Active NPI
Krishan Patel, MD FACS
- Trauma Surgery Physician
- Danbury, CT
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Trauma Surgery Physician
- License
- 69018
- Practice address
- 111 Osborne St
Danbury, CT 06810-6000 - Phone
- (203) 739-7131
- Fax
- (203) 739-1554
- NPI assigned
- Apr 4, 2011
- 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 6
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Surgery Physician | 208600000X | 290332 | NY | |
| Surgery Physician | 208600000X | 69018 | CT | |
| Surgical Critical Care Physician | 2086S0102X | 290332 | NY | |
| Surgical Critical Care Physician | 2086S0102X | 69018 | CT | |
| Trauma Surgery Physician | 2086S0127X | 290332 | NY | |
| Trauma Surgery Physician | 2086S0127X | 69018 | CT | Primary |
Addresses
Primary practice location
111 Osborne St
Danbury, CT 06810-6000
Mailing address
111 Osborne St
Danbury, CT 06810-6000
Phone (203) 739-7131
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in NY, CT
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
Enrollment records 2
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20171003006879 | NY | Practitioner - General Surgery | 1052686995 | Reassigns benefits to 1 organization |
| I20210816002586 | CT | Practitioner - General Surgery | 1052686995 | Reassigns benefits to 1 organization |
Care Compare profile
Medicare Care Compare- Specialty
- General Surgery
- Education
- Other, 2011
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
111 Osborne St
Suite 121
Danbury, CT 06810-6019
Phone (203) 739-7038
Hospital & facility affiliations
- Regional Hospice
- Danbury Hospital
Procedures performed for Medicare patients
| Procedure | Number of procedures |
|---|---|
| Colonoscopy | 1-10 |
| Hernia repair - groin (open) | 1-10 |
| Removal of tissue | 1-10 |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 290332 | NY | MD | Surgical Critical Care Physician |
| 69018 | CT | MD | Trauma Surgery Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Maimonides Medical Center | Current | Accepting new patients | |
| Maimonides Faculty Practice Plan | Current | Accepting new patients | |
| Nuvance Health Medical Practice CT, Inc. | Surgery | Current | Accepting new patients |
Locations
111 Osborne St
Danbury, CT 06810
Phone (203) 739-7131
24 Hospital Ave
Danbury, CT 06810
Phone (203) 739-7118
111 Osborne St
Ste 121
Danbury, CT 06810
Phone (203) 739-7010
948 48th St
Brooklyn, NY 11219
Phone (718) 283-7219
4802 10th Ave
Brooklyn, NY 11219
Phone (718) 283-8724
Interoperability endpoints
- krishanpatel@mai.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.
-
- Internal Medicine Physician
- Danbury, CT
- NPI 1407898117
CT, Surgery
-
- General Acute Care Hospital
- Brooklyn, NY
- NPI 1093777492
Hospital & facility affiliations 3
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- Community Based Hospice Care Agency
- Danbury, CT
- NPI 1649228016
Hospice
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1301875200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1726099200000",
"number": "1194014852",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "111 OSBORNE ST",
"city": "DANBURY",
"state": "CT",
"postal_code": "068106000",
"telephone_number": "203-739-7131",
"fax_number": "203-739-1554"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "111 OSBORNE ST",
"city": "DANBURY",
"state": "CT",
"postal_code": "068106000",
"telephone_number": "203-739-7131",
"fax_number": "203-739-1554"
}
],
"practiceLocations": [],
"basic": {
"last_name": "PATEL",
"first_name": "KRISHAN",
"name_prefix": "Dr.",
"credential": "MD FACS",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2011-04-04",
"last_updated": "2024-09-12",
"certification_date": "2024-09-12",
"status": "A"
},
"taxonomies": [
{
"code": "208600000X",
"taxonomy_group": "",
"desc": "Surgery",
"state": "NY",
"license": "290332",
"primary": false
},
{
"code": "208600000X",
"taxonomy_group": "",
"desc": "Surgery",
"state": "CT",
"license": "69018",
"primary": false
},
{
"code": "2086S0102X",
"taxonomy_group": "",
"desc": "Surgery, Surgical Critical Care",
"state": "NY",
"license": "290332",
"primary": false
},
{
"code": "2086S0102X",
"taxonomy_group": "",
"desc": "Surgery, Surgical Critical Care",
"state": "CT",
"license": "69018",
"primary": false
},
{
"code": "2086S0127X",
"taxonomy_group": "",
"desc": "Surgery, Trauma Surgery",
"state": "NY",
"license": "290332",
"primary": false
},
{
"code": "2086S0127X",
"taxonomy_group": "",
"desc": "Surgery, Trauma Surgery",
"state": "CT",
"license": "69018",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Danbury, CT
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 12, 2024; 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.