Individual provider Active NPI

Moenil Patel

  • Family Nurse Practitioner
  • Waldorf, MD
National Provider Identifier
1003326810
Registry record updated Aug 19, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
AC006800 Issued in MD
Practice address
10 St. Patrick's Drive
Waldorf, MD 20603-4527
Phone
(301) 705-7870
Fax
(301) 705-7628
NPI assigned
Oct 6, 2017
Last updated
Aug 19, 2026By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 19, 2026

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse Practitioner 363LF0000X AC006800 MD Primary
Family Nurse Practitioner 363LF0000X 26NJ00765700 NJ

Addresses

Primary practice location

10 St. Patrick's Drive
Waldorf, MD 20603-4527

Mailing address

24035 Three Notch Rd
Hollywood, MD 20636-4871
Phone (301) 373-7900

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in DC, MD2 enrollments
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
I20180215001942 DC Practitioner - Nurse Practitioner 7315207131 Reassigns benefits to 1 organization
I20180215002101 MD Practitioner - Nurse Practitioner 7315207131 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2014
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices

Practice addresses (Care Compare)

10 Saint Patricks Dr
Waldorf, MD 20603-4527
Phone (301) 373-7900

22590 Shady CT
California, MD 20619-5009
Phone (301) 373-7900

24035 Three Notch Rd
Hollywood, MD 20636-4871
Phone (301) 373-7900

4240 Altamont PL
White Plains, MD 20695-3052
Phone (301) 373-7900

6710 Oxon Hill Rd
Suite 200
Oxon Hill, MD 20745-1124
Phone (301) 373-7900

950 E Swann Creek Rd
Fort Washington, MD 20744
Phone (301) 292-7270

PO Box
Suite 640
Hollywood, MD 20636-0640

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
81.41 of 100Reported as group
Quality
61.45
Promoting interoperability
96
Improvement activities
40
Cost
79.91

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Nurse Practitioner

State licenses

LicenseStateTypeSpecialty
26NJ00765700NJMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Medstar Medical Group - Southern Maryland LLC Current Accepting new patients
Medstar Medical Group - Southern Maryland LLC CurrentSince Mar 1, 2018 Accepting new patients
Medstar Medical Group - Southern Maryland LLC CurrentSince Mar 1, 2018 Accepting new patients
Medstar Southern Maryland Physicians, LLC Past Accepting new patients
Medstar Medical Group II LLC Past Accepting new patients

Locations

950 E Swan Creek Rd
Ft Washington, MD 20744
Phone (301) 292-0236

24035 Three Notch Rd
Hollywood, MD 20636
Phone (301) 373-2588

10 Saint Patricks Dr
Waldorf, MD 20603
Phone (301) 705-7870

10 Saint Patricks Dr
Fl 1
Waldorf, MD 20603
Phone (301) 645-4242

Interoperability endpoints

  • Direct secure messaging: moenil.patelcrnp.p2@direct.msmg.nextgenshare.com

Organizations & group practices 5

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

Hospital & facility affiliations 1

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": "1507248000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1787097600000",
    "number": "1003326810",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "24035 THREE NOTCH RD",
            "city": "HOLLYWOOD",
            "state": "MD",
            "postal_code": "206364871",
            "telephone_number": "301-373-7900",
            "fax_number": "301-373-6900"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "10 ST. PATRICK'S DRIVE",
            "city": "WALDORF",
            "state": "MD",
            "postal_code": "206034527",
            "telephone_number": "301-705-7870",
            "fax_number": "301-705-7628"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PATEL",
        "first_name": "MOENIL",
        "name_prefix": "Mr.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2017-10-06",
        "last_updated": "2026-08-19",
        "certification_date": "2026-08-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "MD",
            "license": "AC006800",
            "primary": true
        },
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "NJ",
            "license": "26NJ00765700",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Waldorf, MD

Sources for this page

Verify at the official NPI Registry.