East Valley Kidney Specialist PLLC Health Care
NPI 1619766789 · Nephrology Physician · Mesa, AZ
Enrolled with Medicare as Part B Supplier - Clinic/Group Practice · source: CMS PECOS Public Provider Enrollment (2026.04.01)
East Valley Kidney Specialist PLLC Health Care is a Nephrology Physician organization in Mesa, AZ (NPI 1619766789).
Provider details
- NPI number
- 1619766789
- Entity type
- Organization
- Primary specialty
- Nephrology PhysicianAllopathic & Osteopathic Physicians
- Organization subpart
- No
- Authorized official
- Sandeep Patil, Ceo(718) 309-8994
Specialties & taxonomies
Allopathic & Osteopathic Physicians
Profile Score
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
1 yr in NPPES registry
- Profile completeness38% of score
100% of core fields populated
- Practice footprint23% of score
2 documented practice locations
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 methodology.
Practice location
Mailing address
Additional practice locations (1)
- 436 E Southern Ave Ste 1Tempe, AZ 85282-5216Phone: (480) 290-1822
Registry dates
- Enumerated
- 2025-05-05
- Last updated
- 2026-01-13
- Certified
- 2026-01-13
Frequently asked questions
- What is East Valley Kidney Specialist PLLC Health Care's NPI number?
- East Valley Kidney Specialist PLLC Health Care's National Provider Identifier (NPI) is 1619766789, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What type of organization is East Valley Kidney Specialist PLLC Health Care?
- East Valley Kidney Specialist PLLC Health Care is classified in the NPPES registry as Nephrology Physician (Allopathic & Osteopathic Physicians).
- Where is East Valley Kidney Specialist PLLC Health Care located?
- East Valley Kidney Specialist PLLC Health Care's practice location on file with NPPES is 1910 S Stapley Dr Ste 120, Mesa, AZ 85204-6676.
- What is East Valley Kidney Specialist PLLC Health Care's phone number?
- The practice phone number listed in the NPPES registry for East Valley Kidney Specialist PLLC Health Care is (602) 525-5674.
- Does East Valley Kidney Specialist PLLC Health Care accept Medicare?
- East Valley Kidney Specialist PLLC Health Care is approved to bill Medicare according to CMS PECOS enrollment data (2026.04.01). Confirm current participation with the provider before scheduling.
- Who is the authorized official for East Valley Kidney Specialist PLLC Health Care?
- The authorized official listed on East Valley Kidney Specialist PLLC Health Care's NPPES record is Sandeep Patil, Ceo. The authorized official registers and maintains the organization's NPI and is not necessarily its owner.
- Is East Valley Kidney Specialist PLLC Health Care's NPI active?
- Yes — East Valley Kidney Specialist PLLC Health Care's NPI (1619766789) is active in the NPPES registry as of the last update on 2026-01-13.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.