Active NPI
Shitel Dineshbhai Patel, M.D.
- Plastic and Reconstructive Surgery Physician
- Webster, TX
National Provider Identifier
1023219623
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Plastic and Reconstructive Surgery Physician
- License
- P7832
- 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
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Plastic and Reconstructive Surgery Physician | 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
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20140515000017 | TX | Practitioner - Plastic and Reconstructive Surgery | 7416170691 |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
Practice roles
| Organization | Specialty | Status | New 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.
-
- Specialist
- Webster, TX
- NPI 1821530098
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
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 16, 2021; 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.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.