Individual provider Active NPI

Kamiksha Patel, CRNP

  • Family Nurse Practitioner
  • Langhorne, PA
National Provider Identifier
1093560161
Registry record updated May 23, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
SP029607 Issued in PA
Practice address
100 N Buckstown Rd Ste E206
Langhorne, PA 19047-1815
Phone
(215) 741-1963
NPI assigned
Apr 22, 2024
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on May 23, 2024

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Geriatric Medicine (Internal Medicine) PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 207RG0300X SP029607 PA
Family Nurse Practitioner 363LF0000X SP029607 PA Primary

Addresses

Primary practice location

100 N Buckstown Rd Ste E206
Langhorne, PA 19047-1815

Mailing address

100 N Buckstown Rd Ste E206
Langhorne, PA 19047-1815
Phone (215) 741-1963

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
I20240523000013 PA Practitioner - Nurse Practitioner 7911349972 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2023
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Comprehensive Care Medical Associates P CGroup PAC ID 2860559812, 16 clinicians

Practice addresses (Care Compare)

100 N Buckstown Rd
Suite E 206
Langhorne, PA 19047-1815
Phone (215) 741-1963

Hospital & facility affiliations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
SP029607PAMDGeriatric Medicine (Internal Medicine) Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Comprehensive Care Medical Associates P C Single Specialty CurrentSince May 1, 2024 Accepting new patients

Locations

100 N Buckstown Rd
Ste E206
Langhorne, PA 19047
Phone (215) 741-1963

8350 Roosevelt Blvd
Ste B
Philadelphia, PA 19152

10400 Roosevelt Blvd
Philadelphia, PA 19116
Phone (215) 698-5600

8350 Roosevelt Blvd
Philadelphia, PA 19152
Phone (215) 331-6878

8350 Roosevelt Blvd
#B
Philadelphia, PA 19152

Organizations & group practices 1

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.

NPI Registry JSON

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

{
    "created_epoch": "1713744000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1716422400000",
    "number": "1093560161",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "100 N BUCKSTOWN RD STE E206",
            "city": "LANGHORNE",
            "state": "PA",
            "postal_code": "190471815",
            "telephone_number": "215-741-1963"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "100 N BUCKSTOWN RD STE E206",
            "city": "LANGHORNE",
            "state": "PA",
            "postal_code": "190471815",
            "telephone_number": "215-741-1963"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PATEL",
        "first_name": "KAMIKSHA",
        "credential": "CRNP",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2024-04-22",
        "last_updated": "2024-05-23",
        "certification_date": "2024-05-23",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207RG0300X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Internal Medicine, Geriatric Medicine",
            "state": "PA",
            "license": "SP029607",
            "primary": false
        },
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "PA",
            "license": "SP029607",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Langhorne, PA

Sources for this page

Verify at the official NPI Registry.