Active NPI
Nathan Tushar Patel, MD
- Internal Medicine Physician
- Tannersville, PA
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Internal Medicine Physician
- License
- MD477991
- Practice address
- 2838 Route 611
Tannersville, PA 18372-7923 - Phone
- (570) 476-3336
- Fax
- (570) 839-7210
- NPI assigned
- Jun 30, 2010
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 3
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| General Practice Physician | 208D00000X | 16488 | NH | |
| Internal Medicine Physician | 207R00000X | MD477991 | PA | Primary |
| Family Medicine Physician | 207Q00000X | 4301097238 | MI |
Addresses
Primary practice location
2838 Route 611
Tannersville, PA 18372-7923
Mailing address
2100 Mack Blvd FL 4
Allentown, PA 18103-5622
Phone (570) 501-6368
Other practice location 1
555 Linn St
Allegan, MI 49010-1524
Phone (269) 686-4110
Other practice location 2
6838 Elm Valley Dr
Kalamazoo, MI 49009
Phone (269) 552-4233
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: No
- Medical equipment: Yes
- Home health: No
- Power mobility devices: Yes
- Hospice: No
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Bronson Methodist Hospital | Current | Accepting new patients |
Locations
551 Linn St
Allegan, MI 49010
Phone (269) 686-5800
6938 Elm Valley Dr
Ste 101
Kalamazoo, MI 49009
Phone (269) 552-4167
601 John St
Ste M-124
Kalamazoo, MI 49007
Phone (269) 341-7500
6938 Elm Valley Dr
Kalamazoo, MI 49009
Phone (269) 341-7272
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.
-
dba Bronson Medical Group
- Hospitalist Physician
- Kalamazoo, MI
- NPI 1417961137
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1277856000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1659398400000",
"number": "1033420419",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2100 MACK BLVD FL 4",
"city": "ALLENTOWN",
"state": "PA",
"postal_code": "181035622",
"telephone_number": "570-501-6368",
"fax_number": "570-501-4754"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2838 ROUTE 611",
"city": "TANNERSVILLE",
"state": "PA",
"postal_code": "183727923",
"telephone_number": "570-476-3336",
"fax_number": "570-839-7210"
}
],
"practiceLocations": [
{
"address_1": "555 Linn St",
"address_purpose": "LOCATION",
"city": "Allegan",
"state": "MI",
"postal_code": "490101524",
"country_code": "US",
"telephone_number": "269-686-4110",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "6838 Elm Valley Dr",
"address_purpose": "LOCATION",
"city": "Kalamazoo",
"state": "MI",
"postal_code": "49009",
"country_code": "US",
"telephone_number": "269-552-4233",
"fax_number": "269-552-4216",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "PATEL",
"first_name": "NATHAN",
"middle_name": "TUSHAR",
"credential": "MD",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2010-06-30",
"last_updated": "2022-08-02",
"certification_date": "2022-08-02",
"status": "A"
},
"taxonomies": [
{
"code": "208D00000X",
"taxonomy_group": "",
"desc": "General Practice",
"state": "NH",
"license": "16488",
"primary": false
},
{
"code": "207R00000X",
"taxonomy_group": "",
"desc": "Internal Medicine",
"state": "PA",
"license": "MD477991",
"primary": true
},
{
"code": "207Q00000X",
"taxonomy_group": "",
"desc": "Family Medicine",
"state": "MI",
"license": "4301097238",
"primary": false
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Tannersville, PA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 2, 2022; 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.