Individual provider Active NPI

Pankti R Patel, MD

  • Surgery Physician
  • Roslyn Heights, NY
National Provider Identifier
1023307352
Registry record updated Apr 10, 2017
On this page

Key facts

NPPES NPI Registry
Primary specialty
Surgery PhysicianTaxonomy code 208600000X
License
MD457365 Issued in PA
Practice address
125 Mineola Ave
Suite 200
Roslyn Heights, NY 11577-2023
Phone
(516) 616-5500
Fax
(888) 502-6582
NPI assigned
Apr 7, 2011
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 10, 2017

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Surgery Physician 208600000X MD457365 PA Primary

Addresses

Primary practice location

125 Mineola Ave
Suite 200
Roslyn Heights, NY 11577-2023

Mailing address

6105 Spirit St
Apt 345
Pittsburgh, PA 15206-3175
Phone (419) 351-4250

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NY, NJ2 enrollments
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 2

Enrollment IDStateProvider typePAC IDDetails
I20171206002022 NY Practitioner - General Surgery 3173833357 Reassigns benefits to 6 organizations
I20250512002158 NJ Practitioner - General Surgery 3173833357 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
General Surgery
Education
Other, 2011
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Mercy Medical CenterGroup PAC ID 4082518006, 83 clinicians
New York Bariatric Surgery Group PLLCGroup PAC ID 4981045432, 39 clinicians

Practice addresses (Care Compare)

1000 N Village Ave
Rockville Center, NY 11570-1000
Phone (516) 705-3428

125 Mineola Ave
Suite 200
Roslyn Heights, NY 11577-2042
Phone (516) 616-5500

Hospital & facility affiliations

  • Mercy Medical Center Hospital, Rockville Centre, NY, CCN 330259

Procedures performed for Medicare patients

ProcedureNumber of procedures
Upper gastrointestinal (GI) endoscopy for acid reflux1-10

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
MD457365PAMDSurgery Physician

Practice roles

OrganizationSpecialtyStatusNew patients
CHS Physician Partners, PC Current Accepting new patients
Mercy Medical Center CurrentSince Mar 1, 2018 Accepting new patients
St Charles Hospital Corp CurrentSince Oct 11, 2017 Accepting new patients
Premier Bariatric New Jersey PC CurrentSince Feb 27, 2025 Accepting new patients
Mercy Medical Center CurrentSince Mar 1, 2018 Accepting new patients
CHS Physician Partners, P.C CurrentSince Sep 1, 2021 Accepting new patients
New York Bariatric Surgery Group PLLC CurrentSince Apr 23, 2024 Accepting new patients
Long Island Minimally Invasive Surgery, P.C. CurrentSince Nov 13, 2017 Accepting new patients
North Shore-Lij Medical PC CurrentSince Dec 1, 2024 Accepting new patients
Nrad Medical Associates, PC Surgery Past Accepting new patients
Bethpage Medical, PLLC Past Accepting new patients
Mercy Medical Center Past Accepting new patients

Locations (25 of 34)

1121 Route 22
Ste 205
Bridgewater, NJ 08807
Phone (908) 237-4080

1121 Route 22
Ste 203
Bridgewater, NJ 08807
Phone (908) 237-7412

28 Gibson Blvd
Clark, NJ 07066

98 James St
Ste 103
Edison, NJ 08820
Phone (732) 662-5888

98 James St
Ste 212
Edison, NJ 08820
Phone (732) 548-1800

83 Hanover Rd
Ste 190
Florham Park, NJ 07932
Phone (973) 410-9700

230 Sherman Ave
Fl 2
Glen Ridge, NJ 07028
Phone (973) 750-0104

1 W Ridgewood Ave
Ste G2
Paramus, NJ 07652
Phone (201) 652-1213

355 US Highway 22 E
Springfield, NJ 07081
Phone (908) 325-3000

6 Club House Dr
Ste 204
Washington, NJ 07882
Phone (908) 237-4106

1680 State Route 23
Ste 180
Wayne, NJ 07470
Phone (484) 934-1070

3795 Crompond Rd
Cortlandt Mnr, NY 10567
Phone (800) 633-8446

340 Broadhollow Rd
Ste 2
Farmingdale, NY 11735

400 Westage Business Ctr Dr
Ste 209
Fishkill, NY 12524
Phone (845) 231-5392

16303 Horace Harding Expy
Ste 100
Fresh Meadows, NY 11365
Phone (718) 454-4600

1200 W Broadway
Ste 9
Hewlett, NY 11557
Phone (800) 633-8446

120 E Main St
Huntington, NY 11743
Phone (631) 300-2484

1345 Motor Pkwy
Fl 1
Islandia, NY 11749
Phone (631) 855-1200

496 County Road 111
Bldg B
Manorville, NY 11949
Phone (631) 405-3200

496 County Road 111
Bldg D
Manorville, NY 11949
Phone (631) 405-3200

245 Old Country Rd
Melville, NY 11747
Phone (631) 465-6141

2209 Merrick Rd
Ste 101
Merrick, NY 11566
Phone (516) 218-2510

233 W Route 59
Ste 103
Nanuet, NY 10954

646 Park Ave
New York, NY 10065
Phone (212) 249-0404

186 E 76th St
New York, NY 10021
Phone (212) 434-3285

Networks

  • Healthfirst Medicare Network H3359
  • Healthfirst Medicare Network H5989
  • Healthfirst Medicare Network H9678
  • Healthfirst Medicare Network H1722

Interoperability endpoints

  • Direct secure messaging: ppatel106958@direct-chsli.net
  • Direct secure messaging: nybg.panktipatel@136202.advancedmd-direct.com
  • Direct secure messaging: ppatel65743@northwell.direct-ci.com

Organizations & group practices 12

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.

Hospital & facility affiliations 3

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": "1302134400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1491782400000",
    "number": "1023307352",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6105 SPIRIT ST",
            "address_2": "APT 345",
            "city": "PITTSBURGH",
            "state": "PA",
            "postal_code": "152063175",
            "telephone_number": "419-351-4250"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "125 MINEOLA AVE",
            "address_2": "SUITE 200",
            "city": "ROSLYN HEIGHTS",
            "state": "NY",
            "postal_code": "115772023",
            "telephone_number": "516-616-5500",
            "fax_number": "888-502-6582"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PATEL",
        "first_name": "PANKTI",
        "middle_name": "R",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2011-04-07",
        "last_updated": "2017-04-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208600000X",
            "taxonomy_group": "",
            "desc": "Surgery",
            "state": "PA",
            "license": "MD457365",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Roslyn Heights, NY

Sources for this page

Verify at the official NPI Registry.