Nilay Hasmukh Kavathia, M.D
Gastroenterology Physician · Mesa, AZ
Nilay Hasmukh Kavathia, M.D is a gastroenterology physician with a practice address in Mesa, Arizona, and NPI 1174796999, issued on Apr 12, 2008. Check the license (Arizona 49317, as entered in NPPES) on the Arizona Medical Board; the Medicare figures below come from public CMS files.
- Name
- Nilay Hasmukh Kavathia
- Credential
- M.D
- Primary taxonomy
- Gastroenterology Physician 207RG0100X
- License number
- 49317 AZ
Self-reported in NPPES; status is on the state search - Practice location
- 603 W Baseline RD Ste 200, Mesa, AZ 85210
- Phone
- (480) 461-1088
- Enumerated
- Apr 12, 2008
- Record last updated
- Nov 27, 2023
- Fax
- (480) 461-1657
- Medicare enrollment
- Enrolled (PECOS I20140911000627); accepts Medicare assignment
- Medical or professional school
- University Of Arizona College Of Medicine, 2008
- Telehealth
- Offers telehealth (CMS)
- Entity
- Type 1 · individual
8 nearest gastroenterology physician records → All 403 in Arizona → Look up another NPI →
Also registered at 603 W Baseline RD Ste 200
A shared address usually means a shared clinic or building; it does not show who employs whom.
- Philip Foutch, D.O.Gastroenterology Physician1790746717
- Brian Fung, MDGastroenterology Physician1366974164
- Andrew Grade, M.D.Gastroenterology Physician1881655819
- Rebecca McCollaum, A.P.R.N.Family Nurse Practitioner1669658969
- Sumir Patel, M.D.Gastroenterology Physician1801858113
- Laurie Peterson, P.A.Medical Physician Assistant1205898715
Verify Nilay Hasmukh Kavathia in five checks
- 1IdentityNPI record in CMS NPPESNPI lookupConfirmed in NPPES
- 2LicenseActive license and public ordersArizona Medical Board
Search for license 49317Check the board - 3Other statesLicenses and actions elsewhereDocInfo (FSMB)Not checked
- 4ExclusionsMedicare and Medicaid bansHHS-OIG exclusion listNot checked
- 5CertificationBoard certificationABMS AOA NCCPA AANPNot checked
2.9 times the Medicare Part D claims of the average gastroenterology physician in 2024
2,343 Medicare Part D claims for 752 beneficiaries, against an average of 811 among the 16,445 providers of this specialty who prescribed in Part D. Brand-name drugs were 16% of claims.
Most prescribed
- Pantoprazole Sodium642 claims
- Sod Sulf-Potass Sulf-Mag Sulf310 claims
- Dicyclomine Hcl147 claims
- Omeprazole141 claims
- Esomeprazole Magnesium97 claims
- Linzess97 claims
Source: CMS Medicare Part D Prescribers by Provider and Drug, 2024 (data.cms.gov). Part D covers prescriptions for Medicare patients only; drugs with fewer than 11 claims are not published.
No measured MIPS final score for 2023
CMS assigned the neutral MIPS final score of 75 without scoring Quality, Cost, Promoting Interoperability or Improvement Activities. It is an administrative threshold, so PlainDoctor does not compare it with measured clinicians.
Source: CMS Quality Payment Program, MIPS performance year 2023, group reporting; category weights for 2023 (qpp.cms.gov).
Industry payments in 2024: $2,353.34
132 payments; by number, the most common kind was food and beverage; the largest payer was Abbvie Inc. The 13,350 providers of this specialty with any payment received $5,015.95 on average. Payments are reported by manufacturers, not by the provider, and are not a sign of wrongdoing.
Source: CMS Open Payments, program year 2024 (openpaymentsdata.cms.gov); average among providers of this specialty with at least one payment.
Bills Medicare through one group practice
- Arizona Digestive Health PCQueen Creek, AZ
Source: CMS Doctors and Clinicians National Downloadable File (the group practices a clinician bills Medicare through) (data.cms.gov).
Nilay Hasmukh Kavathia among 403 gastroenterology physician records in Arizona
Nilay Hasmukh Kavathia, M.D is one of 403 gastroenterology physician records with a practice address in Arizona. 84% of them appear in a Medicare file (Part D prescribing, MIPS, Open Payments or Medicare group billing); this one does. Its NPI, issued in 2008, is newer than 69% of them.
- NPI issued2008 · 69% of these records are older, 28% newer
- In a Medicare fileYes · 84% of these records are
- In the CMS Doctors and Clinicians fileYes · 73% of these records are
- Graduated2008 · median 2001 among the 295 with a school on file
- Record last updated2023 · 47% of these records were not updated in five years or more
Source: CMS NPPES, file of Aug 9, 2026, every record with primary taxonomy 207RG0100X and a Arizona practice address; Medicare files: CMS Part D Prescribers 2024, MIPS 2023, Open Payments 2024, Doctors and Clinicians (data.cms.gov).
Gastroenterology Physician providers in Arizona
There are 403 gastroenterology physician records in Arizona.
All 403 in Arizona → Every provider in Mesa → Gastroenterology Physician nationwide →
The 8 gastroenterology physician records with the nearest ZIP codes
- Philip Foutch, D.O.Mesa, AZ 852101790746717
- Brian Fung, MDMesa, AZ 852101366974164
- Andrew Grade, M.D.Mesa, AZ 852101881655819
- Sumir Patel, M.D.Mesa, AZ 852101801858113
- Robert Sawyer, M.D.Mesa, AZ 852101487616892
- Shiv Verma, MDMesa, AZ 852101811939747
- Howard ChungMesa, AZ 852091497246615
- Sameeha Khalid, DOMesa, AZ 852091114489705
Common questions
What is Nilay Hasmukh Kavathia, M.D's NPI number?
Nilay Hasmukh Kavathia, M.D's National Provider Identifier (NPI) is 1174796999, issued on Apr 12, 2008. An NPI identifies a provider in billing; it is not a license.
Where is Nilay Hasmukh Kavathia, M.D located?
The NPPES record lists a practice address at 603 W Baseline RD Ste 200, Mesa, AZ, 85210. Phone: (480) 461-1088. Providers update this record themselves, so call before visiting.
How can I verify Nilay Hasmukh Kavathia, M.D's license?
NPPES lists Arizona license number 49317, as entered by the provider. Search the Arizona Medical Board at https://www.azmd.gov/. The NPPES record confirms identity only; the state search shows license status, expiration and public orders.
How much does Nilay Hasmukh Kavathia, M.D prescribe under Medicare Part D?
In 2024, Nilay Hasmukh Kavathia, M.D had 2,343 Medicare Part D claims for 752 beneficiaries; the average among gastroenterology physician prescribers was 811. Part D covers Medicare prescriptions only.
What is Nilay Hasmukh Kavathia, M.D's MIPS final score?
CMS assigned the neutral MIPS final score of 75 for 2023 without scoring any category, so it is not a measured result.
Source: CMS National Plan and Provider Enumeration System (NPPES), file of Aug 9, 2026 (NPPES files on CMS.gov); NUCC Health Care Provider Taxonomy. Medicare files from data.cms.gov. An NPI identifies who bills; it is not a license.
Figures on PlainDoctor are read from the federal files each page names (CMS NPPES, Medicare Part D, MIPS, Open Payments; the HHS-OIG exclusion list only as counts) and from Census population estimates, with the file date shown beside them. See our editorial standards & corrections policy, the methodology behind these numbers, or report a data error. Data current as of Aug 9, 2026.