Individual provider Active NPI

Mitesh Patel, M.D.

  • Sports Medicine (Family Medicine) Physician
  • Marlton, NJ
National Provider Identifier
1093987034
Registry record updated Jul 8, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Sports Medicine (Family Medicine) PhysicianTaxonomy code 207QS0010X
License
25MA08811500 Issued in NJ
Practice address
999 Route 73 N Ste 401
Marlton, NJ 08053-1227
Phone
(800) 321-9999
Fax
(267) 479-1321
NPI assigned
Mar 31, 2008
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 8, 2024

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

Specialties & licenses 5

Specialty (taxonomy)CodeLicenseStatePrimary
Sports Medicine (Family Medicine) Physician 207QS0010X 4301094008 MI
Sports Medicine (Family Medicine) Physician 207QS0010X MD445960 PA
Sports Medicine (Family Medicine) Physician 207QS0010X ME152804 FL
Sports Medicine (Family Medicine) Physician 207QS0010X 25MA08811500 NJ Primary
Sports Medicine (Family Medicine) Physician 207QS0010X 279131-01 NY

Addresses

Primary practice location

999 Route 73 N Ste 401
Marlton, NJ 08053-1227

Mailing address

833 Chestnut St Ste 520
Philadelphia, PA 19107-4430
Phone (800) 321-9999

Other practice location 1

243 Hurffville Crosskeys Rd
Sewell, NJ 08080-4011
Phone (267) 339-3558

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NJ, PA2 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
I20101117000928 NJ Practitioner - Sports MedicinePractitioner - Family Practice 8123213097 Reassigns benefits to 2 organizations
I20121019000061 PA Practitioner - Sports MedicinePractitioner - Family Practice 8123213097 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Sports MedicineAlso: Family Practice
Education
Other, 2004
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Rothman Orthopaedics of New Jersey, LLCGroup PAC ID 6709864846, 175 clinicians

Practice addresses (Care Compare)

999 Route 73 N
Suite 401
Marlton, NJ 08053-1227
Phone (800) 321-9999

Hospital & facility affiliations

  • West Jersey Hospital Hospital, Voorhees, NJ, CCN 310022

Merit-based Incentive Payment System (MIPS)

Final score
92.57 of 100Reported as group
Quality
86.68
Promoting interoperability
99
Improvement activities
40
Cost
89.37

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
ME152804FLMDSports Medicine (Family Medicine) Physician
4301094008MIMDSports Medicine (Family Medicine) Physician
279131-01NYMDSports Medicine (Family Medicine) Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Rothman Orthopaedics of New Jersey, LLC Sports Medicine CurrentSince Aug 1, 2010 Accepting new patients
NP Xperience LLC CurrentSince Jul 17, 2023 Accepting new patients
Rothman Institute of New Jersey, P.a. CurrentSince Aug 1, 2010 Accepting new patients

Locations

2500 English Creek Ave
Ste 1300
Egg Hbr Twp, NJ 08234
Phone (609) 677-6060

999 Route 73 N
Ste 301
Marlton, NJ 08053

999 Route 73 N
Ste 401
Marlton, NJ 08053

243 Hurffville Crosskeys Rd
Fl 2
Sewell, NJ 08080

243 Hurffville Crosskeys Rd
Sewell, NJ 08080
Phone (609) 680-9263

3300 Tillman Dr
Fl 2
Bensalem, PA 19020
Phone (215) 637-1800

833 Chestnut St
Ste 520
Philadelphia, PA 19107
Phone (267) 592-6191

925 Chestnut St
Fl 5
Philadelphia, PA 19107
Phone (267) 339-3738

833 Chestnut St
Ste 1220
Philadelphia, PA 19107
Phone (352) 200-2872

833 Chestnut St
Ste 1402
Philadelphia, PA 19107
Phone (267) 339-3543

Interoperability endpoints

  • FHIR API: https://api.platform.athenahealth.com/25920/brand/1/csg/1/fhir/r4
  • Direct secure messaging: mitesh.patel@rot.eclinicaldirectplus.com

Organizations & group practices 4

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 1

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": "1206921600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1720396800000",
    "number": "1093987034",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "833 CHESTNUT ST STE 520",
            "city": "PHILADELPHIA",
            "state": "PA",
            "postal_code": "191074430",
            "telephone_number": "800-321-9999",
            "fax_number": "267-339-3761"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "999 ROUTE 73 N STE 401",
            "city": "MARLTON",
            "state": "NJ",
            "postal_code": "080531227",
            "telephone_number": "800-321-9999",
            "fax_number": "267-479-1321"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "243 Hurffville Crosskeys Rd",
            "address_purpose": "LOCATION",
            "city": "Sewell",
            "state": "NJ",
            "postal_code": "080804011",
            "country_code": "US",
            "telephone_number": "267-339-3558",
            "fax_number": "267-339-3763",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "PATEL",
        "first_name": "MITESH",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2008-03-31",
        "last_updated": "2024-07-08",
        "certification_date": "2024-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207QS0010X",
            "taxonomy_group": "",
            "desc": "Family Medicine, Sports Medicine",
            "state": "MI",
            "license": "4301094008",
            "primary": false
        },
        {
            "code": "207QS0010X",
            "taxonomy_group": "",
            "desc": "Family Medicine, Sports Medicine",
            "state": "PA",
            "license": "MD445960",
            "primary": false
        },
        {
            "code": "207QS0010X",
            "taxonomy_group": "",
            "desc": "Family Medicine, Sports Medicine",
            "state": "FL",
            "license": "ME152804",
            "primary": false
        },
        {
            "code": "207QS0010X",
            "taxonomy_group": "",
            "desc": "Family Medicine, Sports Medicine",
            "state": "NJ",
            "license": "25MA08811500",
            "primary": true
        },
        {
            "code": "207QS0010X",
            "taxonomy_group": "",
            "desc": "Family Medicine, Sports Medicine",
            "state": "NY",
            "license": "279131-01",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Marlton, NJ

Sources for this page

Verify at the official NPI Registry.