Active NPI
Kirti Patel, MD
- Obstetrics & Gynecology Physician
- Southbridge, MA
National Provider Identifier
1104874312
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Obstetrics & Gynecology Physician
- License
- 208459
- Practice address
- 100 South St Ste G05
Southbridge, MA 01550-4051 - Phone
- (508) 765-5981
- Fax
- (508) 764-4637
- NPI assigned
- May 4, 2006
- 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 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Obstetrics & Gynecology Physician | 207V00000X | 208459 | MA | Primary |
Addresses
Primary practice location
100 South St Ste G05
Southbridge, MA 01550-4051
Mailing address
PO Box 40
Southbridge, MA 01550-0040
Phone (508) 909-7799
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 110003671A | Medicaid | MA |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in MA
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20040608000486 | MA | Practitioner - Obstetrics/Gynecology | 6709869183 |
Care Compare profile
Medicare Care Compare- Specialty
- Obstetrics/Gynecology
- Education
- Other, 1997
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
Practice addresses (Care Compare)
PO Box
Suite 40
Southbridge, MA 01550
Hospital & facility affiliations
Merit-based Incentive Payment System (MIPS)
- Final score
- 100 of 100
- Quality
- 82.98
- Promoting interoperability
- 100
- Improvement activities
- 40
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 208459 | MA | MD | Obstetrics & Gynecology Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Nashoba Valley Healthcare Group Inc | Past | Accepting new patients | |
| Allara Medical Group PA | Obstetrics & Gynecology | Past | Accepting new patients |
| Morton Physician Associates Inc | Obstetrics & Gynecology | Past | Accepting new patients |
Interoperability endpoints
- https://api.platform.athenahealth.com/958/brand/1/csg/1/fhir/r4
- kirtipatel@hps.allscriptsdirect.net
Organizations & group practices 3
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.
-
- Advanced Practice Midwife
- Taunton, MA
- NPI 1710931332
Obstetrics & Gynecology
-
- Family Medicine Physician
- Ayer, MA
- NPI 1174513071
Hospital & facility affiliations 1
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- General Acute Care Hospital
- Southbridge, MA
- NPI 1790780047
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1146700800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1539129600000",
"number": "1104874312",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 40",
"city": "SOUTHBRIDGE",
"state": "MA",
"postal_code": "015500040",
"telephone_number": "508-909-7799",
"fax_number": "508-909-7750"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "100 SOUTH ST STE G05",
"city": "SOUTHBRIDGE",
"state": "MA",
"postal_code": "015504051",
"telephone_number": "508-765-5981",
"fax_number": "508-764-4637"
}
],
"practiceLocations": [],
"basic": {
"last_name": "PATEL",
"first_name": "KIRTI",
"credential": "MD",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2006-05-04",
"last_updated": "2018-10-10",
"status": "A"
},
"taxonomies": [
{
"code": "207V00000X",
"taxonomy_group": "",
"desc": "Obstetrics & Gynecology",
"state": "MA",
"license": "208459",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "110003671A",
"state": "MA"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Southbridge, MA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 10, 2018; 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.