Choudhary Balwan S. Patel, MD

Primary specialty

Psychiatry PhysicianTaxonomy code 2084P0800X

License

C127780 Issued in CA

Practice address

4525 E Atherton St
Long Beach, CA 90815-3700

Phone

(562) 961-0155

NPI assigned

Jun 27, 2006

Sex

Male

Sole proprietor

No

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

Specialties & licenses 2

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Enrolled in CA

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

Specialty

Geriatric Psychiatry

Education

Other, 1961

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

The Roads Foundation, IncGroup PAC ID 2961722558, 57 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Not enrolled

HHS exclusion list flag

Flagged The directory lists this NPI on an HHS exclusion list. The OIG exclusions file (LEIE) holds no record for this NPI, and the directory does not say which list the flag comes from. How exclusions are shown Confirm with the OIG exclusions search.

Credentials

Doctor of Medicine

State licenses

Practice roles

Interoperability endpoints

• FHIR API: https://fhir4.healow.com/fhir/r4/BFCDAD/Endpoint/BFCDAD

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.

• The Roads Foundation, Inc

  • Clinic/Center
  • Long Beach, CA
  • NPI 1669812392
  Medicare reassignment Care Compare group NPD (past)
• University of Massachusetts

  • Professional Counselor
  • Worcester, MA
  • NPI 1477618957
  NPD (past)

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

{
    "created_epoch": "1151366400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1410912000000",
    "number": "1003843863",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4525 E ATHERTON ST",
            "city": "LONG BEACH",
            "state": "CA",
            "postal_code": "908153700",
            "telephone_number": "562-961-0155"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4525 E ATHERTON ST",
            "city": "LONG BEACH",
            "state": "CA",
            "postal_code": "908153700",
            "telephone_number": "562-961-0155"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PATEL",
        "first_name": "CHOUDHARY",
        "middle_name": "BALWAN S.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-06-27",
        "last_updated": "2014-09-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2084P0800X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Psychiatry",
            "state": "MA",
            "license": "35039",
            "primary": false
        },
        {
            "code": "2084P0800X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Psychiatry",
            "state": "CA",
            "license": "C127780",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "2014858",
            "state": "MA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Anjali R Patel, PA-C
• Anjani Patel
• Avani Amrit Patel, NP
• Bharatkuman Jashbhai Patel, M.D.
• Chirag Parsottam Patel
• Deep J Patel, PHARMD
• Dixi Patel, DO
• Evangeline P Patel, P.T.
• Harshad P Patel, M.D.
• Hiren Patel, D.O

• Psychiatry Physician in Long Beach, CA
• Providers in Long Beach, CA by specialty
• Psychiatry Physician in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 17, 2014; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.