Active NPI
Ashok R Patel, MD
- Specialist
- Pueblo, CO
National Provider Identifier
1013965128
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Specialist
- License
- 27185
- Practice address
- 540 E Abriendo Ave Ste D
Pueblo, CO 81004-2377 - Phone
- (719) 542-7222
- NPI assigned
- May 4, 2006
- Last updated
- Apr 2, 2020
- Sex
- Male
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Allergy & Immunology Physician | 207K00000X | 223371 | MA | |
| Specialist | 174400000X | 27185 | CO | Primary |
Addresses
Primary practice location
540 E Abriendo Ave Ste D
Pueblo, CO 81004-2377
Mailing address
540 E Abriendo Ave Ste D
Pueblo, CO 81004-2377
Phone (719) 542-7222
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 04021119 | Medicaid | CO |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
- Opted out of Medicare
- Yes, effective Nov 22, 2023 through Nov 22, 2027
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 27185 | CO | MD | Specialist |
| 223371 | MA | MD | Allergy & Immunology Physician |
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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
-
- Family Medicine Physician
- Pueblo, CO
- NPI 1750621066
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1146700800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1585785600000",
"number": "1013965128",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "540 E ABRIENDO AVE STE D",
"city": "PUEBLO",
"state": "CO",
"postal_code": "810042377",
"telephone_number": "719-542-7222"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "540 E ABRIENDO AVE STE D",
"city": "PUEBLO",
"state": "CO",
"postal_code": "810042377",
"telephone_number": "719-542-7222"
}
],
"practiceLocations": [],
"basic": {
"last_name": "PATEL",
"first_name": "ASHOK",
"middle_name": "R",
"credential": "MD",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2006-05-04",
"last_updated": "2020-04-02",
"certification_date": "2020-04-02",
"status": "A"
},
"taxonomies": [
{
"code": "207K00000X",
"taxonomy_group": "",
"desc": "Allergy & Immunology",
"state": "MA",
"license": "223371",
"primary": false
},
{
"code": "174400000X",
"taxonomy_group": "",
"desc": "Specialist",
"state": "CO",
"license": "27185",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "04021119",
"state": "CO"
}
],
"endpoints": [],
"other_names": []
}Other providers in Pueblo, CO
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 2, 2020; 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; Opt Out Affidavits.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.