Individual provider Active NPI

Archana Patel, M.D.

  • Gastroenterology Physician
  • Goshen, IN
National Provider Identifier
1003078429
Registry record updated Dec 15, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
Gastroenterology PhysicianTaxonomy code 207RG0100X
License
01074712A Issued in IN
Practice address
2016 S Main St
Ste B
Goshen, IN 46526-5236
Phone
(574) 537-1625
Fax
(574) 537-9384
NPI assigned
Jun 26, 2008
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Dec 15, 2014

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Gastroenterology Physician 207RG0100X 01074712A IN Primary

Addresses

Primary practice location

2016 S Main St
Ste B
Goshen, IN 46526-5236

Mailing address

2016 S Main St
Ste B
Goshen, IN 46526-5236
Phone (574) 537-1625

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MI
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20150317001261 MI Practitioner - Gastroenterology 4082936422 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Gastroenterology
Education
Albany Medical College of Union University, 2009
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Mercy Health Partners - Physician SpecialistGroup PAC ID 2163572991, 66 clinicians

Practice addresses (Care Compare)

1675 Leahy St
Suite 324B
Muskegon, MI 49442-5500
Phone (231) 672-8700

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
89.64 of 100Reported as group
Quality
85.47
Improvement activities
40
Cost
69.38

Procedures performed for Medicare patients

ProcedureNumber of procedures
Colonoscopy95
Upper gastrointestinal (GI) endoscopy for acid reflux139

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
01074712AINMDGastroenterology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Mercy Health Partners - Physician Specialist Gastroenterology CurrentSince Mar 1, 2015 Accepting new patients
West Shore Cardiology, PLC Past Accepting new patients

Locations

1675 Leahy St
Ste 324B
Muskegon, MI 49442
Phone (231) 672-8700

1500 E Sherman Blvd
Muskegon, MI 49444
Phone (231) 672-3027

Networks

  • OH PPO
  • devoted network organization-1baeae7e-6b6f-49f9-a562-1b2d2e55c806
  • IL HMO C-SNP
  • devoted network organization-598bd2d4-c652-473f-ba7a-132f674c8eb6

Interoperability endpoints

  • Direct secure messaging: apatel27425@direct.trinity-health.org
  • Direct secure messaging: apatel1059433@direct.hfhs.org

Organizations & group practices 2

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

Hospital & facility affiliations 4

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1214438400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1418601600000",
    "number": "1003078429",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2016 S MAIN ST",
            "address_2": "STE B",
            "city": "GOSHEN",
            "state": "IN",
            "postal_code": "465265236",
            "telephone_number": "574-537-1625",
            "fax_number": "574-537-9384"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2016 S MAIN ST",
            "address_2": "STE B",
            "city": "GOSHEN",
            "state": "IN",
            "postal_code": "465265236",
            "telephone_number": "574-537-1625",
            "fax_number": "574-537-9384"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PATEL",
        "first_name": "ARCHANA",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2008-06-26",
        "last_updated": "2014-12-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207RG0100X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Gastroenterology",
            "state": "IN",
            "license": "01074712A",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Goshen, IN

Sources for this page

Verify at the official NPI Registry.