Individual provider Active NPI

Shitel Dineshbhai Patel, M.D.

  • Plastic and Reconstructive Surgery Physician
  • Webster, TX
National Provider Identifier
1023219623
Registry record updated Mar 16, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Plastic and Reconstructive Surgery PhysicianTaxonomy code 2086S0122X
License
P7832 Issued in TX
Practice address
210 Genesis Blvd # B
Webster, TX 77598-1636
Phone
(832) 835-1131
Fax
(832) 918-3223
NPI assigned
May 30, 2007
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Mar 16, 2021

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Plastic and Reconstructive Surgery PhysicianGroup: 193200000X MULTI-SPECIALTY GROUP 2086S0122X P7832 TX Primary

Addresses

Primary practice location

210 Genesis Blvd # B
Webster, TX 77598-1636

Mailing address

210 Genesis Blvd # B
Webster, TX 77598-1636
Phone (832) 835-1131

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in TX
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
I20140515000017 TX Practitioner - Plastic and Reconstructive SurgeryPractitioner - General Surgery 7416170691

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Up Plastic Surgery, PLLC Current Accepting new patients

Locations

210 Genesis Blvd
Ste B
Webster, TX 77598
Phone (832) 835-1131

Organizations & group practices 1

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.

NPI Registry JSON

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

{
    "created_epoch": "1180483200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1615852800000",
    "number": "1023219623",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "210 GENESIS BLVD # B",
            "city": "WEBSTER",
            "state": "TX",
            "postal_code": "775981636",
            "telephone_number": "832-835-1131",
            "fax_number": "832-918-3223"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "210 GENESIS BLVD # B",
            "city": "WEBSTER",
            "state": "TX",
            "postal_code": "775981636",
            "telephone_number": "832-835-1131",
            "fax_number": "832-918-3223"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PATEL",
        "first_name": "SHITEL",
        "middle_name": "DINESHBHAI",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2007-05-30",
        "last_updated": "2021-03-16",
        "certification_date": "2021-03-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2086S0122X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Surgery, Plastic and Reconstructive Surgery",
            "state": "TX",
            "license": "P7832",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Webster, TX

Sources for this page

Verify at the official NPI Registry.