Nilay Hasmukh Kavathia, M.D
NPI 1174796999ActiveIndividual· Internal Medicine, Gastroenterology· Mesa, AZ
Internal Medicine, Gastroenterology (M.D) in Mesa, Arizona, trained at University of Arizona College of Medicine (class of 2008). Their prescriptions cost Medicare Part D more than their services did: $650,927 for 2,343 claims, against $340,754 paid for services in 2024. Abbvie Inc. was the largest of 21 companies reporting payments in 2025, $2,615 in all, mostly food and beverage.
Overview
| NPI | 1174796999 |
|---|---|
| Status | Active |
| Entity type | Individual |
| Credential | M.D |
| Sole proprietor | No |
| NPI issued | Apr 12, 2008 |
| Last updated in NPPES | Nov 27, 2023 |
Specialties and licenses
| Taxonomy | Code | License | State |
|---|---|---|---|
| Internal Medicine, Gastroenterology Primary | 207RG0100X | 49317 | AZ |
Exclusion screening
| List | Result | Details |
|---|---|---|
| HHS-OIG LEIE · Nov 10, 2026 | No match | Checked by NPI and by name + state |
| North Carolina Medicaid · Nov 11, 2026 | No match | — |
| New York OMIG · Nov 11, 2026 | No match | — |
| Ohio Medicaid · Nov 11, 2026 | No match | — |
| Pennsylvania Medicheck · Nov 11, 2026 | No match | — |
| Washington HCA · Nov 11, 2026 | No match | — |
Official OIG search · How matching works ·Bulk check a roster
Medicare
| Enrollment (PECOS) | Enrolled Practitioner - Gastroenterology (AZ) |
|---|---|
| Accepts assignment | Yes (participating) |
Medicare services in 2024
| Medicare patients | 560 |
|---|---|
| Services billed | 13,433 across 34 procedure codes |
| Paid by Medicare | $340,754 |
Part D prescriptions in 2024
| Prescriptions (claims) | 2,343 · 4,724 30-day fills |
|---|---|
| Patients | 752 |
| Total drug cost | $650,927 |
| Generic share | 84% of claims |
Education and affiliations
| Medical school | University of Arizona College of Medicine |
|---|---|
| Graduation year | 2008 |
| Medicare specialty | Gastroenterology |
| Telehealth | Offers telehealth |
Medical group
- Arizona Digestive Health PCSun City, AZ · 136 clinicians
Hospital affiliation
- Banner Desert Medical CenterMesa, AZ
Industry payments (Open Payments)
- 2025$2,615 · 146 payments from 21 companies
- 2024$2,353 · 132 payments from 26 companies
Top paying companies in 2025
| Company | Amount | Payments |
|---|---|---|
| Abbvie Inc. | $522.73 | 33 |
| Takeda Pharmaceuticals U.S.A., Inc. | $335.60 | 20 |
| Janssen Biotech, Inc. | $326.36 | 16 |
| Pfizer Inc. | $244.84 | 20 |
| Ipsen Biopharmaceuticals, Inc | $232.11 | 10 |
What the 2025 payments were for
- Food and Beverage$2,615 · 146 payments
Receiving payments does not imply wrongdoing. What Open Payments covers ·original records
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All 53 gastroenterologists in Mesa · All gastroenterologists in Arizona