Individual provider Active NPI

Khyatiben B Patel, CRNP

  • Family Nurse Practitioner
  • Fleetwood, PA
National Provider Identifier
1093058166
Registry record updated Dec 18, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
SP012610 Issued in PA
Practice address
14351 Kutztown Rd
Fleetwood, PA 19522-9273
Phone
(610) 944-8800
Fax
(610) 944-8213
NPI assigned
Mar 27, 2013
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Dec 18, 2015

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse Practitioner 363LF0000X SP012610 PA Primary

Addresses

Primary practice location

14351 Kutztown Rd
Fleetwood, PA 19522-9273

Mailing address

PO Box 783311
Philadelphia, PA 19178-3311

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in PA
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20130503000080 PA Practitioner - Nurse Practitioner 8628215084 Reassigns benefits to 3 organizations

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2012
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Lehigh Valley Physician GroupGroup PAC ID 3072425123, 2,512 clinicians

Practice addresses (Care Compare)

1431 Nursery St
101A LVPG Family Medicine
Fogelsville, PA 18051-1612
Phone (610) 395-1936

Hospital & facility affiliations

  • Lehigh Valley Hospital Hospital, Allentown, PA, CCN 390133

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Nurse Practitioner

State licenses

LicenseStateTypeSpecialty
SP012610PAMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Family Care Centers Inc CurrentSince Sep 19, 2023 Accepting new patients
Schuylkill Health System Medical Group, Inc. CurrentSince Jul 1, 2021 Accepting new patients
Lehigh Valley Physician Group Current Accepting new patients
Family Care Centers Inc. CurrentSince Sep 19, 2023 Accepting new patients
Schuylkill Health System Medical Group, Inc. Family CurrentSince Jul 1, 2021 Accepting new patients
Lehigh Valley Physician Group CurrentSince Apr 15, 2013 Accepting new patients
Lehigh Valley Physician Group CurrentSince Apr 15, 2013 Accepting new patients
Pulmonary Associates PC Past Accepting new patients

Locations

1730 Chew St
Allentown, PA 18104
Phone (610) 402-3500

2100 Mack Blvd
Allentown, PA 18103
Phone (484) 224-1892

120 Burrus Blvd
Brodheadsville, PA 18322
Phone (570) 402-6101

500 Plaza Ct
East Stroudsburg, PA 18301
Phone (570) 426-2330

14351 Kutztown Rd
Fleetwood, PA 19522
Phone (610) 944-8800

1431 Nursery St
Ste 101A
Fogelsville, PA 18051
Phone (610) 336-8260

384 Airport Rd
Hazle Township, PA 18202
Phone (570) 501-1242

5649 Wynnewood Dr
Ste 104
Laurys Station, PA 18059
Phone (610) 262-6641

700 Schuylkill Manor Rd
Ste 3
Pottsville, PA 17901
Phone (570) 621-4440

200 Schuylkill Medical Plz
Pottsville, PA 17901
Phone (570) 621-9200

100 Community Dr
Tobyhanna, PA 18466
Phone (570) 424-2100

Interoperability endpoints

  • Direct secure messaging: kpatel12014@direct2.lvhn.org

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.

Hospital & facility affiliations 5

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": "1364342400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1450396800000",
    "number": "1093058166",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 783311",
            "city": "PHILADELPHIA",
            "state": "PA",
            "postal_code": "191783311"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "14351 KUTZTOWN RD",
            "city": "FLEETWOOD",
            "state": "PA",
            "postal_code": "195229273",
            "telephone_number": "610-944-8800",
            "fax_number": "610-944-8213"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PATEL",
        "first_name": "KHYATIBEN",
        "middle_name": "B",
        "credential": "CRNP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2013-03-27",
        "last_updated": "2015-12-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "PA",
            "license": "SP012610",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Fleetwood, PA

Sources for this page

Verify at the official NPI Registry.