Individual provider Active NPI

Priya Patel, M.D.

  • Vascular Surgery Physician
  • Anchorage, AK
National Provider Identifier
1124314315
Registry record updated Feb 16, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Vascular Surgery PhysicianTaxonomy code 2086S0129X
License
166364 Issued in AK
Practice address
4001 Laurel St Ste 204
Anchorage, AK 99508-5300
Phone
(907) 562-8346
NPI assigned
Jun 26, 2011
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Feb 16, 2021

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Vascular Surgery Physician 2086S0129X 166364 AK Primary

Addresses

Primary practice location

4001 Laurel St Ste 204
Anchorage, AK 99508-5300

Mailing address

4001 Laurel St Ste 204
Anchorage, AK 99508-5300

Other practice location 1

536 E 79th St
apt 3k
New York, NY 10075-1503
Phone (212) 249-5462

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in TX, AK2 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
I20210219001137 TX Practitioner - Vascular Surgery 9335554567 Reassigns benefits to 1 organization
I20210405001769 AK Practitioner - Vascular SurgeryPractitioner - General Surgery 9335554567 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Vascular SurgeryAlso: General Surgery
Education
Other, 2010
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Alyeska Vascular Surgery, LLCGroup PAC ID 2567610181, 14 clinicians
Alaska Native Tribal Health ConsortiumGroup PAC ID 6709780265, 605 clinicians

Practice addresses (Care Compare)

4001 Laurel St
Suite 204
Anchorage, AK 99508-5300
Phone (907) 562-8346

4315 Diplomacy Dr
Anchorage, AK 99508-5926
Phone (907) 563-2662

Hospital & facility affiliations

  • Alaska Native Medical Center Hospital, Anchorage, AK, CCN 020026
  • Providence Alaska Medical Center Hospital, Anchorage, AK, CCN 020001
  • Alaska Regional Hospital Hospital, Anchorage, AK, CCN 020017
  • Central Peninsula General Hospital Hospital, Soldotna, AK, CCN 020024

Merit-based Incentive Payment System (MIPS)

Final score
75 of 100Reported as group

Merit-based Incentive Payment System (MIPS)

Final score
70.59 of 100Reported as group
Quality
83.37
Promoting interoperability
100
Improvement activities
40
Cost
16.65

Merit-based Incentive Payment System (MIPS)

Final score
90.93 of 100Reported as group
Quality
70.1
Promoting interoperability
100
Improvement activities
40
Cost
83.01

Procedures performed for Medicare patients

ProcedureNumber of procedures
Spinal fusion1-10
Varicose vein removal1-10
Leg revascularization (restoring blood flow)25
Removal of tissue1-10

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Alyeska Trauma & Acute General Surgery LLC CurrentSince Oct 2, 2023 Accepting new patients
Alyeska Vascular Surgery LLC CurrentSince Feb 1, 2021 Accepting new patients
Alaska Native Tribal Health Consortium CurrentSince Feb 16, 2021 Accepting new patients
Alaska Trauma & Acute Care Surgery, LLC PastSince Oct 2, 2023 Accepting new patients

Locations

4315 Diplomacy Dr
Anchorage, AK 99508
Phone (907) 729-1729

2751 Debarr Rd
#328
Anchorage, AK 99508
Phone (907) 562-8346

4001 Laurel St
Ste 204
Anchorage, AK 99508
Phone (907) 561-1426

4000 Ambassador Dr
Anchorage, AK 99508
Phone (907) 729-1900

4001 Laurel St
Ste 205
Anchorage, AK 99508
Phone (907) 561-1434

Interoperability endpoints

  • Direct secure messaging: ppatel@direct.anthc.org
  • FHIR API: https://fhir4.healow.com/fhir/r4/ALYVAS

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 34

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

View all 34

NPI Registry JSON

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

{
    "created_epoch": "1309046400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1613433600000",
    "number": "1124314315",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4001 LAUREL ST STE 204",
            "city": "ANCHORAGE",
            "state": "AK",
            "postal_code": "995085300"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4001 LAUREL ST STE 204",
            "city": "ANCHORAGE",
            "state": "AK",
            "postal_code": "995085300",
            "telephone_number": "907-562-8346"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "536 E 79th St",
            "address_2": "apt 3k",
            "address_purpose": "LOCATION",
            "city": "New York",
            "state": "NY",
            "postal_code": "100751503",
            "country_code": "US",
            "telephone_number": "212-249-5462",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "PATEL",
        "first_name": "PRIYA",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2011-06-26",
        "last_updated": "2021-02-16",
        "certification_date": "2021-02-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2086S0129X",
            "taxonomy_group": "",
            "desc": "Surgery, Vascular Surgery",
            "state": "AK",
            "license": "166364",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Anchorage, AK

Sources for this page

Verify at the official NPI Registry.