mag Sulfatesbrand: Sod Sulf-Potass Sulf-Mag Sulf | 310 | 302 |
| Dicyclomine Hcl | 147 | 52 |
| Omeprazole | 141 | 50 |
| Esomeprazole Magnesium | 97 | 31 |
| Linaclotidebrand: Linzess | 97 | 30 |
| Famotidine | 84 | 34 |
Transparency — industry payments
Based on CMS Open Payments, 2024; not all care is captured.
$2,353 across 132 records (Open Payments 2024)
Open Payments discloses payments and transfers of value (meals, travel, consulting, research, royalties) from drug and device makers to providers. This is a transparency signal, not a verdict — such payments are legal and common, and their presence is neither an endorsement nor a criticism. Source: CMS Open Payments, program year 2024.
Practice location
Mailing address
Additional practice locations (1)
- 1520 S Dobson RdSuite 302Mesa, AZ 85202-2573Phone: (480) 461-1088
Registry dates
- Enumerated
- 2008-04-12
- Last updated
- 2023-11-27
Frequently asked questions
- What is Nilay Kavathia's NPI number?
- Nilay Kavathia's National Provider Identifier (NPI) is 1174796999, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What is Nilay Kavathia's specialty?
- Nilay Kavathia is listed in the NPPES registry with a primary specialty of Gastroenterology Physician (Allopathic & Osteopathic Physicians).
- Where is Nilay Kavathia located?
- Nilay Kavathia's practice location on file with NPPES is 603 W Baseline Rd Ste 200, Mesa, AZ 85210-6047.
- What is Nilay Kavathia's phone number?
- The practice phone number listed in the NPPES registry for Nilay Kavathia is (480) 461-1088.
- Does Nilay Kavathia accept Medicare?
- Nilay Kavathia is approved to bill Medicare according to CMS PECOS enrollment data (2026.04.01). Confirm current participation with the provider before scheduling.
- Is Nilay Kavathia's NPI active?
- Yes — Nilay Kavathia's NPI (1174796999) is active in the NPPES registry as of the last update on 2023-11-27.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.