Individual provider Active NPI

Tarak Navin Patel, D.C.

  • Chiropractor
  • Philadelphia, PA
National Provider Identifier
1083056683
Registry record updated Feb 28, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
DC010739 Issued in PA
Practice address
3301 Ryan Ave
Philadelphia, PA 19136
Phone
(215) 332-8686
NPI assigned
Jul 24, 2013
Last updated
Feb 28, 2023By the provider in NPPES
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Feb 28, 2023

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Chiropractor 111N00000X X012362 NY
Chiropractor 111N00000X F1-0000872 DE
Chiropractor 111N00000X DC010739 PA Primary

Addresses

Primary practice location

3301 Ryan Ave
Philadelphia, PA 19136

Mailing address

3301 Ryan Ave
Philadelphia, PA 19136-4301
Phone (215) 332-8686

Other practice location 1

520 Greenhill Ave
Wilmington, DE 19805-1851
Phone (302) 390-2402

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20140303000573 PA Practitioner - Chiropractic 5799915203 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Chiropractic
Education
Los Angeles College of Chiropractic, 2012
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

3301 Ryan Ave
Philadelphia, PA 19136-4301
Phone (215) 332-8686

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled
HHS exclusion list flag
CMS’s directory marks this NPI as on an HHS exclusion list; no matching OIG record was found. The OIG exclusions file (LEIE) holds no record for this NPI, and the directory does not say which list the flag comes from. How exclusions are shown Confirm with the OIG exclusions search.

State licenses

LicenseStateTypeSpecialty
F1-0000872DEMDChiropractor
X012362NYMDChiropractor

Practice roles

OrganizationSpecialtyStatusNew patients
Evolution Health Center Inc Chiropractor Current Accepting new patients
Marini Chiropractic & Education PC CurrentSince Jun 1, 2019 Accepting new patients
Mayfair Family Chiropractic Center Inc. Chiropractor CurrentSince May 13, 2019 Accepting new patients
Main Street Chiropractic Center Chiropractor Current Accepting new patients

Locations

520 Greenhill Ave
Wilmington, DE 19805
Phone (302) 390-2402

3301 Ryan Ave
Philadelphia, PA 19136
Phone (215) 332-8686

Organizations & group practices 4

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": "1374624000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1677542400000",
    "number": "1083056683",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3301 RYAN AVE",
            "city": "PHILADELPHIA",
            "state": "PA",
            "postal_code": "191364301",
            "telephone_number": "215-332-8686"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3301 RYAN AVE",
            "city": "PHILADELPHIA",
            "state": "PA",
            "postal_code": "19136",
            "telephone_number": "215-332-8686"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "520 Greenhill Ave",
            "address_purpose": "LOCATION",
            "city": "Wilmington",
            "state": "DE",
            "postal_code": "198051851",
            "country_code": "US",
            "telephone_number": "302-390-2402",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "PATEL",
        "first_name": "TARAK",
        "middle_name": "NAVIN",
        "name_prefix": "Dr.",
        "credential": "D.C.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2013-07-24",
        "last_updated": "2023-02-28",
        "certification_date": "2023-02-28",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "NY",
            "license": "X012362",
            "primary": false
        },
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "DE",
            "license": "F1-0000872",
            "primary": false
        },
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "PA",
            "license": "DC010739",
            "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 Feb 28, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • 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.

Verify at the official NPI Registry.