Individual provider Active NPI

Mitesh Patel, M.D.

  • Gastroenterology Physician
  • Washington, DC
National Provider Identifier
1063696052
Registry record updated Jun 18, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
Gastroenterology PhysicianTaxonomy code 207RG0100X
License
MD040032 Issued in DC
Practice address
110 Irving St NW
Room 3a-3
Washington, DC 20010-3017
Phone
(202) 877-0160
Fax
(202) 877-8163
NPI assigned
Dec 26, 2007
Last updated
Jun 18, 2015By the provider in NPPES
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jun 18, 2015

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine Physician 207R00000X 238405 NY
Gastroenterology Physician 207RG0100X 238405 NY
Gastroenterology Physician 207RG0100X MD040032 DC Primary

Addresses

Primary practice location

110 Irving St NW
Room 3a-3
Washington, DC 20010-3017

Mailing address

110 Irving St NW
Room 3a-3
Washington, DC 20010-3017
Phone (202) 877-0160

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in DC, VA2 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
I20110919000627 DC Practitioner - GastroenterologyPractitioner - Internal Medicine 0244354595 Reassigns benefits to 2 organizations
I20260513000199 VA Practitioner - Gastroenterology 0244354595

Care Compare profile

Medicare Care Compare
Specialty
Gastroenterology
Education
University of Arizona College of Medicine, 2004
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Gastroenterology Associates of Northern Virginia, LLCGroup PAC ID 1759371008, 98 clinicians

Practice addresses (Care Compare)

422 Garrisonville Rd
Suite 109
Stafford, VA 22554-1573
Phone (540) 659-9359

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Mary's Center for Maternal and Child Care Inc CurrentSince Nov 14, 2022 Accepting new patients
WHC Emerg Phys CurrentSince Mar 2, 2013 Accepting new patients
WHC Physician Group LLC CurrentSince Mar 2, 2013 Accepting new patients
WHC Physician Group LLC Current Accepting new patients
Marys Center for Maternal and Child Care Inc CurrentSince Nov 14, 2022 Accepting new patients
Mary's Center for Maternal and Child Care, Inc Current Accepting new patients
Northern Virginia Family Practice Associates Past Accepting new patients

Locations

110 Irving St NW
Washington, DC 20010
Phone (202) 877-2000

110 Irving St NW
Rm 3A3
Washington, DC 20010
Phone (202) 877-0160

2333 Ontario Rd NW
Washington, DC 20009
Phone (202) 420-7175

3800 Reservoir Rd NW
Washington, DC 20007
Phone (202) 687-2203

3912 Georgia Ave NW
Washington, DC 20011
Phone (844) 796-2797

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1198627200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1434585600000",
    "number": "1063696052",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "110 IRVING ST NW",
            "address_2": "ROOM 3A-3",
            "city": "WASHINGTON",
            "state": "DC",
            "postal_code": "200103017",
            "telephone_number": "202-877-0160",
            "fax_number": "202-877-8163"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "110 IRVING ST NW",
            "address_2": "ROOM 3A-3",
            "city": "WASHINGTON",
            "state": "DC",
            "postal_code": "200103017",
            "telephone_number": "202-877-0160",
            "fax_number": "202-877-8163"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PATEL",
        "first_name": "MITESH",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2007-12-26",
        "last_updated": "2015-06-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "NY",
            "license": "238405",
            "primary": false
        },
        {
            "code": "207RG0100X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Gastroenterology",
            "state": "NY",
            "license": "238405",
            "primary": false
        },
        {
            "code": "207RG0100X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Gastroenterology",
            "state": "DC",
            "license": "MD040032",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Washington, DC

Sources for this page

Verify at the official NPI Registry.