Active NPI
Amy M. Patel, PA-C
- Physician Assistant
- Statesville, NC
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physician Assistant
- License
- C0008403
- Practice address
- 557 Brookdale Dr
Statesville, NC 28677-4107 - Phone
- (704) 873-5661
- NPI assigned
- Sep 28, 2012
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Physician Assistant | 363A00000X | 0010-03819 | NC | |
| Physician Assistant | 363A00000X | C0008403 | MD | Primary |
Addresses
Primary practice location
557 Brookdale Dr
Statesville, NC 28677-4107
Mailing address
6201 Greenleigh Ave
Middle River, MD 21220-2004
Phone (410) 933-2704
Other practice location 1
8600 Old Georgetown Rd
Bethesda, MD 20814-1422
Phone (301) 896-2578
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in DC, MD
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: No
Enrollment records 2
Care Compare profile
Medicare Care CompareMerit-based Incentive Payment System (MIPS)
- Final score
- 94.27 of 100
- Quality
- 80.29
- Promoting interoperability
- 100
- Improvement activities
- 40
- Cost
- 75.48
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Physician Assistant
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| C0008403 | MD | MD | Physician Assistant |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Johns Hopkins University | Current | Accepting new patients | |
| Medstar Medical Group II LLC | Current | Accepting new patients | |
| Johns Hopkins University | Current | Accepting new patients | |
| Johns Hopkins University | Current | Accepting new patients | |
| WHC Emerg Phys | Current | Accepting new patients | |
| Johns Hopkins University | Current | Accepting new patients | |
| WHC Physician Group LLC | Current | Accepting new patients | |
| Emergency Medicine Physicians of Iredell County, PLLC | Past | Accepting new patients | |
| Edwin J Lee MD PC | Past | Accepting new patients | |
| Observation Medicine Physicians of Mecklenburg County PLLC | Past | Accepting new patients |
Locations
110 Irving St NW
Washington, DC 20010
Phone (202) 877-2000
5255 Loughboro Rd NW
Washington, DC 20016
Phone (202) 243-2280
600 N Wolfe St
Baltimore, MD 21287
8600 Old Georgetown Rd
Bethesda, MD 20814
Phone (301) 896-2578
3001 S Hanover St
Brooklyn Park, MD 21225
Phone (410) 350-3200
6201 Greenleigh Ave
Middle River, MD 21220
Phone (410) 933-2704
11355 Pembrooke Sq
Ste 108
Waldorf, MD 20603
Phone (202) 877-6733
Interoperability endpoints
- apatel1169713@direct.hopkinsmedicine.org
Organizations & group practices 13
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.
-
- Pain Medicine (Anesthesiology) Physician
- Baltimore, MD
- NPI 1922008549
-
- Ophthalmology Physician
- Belcamp, MD
- NPI 1376342774
-
- Neurology Physician
- MC Lean, VA
- NPI 1598552226
-
- Surgery Physician
- Baltimore, MD
- NPI 1689655219
-
- Surgery Physician
- Baltimore, MD
- NPI 1780665315
-
- Critical Care Medicine (Internal Medicine) Physician
- Washington, DC
- NPI 1205562816
-
- Emergency Medical Services (Emergency Medicine) Physician
- Washington, DC
- NPI 1306260625
-
- Emergency Medicine Physician
- Statesville, NC
- NPI 1104151109
-
- Emergency Medicine Physician
- Charlotte, NC
- NPI 1982075388
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1348790400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1708732800000",
"number": "1104177203",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "6201 GREENLEIGH AVE",
"city": "MIDDLE RIVER",
"state": "MD",
"postal_code": "212202004",
"telephone_number": "410-933-2704"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "557 BROOKDALE DR",
"city": "STATESVILLE",
"state": "NC",
"postal_code": "286774107",
"telephone_number": "704-873-5661"
}
],
"practiceLocations": [
{
"address_1": "8600 Old Georgetown Rd",
"address_purpose": "LOCATION",
"city": "Bethesda",
"state": "MD",
"postal_code": "208141422",
"country_code": "US",
"telephone_number": "301-896-2578",
"fax_number": "301-897-1378",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "PATEL",
"first_name": "AMY",
"middle_name": "M.",
"credential": "PA-C",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2012-09-28",
"last_updated": "2024-02-24",
"certification_date": "2024-02-24",
"status": "A"
},
"taxonomies": [
{
"code": "363A00000X",
"taxonomy_group": "",
"desc": "Physician Assistant",
"state": "NC",
"license": "0010-03819",
"primary": false
},
{
"code": "363A00000X",
"taxonomy_group": "",
"desc": "Physician Assistant",
"state": "MD",
"license": "C0008403",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Statesville, NC
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 24, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.