Active NPI
Pankti R Patel, MD
- Surgery Physician
- Roslyn Heights, NY
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Surgery Physician
- License
- MD457365
- 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
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 |
|---|---|---|---|---|
| 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, NJ
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
Enrollment records 2
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
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
Procedures performed for Medicare patients
| Procedure | Number of procedures |
|---|---|
| Upper gastrointestinal (GI) endoscopy for acid reflux | 1-10 |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| MD457365 | PA | MD | Surgery Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| CHS Physician Partners, PC | Current | Accepting new patients | |
| Mercy Medical Center | Current | Accepting new patients | |
| St Charles Hospital Corp | Current | Accepting new patients | |
| Premier Bariatric New Jersey PC | Current | Accepting new patients | |
| Mercy Medical Center | Current | Accepting new patients | |
| CHS Physician Partners, P.C | Current | Accepting new patients | |
| New York Bariatric Surgery Group PLLC | Current | Accepting new patients | |
| Long Island Minimally Invasive Surgery, P.C. | Current | Accepting new patients | |
| North Shore-Lij Medical PC | Current | 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
- ppatel106958@direct-chsli.net
- nybg.panktipatel@136202.advancedmd-direct.com
- 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.
-
- Internal Medicine Physician
- Rockville Centre, NY
- NPI 1619245610
-
- Specialist
- Roslyn Heights, NY
- NPI 1164898821
-
- Interventional Cardiology Physician
- Fresh Meadows, NY
- NPI 1407089345
-
- Specialist
- Roslyn Heights, NY
- NPI 1356545867
-
- Urology Physician
- Great Neck, NY
- NPI 1053688572
-
- General Acute Care Hospital
- Port Jefferson, NY
- NPI 1497765630
-
- Specialist
- Wayne, NJ
- NPI 1548735145
-
- Cardiovascular Disease Physician
- Roslyn, NY
- NPI 1164585725
-
- Internal Medicine Physician
- Rockville Centre, NY
- NPI 1104097294
-
- Obstetrics & Gynecology Physician
- Garden City, NY
- NPI 1205074739
-
- General Acute Care Hospital
- Rockville Centre, NY
- NPI 1659330173
Hospital & facility affiliations 3
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- Psychiatric Hospital Unit
- Rockville Centre, NY
- NPI 1427017854
-
- Rehabilitation Hospital Unit
- Rockville Centre, NY
- NPI 1598724924
-
- General Acute Care Hospital
- Rockville Centre, NY
- NPI 1659330173
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
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 10, 2017; 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.