Deepti Patel, MD

Primary specialty

Integrative Medicine PhysicianTaxonomy code 202D00000X

License

DR0066167 Issued in CO

Practice address

3405 Penrose PL Ste 102
Boulder, CO 80301-1819

Phone

(973) 937-8144

NPI assigned

Aug 13, 2007

Sex

Female

Sole proprietor

No

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

Specialties & licenses 5

Addresses

Other names 1

• Deepti Dev Other name

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

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

{
    "created_epoch": "1186963200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1656288000000",
    "number": "1114119377",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "35 N HILLSIDE AVE",
            "city": "CHATHAM",
            "state": "NJ",
            "postal_code": "079282515",
            "telephone_number": "201-323-0672"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3405 PENROSE PL STE 102",
            "city": "BOULDER",
            "state": "CO",
            "postal_code": "803011819",
            "telephone_number": "973-937-8144"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PATEL",
        "first_name": "DEEPTI",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-08-13",
        "last_updated": "2022-06-27",
        "certification_date": "2022-06-27",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "202D00000X",
            "taxonomy_group": "",
            "desc": "Integrative Medicine",
            "state": "MD",
            "license": "DD0093691",
            "primary": false
        },
        {
            "code": "208000000X",
            "taxonomy_group": "",
            "desc": "Pediatrics",
            "state": "NY",
            "license": "266290",
            "primary": false
        },
        {
            "code": "208000000X",
            "taxonomy_group": "",
            "desc": "Pediatrics",
            "state": "NJ",
            "license": "25MA08510000",
            "primary": false
        },
        {
            "code": "2080P0208X",
            "taxonomy_group": "",
            "desc": "Pediatrics, Pediatric Infectious Diseases",
            "state": "NY",
            "license": "266290",
            "primary": false
        },
        {
            "code": "202D00000X",
            "taxonomy_group": "",
            "desc": "Integrative Medicine",
            "state": "CO",
            "license": "DR0066167",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "DEEPTI",
            "last_name": "DEV",
            "credential": "MD",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

• Paula Joy Passanisi IV
• Carol Passarelli, PT, DPT
• Colleen Min Hee Passoth, LMSW
• Pat Guyton Pilates
• Joli Nicol Pate, LCSW
• Kaitlin Alexis Patel
• Mira VK Patel
• Jeffrey Michael Patrician, D.D.S.
• Liza Dylan Patrick, CNM
• Shannon Patrick

• Integrative Medicine Physician in Boulder, CO
• Providers in Boulder, CO by specialty
• Integrative Medicine Physician in Colorado

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 27, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.