Individual provider Active NPI

Pranav Hemant Patel, MD

  • Uveitis and Ocular Inflammatory Disease (Ophthalmology) Physician
  • Lutherville, MD
National Provider Identifier
1104059823
Registry record updated Nov 3, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Uveitis and Ocular Inflammatory Disease (Ophthalmology) PhysicianTaxonomy code 207WX0108X
License
D0078221 Issued in MD
Practice address
1209 York Rd
Lutherville, MD 21093-6220
Phone
(410) 821-9490
NPI assigned
Aug 27, 2009
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Nov 3, 2021

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Uveitis and Ocular Inflammatory Disease (Ophthalmology) Physician 207WX0108X D0078221 MD Primary

Addresses

Primary practice location

1209 York Rd
Lutherville, MD 21093-6220

Mailing address

3320 Arlington CT
Ellicott City, MD 21042-7930
Phone (410) 382-5288

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MD
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 1

Enrollment IDStateProvider typePAC IDDetails
I20140909001671 MD Practitioner - Ophthalmology 1951544873 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Ophthalmology
Education
West Virginia University School of Medicine, 2009
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Arturo Betancourt MD PAGroup PAC ID 4385616291, 5 clinicians

Practice addresses (Care Compare)

200 Hospital Dr
Suite 600
Glen Burnie, MD 21061-5865
Phone (410) 766-3937

Procedures performed for Medicare patients

ProcedureNumber of procedures
Cataract surgery125

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
D0078221MDMDUveitis and Ocular Inflammatory Disease (Ophthalmology) Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Arturo Betancourt, M.D., P.a. CurrentSince Jan 1, 2023 Accepting new patients
Horizon Eye Physicians, LLC CurrentSince Jan 1, 2023 Accepting new patients
Arturo Betancourt, M.D., P.a. CurrentSince Jan 1, 2023 Accepting new patients
Frederick Health Hospital Inc Past Accepting new patients

Locations

11810 W Market Pl
Ste 200
Fulton, MD 20759
Phone (301) 760-7771

200 Hospital Dr
Ste 600
Glen Burnie, MD 21061
Phone (410) 766-3937

Interoperability endpoints

  • Direct secure messaging: ppatel@horizon.intellechartdirect.net
  • FHIR API: https://app.meldrx.com/api/fhir/doctorsoft_horizoneyephysicians

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.

NPI Registry JSON

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

{
    "created_epoch": "1251331200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1635897600000",
    "number": "1104059823",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3320 ARLINGTON CT",
            "city": "ELLICOTT CITY",
            "state": "MD",
            "postal_code": "210427930",
            "telephone_number": "410-382-5288"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1209 YORK RD",
            "city": "LUTHERVILLE",
            "state": "MD",
            "postal_code": "210936220",
            "telephone_number": "410-821-9490"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PATEL",
        "first_name": "PRANAV",
        "middle_name": "HEMANT",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2009-08-27",
        "last_updated": "2021-11-03",
        "certification_date": "2021-11-03",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207WX0108X",
            "taxonomy_group": "",
            "desc": "Ophthalmology, Uveitis and Ocular Inflammatory Disease",
            "state": "MD",
            "license": "D0078221",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Lutherville, MD

Sources for this page

Verify at the official NPI Registry.