Individual provider Active NPI

Rajendra Ishwarbhi Patel, M.D.

  • Surgery Physician
  • Watervliet, NY
National Provider Identifier
1154431492
Registry record updated Jul 8, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Surgery PhysicianTaxonomy code 208600000X
License
115334 Issued in NY
Practice address
1500 2ND Ave
Watervliet, NY 12189-2800
Phone
(518) 272-0027
NPI assigned
Aug 30, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 8, 2007

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Surgery Physician 208600000X 115334 NY Primary

Addresses

Primary practice location

1500 2ND Ave
Watervliet, NY 12189-2800

Mailing address

1500 2ND Ave
Watervliet, NY 12189-2800
Phone (518) 272-0027

Other identifiers 1

IdentifierTypeStateIssuer
00503402MedicaidNY

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NY
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 1

Enrollment IDStateProvider typePAC IDDetails
I20110606000022 NY Practitioner - General Surgery 9133306970 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
General Surgery
Education
Other, 1964
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

1500 2ND Ave
Watervliet, NY 12189-2800
Phone (518) 272-0027

Procedures performed for Medicare patients

ProcedureNumber of procedures
Melanoma (skin cancer) excision1-10

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
115334NYMDSocial Worker

Practice roles

OrganizationSpecialtyStatusNew patients
Rajendra Patel PC Surgery Current Accepting new patients
Rajendra Patel, PC Surgery CurrentSince Jul 1, 1995 Accepting new patients

Locations

1500 2nd Ave
Watervliet, NY 12189
Phone (518) 272-0027

Interoperability endpoints

  • Direct secure messaging: rpatelmd@rajpatelmdstevegoldsteinmd.medentdirect.com

Organizations & group practices 2

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.

NPI Registry JSON

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

{
    "created_epoch": "1156896000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1154431492",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1500 2ND AVE",
            "city": "WATERVLIET",
            "state": "NY",
            "postal_code": "121892800",
            "telephone_number": "518-272-0027"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1500 2ND AVE",
            "city": "WATERVLIET",
            "state": "NY",
            "postal_code": "121892800",
            "telephone_number": "518-272-0027"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PATEL",
        "first_name": "RAJENDRA",
        "middle_name": "ISHWARBHI",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-08-30",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208600000X",
            "taxonomy_group": "",
            "desc": "Surgery",
            "state": "NY",
            "license": "115334",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "00503402",
            "state": "NY"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Watervliet, NY

Sources for this page

Verify at the official NPI Registry.