Individual provider Active NPI

Vandankumar Patel, MD

  • Pulmonary Disease Physician
  • Newton, NJ
National Provider Identifier
1043743255
Registry record updated Oct 24, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pulmonary Disease PhysicianTaxonomy code 207RP1001X
License
25MA10899000 Issued in NJ
Practice address
175 High St
Newton, NJ 07860-1004
Phone
(973) 383-2121
Fax
(973) 383-8973
NPI assigned
Apr 5, 2017
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Oct 24, 2022

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Pulmonary Disease Physician 207RP1001X ET00308 KS
Pulmonary Disease Physician 207RP1001X 2021049034 MO
Pulmonary Disease Physician 207RP1001X 25MA10899000 NJ Primary

Addresses

Primary practice location

175 High St
Newton, NJ 07860-1004

Mailing address

PO Box 416457
Boston, MA 02241-6457
Phone (844) 362-7495

Other practice location 1

651 Willow Grove St
Hackettstown, NJ 07840-1799
Phone (908) 852-5100

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MO, NJ, KY, NE4 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 4

Enrollment IDStateProvider typePAC IDDetails
I20211230000261 MO Practitioner - Critical Care (Intensivists)Practitioner - Internal MedicinePractitioner - Pulmonary Disease 8628468626 Reassigns benefits to 2 organizations
I20221107002060 NJ Practitioner - Pulmonary Disease 8628468626 Reassigns benefits to 1 organization
I20230303000507 KY Practitioner - Pulmonary Disease 8628468626 Reassigns benefits to 1 organization
I20230824002113 NE Practitioner - Internal Medicine 8628468626 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Pulmonary Disease
Education
Other, 2015
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Practice Associates Medical GroupGroup PAC ID 5890703177, 1,412 clinicians
Regional West Physicians ClinicGroup PAC ID 2062301609, 136 clinicians

Practice addresses (Care Compare)

175 High St
Newton, NJ 07860-1004
Phone (973) 383-2121

3911 Ave B
Scottsbluff, NE 69361-4617
Phone (308) 630-2100

Hospital & facility affiliations

  • Regional West Medical Center Hospital, Scottsbluff, NE, CCN 280061
  • Newton Medical Center Hospital, Newton, NJ, CCN 310028
  • Ahs Hospital Corp Hospital, Hackettstown, NJ, CCN 310115
  • Box Butte General Hospital Hospital, Alliance, NE, CCN 281360
  • Community Hospital Hospital, Torrington, WY, CCN 531307

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
2021049034MOMDPulmonary Disease Physician
25MA10899000NJMDPulmonary Disease Physician

Practice roles

OrganizationSpecialtyStatusNew patients
T J Samson Community Hospital CurrentSince Feb 13, 2023 Accepting new patients
Physician Specialists of St Lukes LLC CurrentSince Mar 1, 2022 Accepting new patients
Practice Associates Medical Group CurrentSince Aug 20, 2022 Accepting new patients
Regional West Physicians Clinic CurrentSince Sep 1, 2023 Accepting new patients
RMC HBP, LLC Pulmonary Disease Past Accepting new patients
Kansas City Pulmonary Clinic PA Pulmonary Disease Past Accepting new patients
Regional West Physicians Clinic Past Accepting new patients

Locations

310 N L Rogers Wells Blvd
Glasgow, KY 42141
Phone (270) 651-1111

1301 N Race St
Glasgow, KY 42141
Phone (270) 651-4141

232 S Woods Mill Rd
Town and Country, MO 63017
Phone (314) 205-6030

3911 Avenue B
Ste 1100
Scottsbluff, NE 69361
Phone (308) 630-1355

3911 Avenue B
Ste G200
Scottsbluff, NE 69361
Phone (308) 630-1355

651 Willow Grove St
Hackettstown, NJ 07840
Phone (908) 441-1161

465 South St
Ste 103
Morristown, NJ 07960
Phone (973) 971-7130

100 Madison Ave
Morristown, NJ 07960
Phone (973) 538-5210

175 High St
Newton, NJ 07860
Phone (973) 383-2121

Networks

  • IA HMO
  • IA HMO C-SNP

Organizations & group practices 8

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 5

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": "1491350400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1666569600000",
    "number": "1043743255",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 416457",
            "city": "BOSTON",
            "state": "MA",
            "postal_code": "022416457",
            "telephone_number": "844-362-7495",
            "fax_number": "973-290-7495"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "175 HIGH ST",
            "city": "NEWTON",
            "state": "NJ",
            "postal_code": "078601004",
            "telephone_number": "973-383-2121",
            "fax_number": "973-383-8973"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "651 Willow Grove St",
            "address_purpose": "LOCATION",
            "city": "Hackettstown",
            "state": "NJ",
            "postal_code": "078401799",
            "country_code": "US",
            "telephone_number": "908-852-5100",
            "fax_number": "908-850-6822",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "PATEL",
        "first_name": "VANDANKUMAR",
        "credential": "MD",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2017-04-05",
        "last_updated": "2022-10-24",
        "certification_date": "2022-10-24",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207RP1001X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Pulmonary Disease",
            "state": "KS",
            "license": "ET00308",
            "primary": false
        },
        {
            "code": "207RP1001X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Pulmonary Disease",
            "state": "MO",
            "license": "2021049034",
            "primary": false
        },
        {
            "code": "207RP1001X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Pulmonary Disease",
            "state": "NJ",
            "license": "25MA10899000",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Newton, NJ

Sources for this page

Verify at the official NPI Registry.