Individual provider Active NPI

Sachi Desai Patel, D.D.S

  • General Practice Dentistry
  • New York, NY
National Provider Identifier
1063854818
Registry record updated Jul 22, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
License
50 056678 Issued in NY
Practice address
405 Lexington Ave
Tower Suite 6900
New York, NY 10174-0002
Phone
(571) 216-2743
NPI assigned
Jul 22, 2013
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jul 22, 2013

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
General Practice Dentistry 1223G0001X 50 056678 NY Primary

Addresses

Primary practice location

405 Lexington Ave
Tower Suite 6900
New York, NY 10174-0002

Mailing address

405 Lexington Ave
Tower Suite 6900
New York, NY 10174-0002
Phone (571) 216-2743

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in VA
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: No
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20240503001737 VA Practitioner - Other (Physician) 7012237068 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
50 056678NYMDGeneral Practice Dentistry

Practice roles

OrganizationSpecialtyStatusNew patients
Greater Prince William Area Community Health Center Inc CurrentSince Jan 15, 2024 Accepting new patients
Greater Prince William Area Community Health Center Inc CurrentSince Jan 15, 2024 Accepting new patients
Dr. Mesfin Zelleke, P.C. Past Accepting new patients

Locations

17739 Main St
Ste 130
Dumfries, VA 22026
Phone (703) 680-7950

9705 Liberia Ave
Ste 201
Manassas, VA 20110
Phone (703) 519-1725

3350 Commission Ct
Woodbridge, VA 22192
Phone (703) 680-7950

Interoperability endpoints

  • Direct secure messaging: sachi.patel@gpwchc.eclinicaldirectplus.com

Organizations & group practices 3

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.

NPI Registry JSON

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

{
    "created_epoch": "1374451200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1374451200000",
    "number": "1063854818",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "405 LEXINGTON AVE",
            "address_2": "TOWER SUITE 6900",
            "city": "NEW YORK",
            "state": "NY",
            "postal_code": "101740002",
            "telephone_number": "571-216-2743"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "405 LEXINGTON AVE",
            "address_2": "TOWER SUITE 6900",
            "city": "NEW YORK",
            "state": "NY",
            "postal_code": "101740002",
            "telephone_number": "571-216-2743"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PATEL",
        "first_name": "SACHI",
        "middle_name": "DESAI",
        "name_prefix": "Dr.",
        "credential": "D.D.S",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2013-07-22",
        "last_updated": "2013-07-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "NY",
            "license": "50 056678",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in New York, NY

Sources for this page

Verify at the official NPI Registry.