Active NPI
Dhansukh Patel M.D. PC
- Internal Medicine Physician
- Mount Vernon, NY
National Provider Identifier
1083803985
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Internal Medicine Physician
- Legal business name
- DHANSUKH PATEL M.D. PC
- Practice address
- 11 Park Ave
Suite 1K
Mount Vernon, NY 10550-2124 - Phone
- (914) 668-6140
- Fax
- (914) 663-8745
- NPI assigned
- Oct 17, 2007
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Dr. Dhansukh Manilal Patel, M.D.
- Title
- President
- Phone
- (914) 668-6140
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Internal Medicine Physician | 207R00000X | Primary |
Addresses
Primary practice location
11 Park Ave
Suite 1K
Mount Vernon, NY 10550-2124
Mailing address
11 Park Ave
Suite 1K
Mount Vernon, NY 10550-2124
Phone (914) 668-6140
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| WDW861 | Other | NY | MEDICARE GROUP NUMBER |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in NY
Enrollment records 1
Laboratory certificates & supplier records
Derived by NPIMapThese CMS records do not include an NPI. They are shown because their name and street address match this provider’s.
CLIA laboratory certificates
| CLIA number | Laboratory | Certificate | Expires |
|---|---|---|---|
| 33D0941310 | Dr Dhansukh M Patel | Certificate of waiver | Feb 23, 2028 |
National Provider Directory
National Provider Directory- Tax ID family
- Dhansukh Patel MD PC
Other organizations with this tax ID 1
Organizations that report the same tax identification number in the National Provider Directory.
-
- Internal Medicine Physician
- Yonkers, NY
- NPI 1669737516
Locations
11 Park Ave
Apt 1K
Mount Vernon, NY 10550
Phone (914) 668-6140
Practitioners & affiliated clinicians
Practitioners 2
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
-
- Internal Medicine Physician
- Mount Vernon, NY
- NPI 1639153752
-
- Internal Medicine Physician
- Mount Vernon, NY
- NPI 1376776054
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1192579200000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1689033600000",
"number": "1083803985",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "11 PARK AVE",
"address_2": "SUITE 1K",
"city": "MOUNT VERNON",
"state": "NY",
"postal_code": "105502124",
"telephone_number": "914-668-6140",
"fax_number": "914-663-8745"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "11 PARK AVE",
"address_2": "SUITE 1K",
"city": "MOUNT VERNON",
"state": "NY",
"postal_code": "105502124",
"telephone_number": "914-668-6140",
"fax_number": "914-663-8745"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "DHANSUKH PATEL M.D. PC",
"organizational_subpart": "NO",
"enumeration_date": "2007-10-17",
"last_updated": "2023-07-11",
"certification_date": "2023-07-11",
"status": "A",
"authorized_official_last_name": "PATEL",
"authorized_official_first_name": "DHANSUKH",
"authorized_official_middle_name": "MANILAL",
"authorized_official_title_or_position": "PRESIDENT",
"authorized_official_telephone_number": "914-668-6140",
"authorized_official_name_prefix": "Dr.",
"authorized_official_credential": "M.D."
},
"taxonomies": [
{
"code": "207R00000X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Internal Medicine",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "MEDICARE GROUP NUMBER",
"identifier": "WDW861",
"state": "NY"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Mount Vernon, NY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 11, 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.