Organization Active NPI

Dilip J. Patel, M.D., P.C.

  • Optometrist
  • Buffalo, NY
National Provider Identifier
1033482856
Registry record updated Feb 10, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
License
113684 Issued in NY
Legal business name
DILIP J. PATEL, M.D., P.C.
Practice address
65 Wehrle Dr
Buffalo, NY 14225-1085
Phone
(716) 837-1090
Fax
(716) 837-0023
NPI assigned
Feb 10, 2012
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Feb 10, 2012

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

Authorized official

Name
Mr. Dilip J Patel, M.C.NPI 1437177425
Title
Owner
Phone
(716) 837-1090

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
OptometristGroup: 193400000X SINGLE SPECIALTY GROUP 152W00000X 113684 NY Primary

Addresses

Primary practice location

65 Wehrle Dr
Buffalo, NY 14225-1085

Mailing address

65 Wehrle Dr
Buffalo, NY 14225-1085
Phone (716) 837-1090

Other identifiers 1

IdentifierTypeStateIssuer
1437177425MedicaidNY

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NY

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20120302000146 NY Part B Supplier - Clinic/Group Practice 3072772516 Receives reassigned benefits from 1 practitioner
Practice locations: Buffalo, NY

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1328832000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1328832000000",
    "number": "1033482856",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "65 WEHRLE DR",
            "city": "BUFFALO",
            "state": "NY",
            "postal_code": "142251085",
            "telephone_number": "716-837-1090",
            "fax_number": "716-837-0023"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "65 WEHRLE DR",
            "city": "BUFFALO",
            "state": "NY",
            "postal_code": "142251085",
            "telephone_number": "716-837-1090",
            "fax_number": "716-837-0023"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DILIP J. PATEL, M.D., P.C.",
        "organizational_subpart": "NO",
        "enumeration_date": "2012-02-10",
        "last_updated": "2012-02-10",
        "status": "A",
        "authorized_official_last_name": "PATEL",
        "authorized_official_first_name": "DILIP",
        "authorized_official_middle_name": "J",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "716-837-1090",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_credential": "M.C."
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Optometrist",
            "state": "NY",
            "license": "113684",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1437177425",
            "state": "NY"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Buffalo, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 10, 2012; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.