NPIMap

Individual provider Active NPI

Dipti Tulsidas Patel, MD

  • Nephrology Physician
  • Baltimore, MD
National Provider Identifier
1134447667
Registry record updated Nov 10, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Nephrology PhysicianTaxonomy code 207RN0300X
License
D0077706 Issued in MD
Practice address
6830 Hospital Dr
Suite 204
Baltimore, MD 21237-4373
Phone
(443) 559-5063
Fax
(443) 559-5078
NPI assigned
May 7, 2010
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Nov 10, 2016

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Hospitalist Physician 208M00000X MD041779 DC
Nephrology Physician 207RN0300X D0077706 MD Primary

Addresses

Primary practice location

6830 Hospital Dr
Suite 204
Baltimore, MD 21237-4373

Mailing address

6830 Hospital Dr
Suite 204
Baltimore, MD 21237-4373
Phone (443) 559-5063

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MD
Eligible to order & refer
  • Part B services
  • Medical equipment
  • Home health
  • Power mobility devices
  • Hospice
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20161215000027 MD Practitioner - Nephrology 8527293133 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nephrology
Education
Temple University School of Medicine, 2010
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Maryland Kidney Group PAGroup PAC ID 2860384328, 7 clinicians

Practice addresses (Care Compare)

6830 Hospital Dr
Suite 204
Baltimore, MD 21237-4377
Phone (443) 559-5063

Hospital & facility affiliations

  • FMC of Porter Dialysis - Rosedale Dialysis facility, Rosedale, MD, CCN 212603
  • FMC - Middle River Dialysis facility, Essex, MD, CCN 212676
  • Fresenius Medical Care Franklin Square Home Dialysis facility, Baltimore, MD, CCN 212700
  • Medstar Franklin Square Medical Center Hospital, Rosedale, MD, CCN 210015
  • University of MD St Joseph Medical Center Hospital, Towson, MD, CCN 210063
  • Johns Hopkins Hospital, the Hospital, Baltimore, MD, CCN 210009
  • Medstar Union Memorial Hospital Hospital, Baltimore, MD, CCN 210024
  • Medstar Good Samaritan Hospital Hospital, Baltimore, MD, CCN 210056

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
D0077706MDMDNephrology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Maryland Kidney Group PA Nephrology CurrentSince Nov 14, 2016 Accepting new patients

Locations

7602 Belair Rd
Nottingham, MD 21236
Phone (410) 332-9654

9000 Franklin Square Dr
Rosedale, MD 21237
Phone (410) 682-7000

6830 Hospital Dr
Ste 204
Rosedale, MD 21237
Phone (410) 391-6131

9411 Philadelphia Rd
Ste A
Rosedale, MD 21237
Phone (410) 823-0030

Interoperability endpoints

  • Direct secure messaging: dpatel34445@direct.acumenmd.com

Organizations & group practices 1

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 7

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

NPI Registry JSON

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

{
    "created_epoch": "1273190400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1478736000000",
    "number": "1134447667",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6830 HOSPITAL DR",
            "address_2": "SUITE 204",
            "city": "BALTIMORE",
            "state": "MD",
            "postal_code": "212374373",
            "telephone_number": "443-559-5063",
            "fax_number": "443-559-5078"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6830 HOSPITAL DR",
            "address_2": "SUITE 204",
            "city": "BALTIMORE",
            "state": "MD",
            "postal_code": "212374373",
            "telephone_number": "443-559-5063",
            "fax_number": "443-559-5078"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PATEL",
        "first_name": "DIPTI",
        "middle_name": "TULSIDAS",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2010-05-07",
        "last_updated": "2016-11-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208M00000X",
            "taxonomy_group": "",
            "desc": "Hospitalist",
            "state": "DC",
            "license": "MD041779",
            "primary": false
        },
        {
            "code": "207RN0300X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Nephrology",
            "state": "MD",
            "license": "D0077706",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Baltimore, MD

Sources for this page

Verify at the official NPI Registry.