Organization Active NPI

Dhansukh Patel M.D. PC

  • Internal Medicine Physician
  • Mount Vernon, NY
National Provider Identifier
1083803985
Registry record updated Jul 11, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
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

Updated by the provider on Jul 11, 2023

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)CodeLicenseStatePrimary
Internal Medicine PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 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

IdentifierTypeStateIssuer
WDW861OtherNYMEDICARE GROUP NUMBER

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20060103000640 NY Part B Supplier - Clinic/Group Practice 4486676525 Receives reassigned benefits from 2 practitioners
Practice locations: Mount Vernon, NY; Yonkers, NY

Laboratory certificates & supplier records

Derived by NPIMap

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

CLIA numberLaboratoryCertificateExpires
33D0941310Dr Dhansukh M Patel11 Park Avenue Suite 1K, Mount Vernon, NY 10550Certificate of waiverFeb 23, 2028

National Provider Directory

National Provider Directory
Tax ID family
Dhansukh Patel MD PC2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

Organizations that report the same tax identification number in the National Provider Directory.

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.

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.

Verify at the official NPI Registry.