Active NPI
Deepak Rameshchandra Patel, MD
- Colon & Rectal Surgery Physician
- Kingston, NY
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Colon & Rectal Surgery Physician
- License
- 144079
- Practice address
- 33 Grand St
Kingston, NY 12401-3933 - Phone
- (845) 339-5100
- Fax
- (845) 339-5198
- NPI assigned
- Jun 14, 2006
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Colon & Rectal Surgery Physician | 208C00000X | 144079 | NY | Primary |
Addresses
Primary practice location
33 Grand St
Kingston, NY 12401-3933
Mailing address
PO Box 2281
Kingston, NY 12402-2281
Phone (845) 339-5100
Other identifiers 3
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 517017 | Other | NY | MVP |
| 00783257 | Medicaid | NY | |
| 10032832 | Other | NY | CDPHP |
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
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- General Surgery
- Education
- Other, 1977
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
Practice addresses (Care Compare)
518 Broadway
Kingston, NY 12401-3940
Phone (845) 339-5100
Hospital & facility affiliations
- Healthalliance Hospital Marys Avenue Campus
Procedures performed for Medicare patients
| Procedure | Number of procedures |
|---|---|
| Colonoscopy | 138 |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Colon and Rectal Care, P.C. | Colon & Rectal Surgery | Current | Accepting new patients |
| Progressive Care Medical Group of MD, LLC | Past | Accepting new patients | |
| Progressive Care Medical Group of PA, LLC | Past | Accepting new patients |
Locations
518 Broadway
Kingston, NY 12401
Phone (845) 339-5100
33 Grand St
Kingston, NY 12401
Phone (845) 338-1535
33 Grand St
Ste 39A
Kingston, NY 12401
Networks
- Healthfirst Medicare Network H5989
- Healthfirst Medicare Network H1722
- Healthfirst Medicare Network H9678
- Healthfirst Medicare Network H3359
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.
-
- Colon & Rectal Surgery Physician
- Kingston, NY
- NPI 1629235890
-
- Physical Medicine & Rehabilitation Physician
- Annapolis, MD
- NPI 1548911894
-
- Physical Medicine & Rehabilitation Physician
- Yardley, PA
- NPI 1841788221
Hospital & facility affiliations 1
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- General Acute Care Hospital
- Kingston, NY
- NPI 1932182599
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1150243200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1740355200000",
"number": "1184667495",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 2281",
"city": "KINGSTON",
"state": "NY",
"postal_code": "124022281",
"telephone_number": "845-339-5100",
"fax_number": "845-339-5198"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "33 GRAND ST",
"city": "KINGSTON",
"state": "NY",
"postal_code": "124013933",
"telephone_number": "845-339-5100",
"fax_number": "845-339-5198"
}
],
"practiceLocations": [],
"basic": {
"last_name": "PATEL",
"first_name": "DEEPAK",
"middle_name": "RAMESHCHANDRA",
"name_prefix": "Dr.",
"credential": "MD",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-06-14",
"last_updated": "2025-02-24",
"certification_date": "2025-02-24",
"status": "A"
},
"taxonomies": [
{
"code": "208C00000X",
"taxonomy_group": "",
"desc": "Colon & Rectal Surgery",
"state": "NY",
"license": "144079",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "MVP",
"identifier": "517017",
"state": "NY"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "00783257",
"state": "NY"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "CDPHP",
"identifier": "10032832",
"state": "NY"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Kingston, NY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 24, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.