Individual provider Active NPI

Sneha Patel, PAC

  • Physician Assistant
  • Dallas, TX
National Provider Identifier
1154520351
Registry record updated Apr 13, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physician AssistantTaxonomy code 363A00000X
License
PA03100 Issued in TX
Practice address
700 N Pearl St
Suite N208
Dallas, TX 75201-2824
Phone
(214) 999-9355
NPI assigned
Jul 17, 2007
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 13, 2021

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine Physician 207Q00000X PA03100 TX
Physician Assistant 363A00000X PA03100 TX Primary

Addresses

Primary practice location

700 N Pearl St
Suite N208
Dallas, TX 75201-2824

Mailing address

700 N Pearl St
Suite N510
Dallas, TX 75201-2824
Phone (214) 580-7277

Other identifiers 1

IdentifierTypeStateIssuer
PA03100OtherMEDICAL LICENSE- PAC

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in TX
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20141029001477 TX Practitioner - Physician Assistant 5395966832 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Physician Assistant

Practice roles

OrganizationSpecialtyStatusNew patients
Metroplex Medical Centre - Fort Worth Family Medicine Current Accepting new patients
Metroplex Care Group Family Medicine CurrentSince Jun 23, 2014 Accepting new patients

Locations

150 N Coppell Rd
Ste 120
Coppell, TX 75019
Phone (214) 580-7277

700 N Pearl St
Ste N208
Dallas, TX 75201
Phone (214) 855-0608

1050 N Westmoreland Rd
Ste 432
Dallas, TX 75211
Phone (214) 333-3033

700 N Pearl St
Ste N510
Dallas, TX 75201

201 Commerce St
Ft Worth, TX 76102
Phone (682) 285-1100

4709 W Parker Rd
Ste 430
Plano, TX 75093
Phone (469) 949-9931

Interoperability endpoints

  • Direct secure messaging: snehapatel@gfmc.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.

NPI Registry JSON

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

{
    "created_epoch": "1184630400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1618272000000",
    "number": "1154520351",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "700 N PEARL ST",
            "address_2": "SUITE N510",
            "city": "DALLAS",
            "state": "TX",
            "postal_code": "752012824",
            "telephone_number": "214-580-7277",
            "fax_number": "214-580-7283"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "700 N PEARL ST",
            "address_2": "SUITE N208",
            "city": "DALLAS",
            "state": "TX",
            "postal_code": "752012824",
            "telephone_number": "214-999-9355"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PATEL",
        "first_name": "SNEHA",
        "credential": "PAC",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-07-17",
        "last_updated": "2021-04-13",
        "certification_date": "2021-04-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "TX",
            "license": "PA03100",
            "primary": false
        },
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "TX",
            "license": "PA03100",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICAL LICENSE- PAC",
            "identifier": "PA03100",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Dallas, TX

Sources for this page

Verify at the official NPI Registry.