Individual provider Active NPI

Ami Kanti Patel-Yadav, M.D.

  • Radiation Oncology Physician
  • Bedford, TX
National Provider Identifier
1164867461
Registry record updated Jan 11, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Radiation Oncology PhysicianTaxonomy code 2085R0001X
License
S7754 Issued in TX
Practice address
1609 Hospital Pkwy
Bedford, TX 76022-6920
Phone
(817) 359-9000
Fax
(817) 354-8969
NPI assigned
May 1, 2013
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 11, 2021

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Student in an Organized Health Care Education/Training Program 390200000X
Radiation Oncology Physician 2085R0001X S7754 TX Primary

Addresses

Primary practice location

1609 Hospital Pkwy
Bedford, TX 76022-6920

Mailing address

PO Box 911230
Dallas, TX 75391-1230
Phone (972) 997-8000

Other identifiers 1

IdentifierTypeStateIssuer
418010101MedicaidTX

Other names 1

  • Ami Kanti Patel Former name

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: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20201208002122 TX Practitioner - Radiation Oncology 5991055717 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Radiation Oncology
Education
Tulane University School of Medicine, 2012
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Texas Oncology PAGroup PAC ID 5395658934, 1,001 clinicians

Practice addresses (Care Compare)

1609 Hospital Pkwy
Bedford, TX 76022-6920
Phone (817) 662-0008

Merit-based Incentive Payment System (MIPS)

Final score
85.12 of 100Reported as apm
Quality
67.48
Promoting interoperability
100
Improvement activities
40

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
S7754TXMDRadiation Oncology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Texas Oncology PA Radiation Oncology Current Accepting new patients
Texas Oncology PA Radiation Oncology CurrentSince Nov 1, 2020 Accepting new patients
Texas Oncology PA Radiation Oncology CurrentSince Nov 1, 2020 Accepting new patients

Locations

1609 Hospital Pkwy
Bedford, TX 76022
Phone (817) 359-9000

4201 Brown Trl
Ste 101
Colleyville, TX 76034
Phone (682) 217-2102

7777 Forest Ln
Ste C707
Dallas, TX 75230
Phone (972) 566-3000

7848 Gateway Blvd E
El Paso, TX 79915
Phone (915) 599-1313

9750 Hillwood Pkwy
Ft Worth, TX 76177
Phone (817) 697-5620

1631 Lancaster Dr
Ste 150
Grapevine, TX 76051
Phone (817) 251-9080

2026 S Jackson St
Jacksonville, TX 75766
Phone (903) 541-4500

Interoperability endpoints

  • Direct secure messaging: ami.patel-yadav@txo.ikm.direct-ci.com

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": "1367366400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1610323200000",
    "number": "1164867461",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 911230",
            "city": "DALLAS",
            "state": "TX",
            "postal_code": "753911230",
            "telephone_number": "972-997-8000",
            "fax_number": "972-234-2987"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1609 HOSPITAL PKWY",
            "city": "BEDFORD",
            "state": "TX",
            "postal_code": "760226920",
            "telephone_number": "817-359-9000",
            "fax_number": "817-354-8969"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PATEL-YADAV",
        "first_name": "AMI",
        "middle_name": "KANTI",
        "name_prefix": "Mrs.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2013-05-01",
        "last_updated": "2021-01-11",
        "certification_date": "2021-01-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "390200000X",
            "taxonomy_group": "",
            "desc": "Student in an Organized Health Care Education/Training Program",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "2085R0001X",
            "taxonomy_group": "",
            "desc": "Radiology, Radiation Oncology",
            "state": "TX",
            "license": "S7754",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "418010101",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "AMI",
            "last_name": "PATEL",
            "middle_name": "KANTI",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Bedford, TX

Sources for this page

Verify at the official NPI Registry.