Individual provider Active NPI

Amish A Patel, MD

  • Cardiovascular Disease Physician
  • Pasadena, CA
National Provider Identifier
1083938906
Registry record updated Oct 16, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Cardiovascular Disease PhysicianTaxonomy code 207RC0000X
License
A126376 Issued in CA
Practice address
625 S Fair Oaks Ave Ste 215
Pasadena, CA 91105-2613
Phone
(626) 793-4139
Fax
(626) 304-8280
NPI assigned
Mar 22, 2010
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 16, 2020

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

Specialties & licenses 4

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine Physician 207R00000X A126376 CA
Internal Medicine Physician 207R00000X 35.120620 OH
Student in an Organized Health Care Education/Training Program 390200000X
Cardiovascular Disease Physician 207RC0000X A126376 CA Primary

Addresses

Primary practice location

625 S Fair Oaks Ave Ste 215
Pasadena, CA 91105-2613

Mailing address

3452 E Foothill Blvd Ste 130
Pasadena, CA 91107-6006
Phone (626) 793-2885

Other practice location 1

30 E Apple St
Dayton, OH 45409-2939
Phone (937) 208-8394

Other identifiers 1

IdentifierTypeStateIssuer
0080006MedicaidOH

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in OH, CA2 enrollments
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
I20130305000364 OH Practitioner - Internal Medicine 3870748445 Reassigns benefits to 5 organizations
I20141014002491 CA Practitioner - Cardiovascular Disease (Cardiology)Practitioner - Internal Medicine 3870748445 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Cardiovascular Disease (Cardiology)Also: Internal Medicine
Education
Other, 2009
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Legacy Healthcare Services IncGroup PAC ID 2163339722, shared by 46 NPIs, 3,431 clinicians
Foothill Cardiology Medical Group IncGroup PAC ID 8527049261, 36 clinicians

Practice addresses (Care Compare)

2701 Pickett Rd
Durham, NC 27705-5688
Phone (919) 419-9600

625 S Fair Oaks Ave
Suite 215
Pasadena, CA 91105-2613
Phone (626) 793-4139

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
99.66 of 100Reported as group
Quality
86.41
Promoting interoperability
95
Improvement activities
40

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
35.120620OHMDInternal Medicine Physician
A126376CAMDCardiovascular Disease Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Upper Valley Professional Corporation Internal Medicine CurrentSince Mar 13, 2013 Accepting new patients
Mvhe Inc Internal Medicine CurrentSince Mar 13, 2013 Accepting new patients
Samaritan Family Care Inc CurrentSince Sep 1, 2013 Accepting new patients
Mvhe Inc Internal Medicine CurrentSince Mar 13, 2013 Accepting new patients
Hospitalist Medicine Physicians of Richland County, LTD Internal Medicine CurrentSince Jun 1, 2016 Accepting new patients
Mvhe Inc Internal Medicine Current Accepting new patients
Samaritan Family Care Inc Internal Medicine CurrentSince Sep 1, 2013 Accepting new patients
Hospitalist Medicine Physicians of Ohio, Professional Corporation Internal Medicine CurrentSince Nov 1, 2015 Accepting new patients
Foothill Cardiology Medical Group Inc Cardiovascular Disease CurrentSince Oct 19, 2020 Accepting new patients
Pasadena Hospital Association, LTD. Past Accepting new patients
Usc Arcadia Hospital Past Accepting new patients

Locations

625 S Fair Oaks Ave
Ste 215
Pasadena, CA 91105
Phone (626) 793-4139

2420 Lake Ave
Ashtabula, OH 44004
Phone (216) 986-2919

722 N Fairfield Rd
Beavercreek, OH 45434
Phone (937) 208-7000

1320 Timken Mercy Dr NW
Canton, OH 44708
Phone (330) 489-1000

2451 Wayne Ave
Dayton, OH 45420
Phone (937) 252-1831

1530 Needmore Rd
Ste 200
Dayton, OH 45414
Phone (937) 278-5854

3000 Mack Rd
Hamilton, OH 45014
Phone (513) 870-7000

335 Glessner Ave
Mansfield, OH 44903
Phone (419) 522-0320

450 N Hyatt St
Ste 202
Tipp City, OH 45371
Phone (937) 667-3141

Networks

  • BSC 65 PLUS INDIVIDUAL MAPD

Interoperability endpoints

  • Direct secure messaging: amish.patelmd.p166@direct.healthcarepartners.nextgenshare.com

Organizations & group practices 11

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.

Hospital & facility affiliations 3

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1269216000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1602806400000",
    "number": "1083938906",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3452 E FOOTHILL BLVD STE 130",
            "city": "PASADENA",
            "state": "CA",
            "postal_code": "911076006",
            "telephone_number": "626-793-2885",
            "fax_number": "626-793-6262"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "625 S FAIR OAKS AVE STE 215",
            "city": "PASADENA",
            "state": "CA",
            "postal_code": "911052613",
            "telephone_number": "626-793-4139",
            "fax_number": "626-304-8280"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "30 E Apple St",
            "address_purpose": "LOCATION",
            "city": "Dayton",
            "state": "OH",
            "postal_code": "454092939",
            "country_code": "US",
            "telephone_number": "937-208-8394",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "PATEL",
        "first_name": "AMISH",
        "middle_name": "A",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2010-03-22",
        "last_updated": "2020-10-16",
        "certification_date": "2020-10-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "CA",
            "license": "A126376",
            "primary": false
        },
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "OH",
            "license": "35.120620",
            "primary": false
        },
        {
            "code": "390200000X",
            "taxonomy_group": "",
            "desc": "Student in an Organized Health Care Education/Training Program",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "207RC0000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Cardiovascular Disease",
            "state": "CA",
            "license": "A126376",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0080006",
            "state": "OH"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Pasadena, CA

Sources for this page

Verify at the official NPI Registry.