Doctor profile · Federal record
Dr. Nilay Kavathia, M.D
Gastroenterology Physician (CMS: Gastroenterology) · Mesa, AZ
- NPI 1174796999
- Accepts Medicare
- MIPS 75.0 / 100 · 2023
- 18 yrs in practice
- Male
- Group practice
- No sanctions
Practice & contact
Operates at 2 locations .
- Primary practice
-
603 W Baseline RD Ste 200
Mesa, AZ 852106047
(480) 461-1088
fax (480) 461-1657 - Additional location
-
1520 S Dobson RD, Suite 302
Mesa, AZ 852022573 - Mailing address
-
3020 E Camelback RD Ste 301
Phoenix, AZ 850164418
Credentials & registration
- NPI registered
- April 2008 — 18 yrs on file
- Profile last updated
- November 27, 2023
- Year of graduation
- 2008 — 18 yrs since
- Specialty taxonomy
- 207RG0100X — NUCC code
- State license (1)
- Arizona #49317
Federal sanctions & exclusions
No sanctions, exclusions or revocations on file
Checked against OIG LEIE on NPI 1174796999. Last verified May 11, 2026.Medicare procedures · 2023
Top services delivered
Total services
9,552
Distinct HCPCS
10
Medicare allowed
$319,201
| HCPCS | Description | Services | Patients | Avg allowed | |
|---|---|---|---|---|---|
J3380 |
Injection, vedolizumab, 1 mg | 6,900 | 13 | $20 | |
J1745 |
Injection, infliximab, excludes biosimilar, 10 mg | 1,500 | 16 | $33 | |
99214 |
Established patient office or other outpatient visit, 30-39 minutes | 185 | 148 | $122 | |
99439 |
Chronic care management services for two or more chronic conditions, additional 20 minutes of clinical staff time directed by health care professional, per calendar month | 156 | 14 | $46 | |
45380 |
Biopsy of large bowel using a flexible endoscope | 122 | 121 | $119 | |
99213 |
Established patient office or other outpatient visit, 20-29 minutes | 107 | 89 | $87 | |
43239 |
Biopsy of esophagus, stomach, and/or upper small bowel using a flexible endoscope | 99 | 98 | $93 | |
99490 |
Chronic care management services, first 20 minutes of clinical staff time directed by health care professional, per calendar month | 87 | 14 | $60 | |
99204 |
New patient office or other outpatient visit, 45-59 minutes | 77 | 77 | $159 | |
45385 |
Removal of polyps or growths of large bowel using an endoscope with mechanical snare | 76 | 75 | $243 |
In context: peer comparison
Among 12 peers in Mesa Gastroenterology Physician, average services per provider: 195. This provider delivers 49× the peer median.Open Payments
Industry payments received
All-time total
$2,353
Transactions
120
Manufacturers
15
| Payer (manufacturer) | Industry | Txns | Amount |
|---|---|---|---|
| Abbvie INC. | 19 | $397.07 | |
| Takeda Pharmaceuticals U.S.A., INC. | 19 | $341.08 | |
| Pfizer INC. | 22 | $328.53 | |
| Salix Pharmaceuticals, A Division of Bausch Health US, LLC | 19 | $231.38 | |
| Janssen Biotech, INC. | 11 | $205.67 | |
| Celgene Corporation | 7 | $107.14 | |
| Gilead Sciences, INC. | 4 | $77.15 | |
| Qol Medical, LLC | 2 | $63.95 | |
| Ferring Pharmaceuticals INC. | 3 | $63.78 | |
| Phathom Pharmaceuticals, INC. | 3 | $62.66 | |
| Ardelyx, INC. | 3 | $61.22 | |
| Ipsen Biopharmaceuticals, INC | 2 | $42.71 | |
| Boehringer Ingelheim Pharmaceuticals, INC. | 2 | $40.96 | |
| Madrigal Pharmaceuticals | 2 | $37.45 | |
| Lilly USA, LLC | 2 | $33.93 |
By nature of payment
Medicare Part D · 2023
Top prescriptions
Total claims
1,451
Patients
617
Total drug cost
$247,782
| Drug | Type | Claims | Patients | Total cost |
|---|---|---|---|---|
| Pantoprazole Sodium | Generic | 534 | 199 | $8,461 |
| Omeprazole | Generic | 147 | 51 | $2,155 |
| Sod Sulf-Potass Sulf-Mag Sulf (Sodium, Potassium,Mag Sulfates) | Brand | 126 | 123 | $9,578 |
| Dicyclomine Hcl | Generic | 95 | 44 | $1,689 |
| Sucralfate | Generic | 80 | 42 | $4,760 |
| Famotidine | Generic | 64 | 24 | $763 |
| Linzess (Linaclotide) | Brand | 63 | 18 | $60,838 |
| Esomeprazole Magnesium | Generic | 60 | 21 | $2,369 |
| Mesalamine | Generic | 54 | 19 | $58,264 |
| Ondansetron Odt (Ondansetron) | Brand | 52 | 20 | $1,629 |
Frequently asked questions
What is Dr. Nilay Kavathia's medical specialty?
Dr. Nilay Kavathia practices Gastroenterology Physician in Mesa, AZ.
Where does Dr. Nilay Kavathia practice?
Dr. Nilay Kavathia practices at 603 W Baseline RD Ste 200, Mesa, AZ 852106047. Office phone: 4804611088.
What is Dr. Nilay Kavathia's NPI?
Dr. Nilay Kavathia's National Provider Identifier (NPI) is 1174796999, issued by NPPES.
Does Dr. Nilay Kavathia accept Medicare assignment?
Yes. Dr. Nilay Kavathia accepts Medicare assignment, meaning Medicare-allowed amounts are accepted as full payment for covered services.
What procedures does Dr. Nilay Kavathia commonly perform?
Top Medicare-reported procedures in 2023: Injection, vedolizumab, 1 mg (HCPCS J3380); Injection, infliximab, excludes biosimilar, 10 mg (HCPCS J1745); Established patient office or other outpatient visit (HCPCS 99214). Source: CMS Medicare Physician & Other Practitioners file.