Nilay Hasmukh Kavathia, M.D
Gastroenterology Internal Medicine
Nilay Hasmukh Kavathia is a Gastroenterology Internal Medicine specialist based in Mesa, AZ with over 18 years of clinical experience. Medicare-enrolled per CMS records and offers virtual telehealth visits.
Nilay Hasmukh Kavathia, M.D has practiced internal medicine for 18+ years, working in group practice. He graduated from University of Arizona College of Medicine in 2008 and has 18+ years of clinical experience. Among his Medicare patients, common conditions include high cholesterol, hypertension, and arthritis (per CMS data). CMS MIPS quality score: 75/100 (2023).
At a glance
- Uses generic medications more than 24% of reporting doctors in Arizona
- Federal MIPS score higher than 15% of MIPS-scored doctors in Arizona
- Virtual visits available — no app or travel required
Older · 909dNPPES updated 2023-11-27 · verify NPI on CMS · Verify license at Arizona Medical Board
Contact & Location
Practice Location
603 W Baseline Rd Ste 200, Mesa, AZ 85210-6047
How Does This Doctor Compare?
Based on Medicare data, this doctor favors affordable generic drugs over brand-name ones.
MIPS Score
202375/100
Arizona avg: 77.5 · US avg: 83.6
⚠ Lower than most doctors nationally(-8.6 pts)
How the government rates this doctor's Medicare care quality. Scores above 75 are considered good.
Generic Rx
↑ Higher = better82.8%
Arizona avg: 84.7 · US avg: 82.8
≈ Same as national average
How often this doctor prescribes affordable generic drugs instead of expensive brand-name ones.
Medicare Patients
461
Unique beneficiaries
Standard volumePrescription Recipients
584
Patients prescribed
Prescriptions Written
1,879
Total claims
Total Medicare drug cost: $486k
Percentile rankings compared against 1,247 reporting peers in Arizona.
Data Note: Sourced from CMS Medicare Provider Utilization & Payment Data. Percentile rankings compare this provider against all peers with reported data in the same state. Updated annually to reflect the latest federal reporting cycle.
What This Doctor Treats Most
Based on Medicare claims data — here's what patients commonly see this doctor for
Based on Medicare data, this doctor primarily manages High Cholesterol, Hypertension, and Arthritis.
Elevated cholesterol or triglycerides that increase heart disease risk
US avg: 70.4%↑ More patients than average (+5%) — a focus area for this doctor
High blood pressure — a leading risk factor for heart disease and stroke
US avg: 70.2%↓ Fewer patients than average (-1%) — less common here
Joint inflammation causing pain, swelling, and stiffness
US avg: 49.3%↑ More patients than average (+2%) — a focus area for this doctor
A condition where the body cannot properly regulate blood sugar levels
US avg: 34.5%↓ Fewer patients than average (-10%) — less common here
Reduced blood flow to the heart muscle, commonly known as coronary artery disease
US avg: 31.7%↓ Fewer patients than average (-8%) — less common here
Excessive worry or fear that interferes with daily life
US avg: 34.1%↓ Fewer patients than average (-11%) — less common here
Conditions affecting emotional state, including depression and bipolar disorder
Gradual loss of kidney function over time, often linked to diabetes or hypertension
US avg: 29.6%↓ Fewer patients than average (-9%) — less common here
Percentage of this provider's Medicare patients diagnosed with each condition. Source: CMS Utilization Data.
$2.4k received from industry
132 transactions reported in 2024 ·Moderate tier
Payments include consulting fees, speaking honoraria, food & beverage, travel, research support, and ownership interests from drug and medical device manufacturers. Disclosure is required by the federal Physician Payments Sunshine Act. These payments do not necessarily indicate conflicts of interest. National median: $338 across 136 000 tracked providers.
Tiers — Low: under $500 · Moderate: $500-5 000 · High: $5 000-25 000 · Very High: $25 000+. Source: CMS Open Payments 2024, attributed to Nilay Hasmukh Kavathia's NPI.
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Background & Specialty
Education, training, and specialty classification from CMS NPPES and Medicare records.
Graduated medical school · 2008
University of Arizona College of Medicine
18 years in practice
Experienced
Gastroenterologists diagnose and treat digestive system disorders including GERD, irritable bowel syndrome (IBS), inflammatory bowel disease (Crohn's, ulcerative colitis), liver disease, pancreatitis, and colon polyps. They perform endoscopies and colonoscopies.
Taxonomy: 207RG0100X
Education & Training
University of Arizona College of Medicine (Class of 2008)
Mailing address
3020 E Camelback Rd Ste 301, Phoenix, AZ 85016-4418
Differs from practice location
Primary hospital affiliation: Acute Care Hospitals
CMS Certification Number: 100043
View hospital on Medicare Care CompareVirtual Internal Medicine Care With Nilay Hasmukh Kavathia
NPPES records indicate this provider offers telehealth services. Contact the office to confirm availability and scheduling.
Schedule a virtual visit with Nilay Hasmukh Kavathia for cholesterol management, blood pressure monitoring, arthritis follow-ups — no travel to Mesa required. The office sends a secure video link before your appointment. Most visits take 15–30 minutes. Medicare enrolled per CMS records.
Frequently Asked Questions
Common questions about Nilay Hasmukh Kavathia
Dr. Kavathia is listed as active in the NPI registry with telehealth listed in Mesa, AZ. NPI status alone doesn't confirm open availability — call the office to confirm. Phone: (480) 461-1088.
Sourced from CMS NPPES · OIG LEIE · CMS QPP 2023 · CMS Medicare Part D · CMS Open Payments 2024 · CMS Physician Comparator. See Data Methodology.
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Contact Nilay Hasmukh Kavathia
Practice Location
603 W Baseline Rd Ste 200, Mesa, AZ 85210-6047
Mailing Address
3020 E Camelback Rd Ste 301, Phoenix, AZ 85016-4418
This is a provider directory. Contact the office directly to schedule appointments.
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