Active NPI
Bhavesh Madhusudan Patel, M.D.
- Internal Medicine Physician
- Philadelphia, PA
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Internal Medicine Physician
- License
- MT212960
- Practice address
- 3400 Spruce St 100 Centrex
Philadelphia, PA 19104 - Phone
- (215) 662-2532
- NPI assigned
- May 11, 2017
- 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 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Pediatrics Physician | 208000000X | MT213803 | PA | |
| Internal Medicine Physician | 207R00000X | MT212960 | PA | Primary |
Addresses
Primary practice location
3400 Spruce St 100 Centrex
Philadelphia, PA 19104
Mailing address
3400 Spruce St 100 Centrex
Philadelphia, PA 19104
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in PA, GA
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
Enrollment records 2
Care Compare profile
Medicare Care Compare- Specialty
- Critical Care (Intensivists)
- Education
- Other, 2017
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
2220 N Druid Hills Rd NE
Atlanta, GA 30329-3117
Phone (404) 785-5437
Hospital & facility affiliations
- Mount Carmel East & West
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| MT212960 | PA | MD | Internal Medicine Physician |
| MT213803 | PA | MD | Pediatrics Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Childrens Health Care Associates, Inc | Pediatrics | Current | Accepting new patients |
| University of Penn - Medical Group | Internal Medicine | Current | Accepting new patients |
| Childen'S Health Care Associates Inc. | Current | Accepting new patients | |
| University of Penn - Medical Group | Internal Medicine | Current | Accepting new patients |
| Choa Hospital Based, LLC | Pediatrics | Current | Accepting new patients |
| Choa Multispecialty, LLC | Pediatrics | Current | Accepting new patients |
| Childrens Health Care Associates, Inc | Current | Accepting new patients | |
| University of Penn-Medical Group | Current | Accepting new patients | |
| Arthur M. Blank Hospital, Inc. | Past | Accepting new patients |
Locations
1405 Clifton Rd NE
Atlanta, GA 30322
Phone (404) 785-1112
2220 N Druid Hills Rd NE
Brookhaven, GA 30329
Phone (404) 778-1440
3400 Spruce St
Rm 100
Philadelphia, PA 19104
Phone (215) 662-2200
3401 Civic Center Blvd
Philadelphia, PA 19104
Phone (215) 590-4040
100 E Penn Sq
Fl 9
Philadelphia, PA 19107
Phone (267) 425-9232
Organizations & group practices 9
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.
-
- Pediatrics Physician
- Brookhaven, GA
- NPI 1457695488
-
- Pediatrics Physician
- Philadelphia, PA
- NPI 1598869059
-
- Hospitalist Physician
- Philadelphia, PA
- NPI 1053447151
Internal Medicine
-
- Pediatric Registered Nurse
- Philadelphia, PA
- NPI 1699860643
-
- Clinical Biochemical Genetics Physician
- Philadelphia, PA
- NPI 1629163670
-
- Internal Medicine Physician
- Philadelphia, PA
- NPI 1114481504
-
- Surgical Oncology Physician
- Philadelphia, PA
- NPI 1871981985
-
- Pediatrics Physician
- Brookhaven, GA
- NPI 1437493467
-
- Children's Hospital
- Atlanta, GA
- NPI 1689744450
Hospital & facility affiliations 2
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- General Acute Care Hospital
- Grove City, OH
- NPI 1710067376
-
- General Acute Care Hospital
- Columbus, OH
- NPI 1982784534
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1494460800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1532044800000",
"number": "1063948040",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "3400 SPRUCE ST 100 CENTREX",
"city": "PHILADELPHIA",
"state": "PA",
"postal_code": "19104"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3400 SPRUCE ST 100 CENTREX",
"city": "PHILADELPHIA",
"state": "PA",
"postal_code": "19104",
"telephone_number": "215-662-2532"
}
],
"practiceLocations": [],
"basic": {
"last_name": "PATEL",
"first_name": "BHAVESH",
"middle_name": "MADHUSUDAN",
"credential": "M.D.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2017-05-11",
"last_updated": "2018-07-20",
"status": "A"
},
"taxonomies": [
{
"code": "208000000X",
"taxonomy_group": "",
"desc": "Pediatrics",
"state": "PA",
"license": "MT213803",
"primary": false
},
{
"code": "207R00000X",
"taxonomy_group": "",
"desc": "Internal Medicine",
"state": "PA",
"license": "MT212960",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Philadelphia, PA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 20, 2018; 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.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.