Active NPI
Mukesh Patel M.D
- Internal Medicine Physician
- Prospect Park, PA
National Provider Identifier
1194019166
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Internal Medicine Physician
- License
- MD038589L
- Legal business name
- MUKESH PATEL M.D
- Practice address
- 1421 Lincoln Ave
Prospect Park, PA 19076-1107 - Phone
- (610) 532-5343
- NPI assigned
- Jun 7, 2011
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Dr. Mukesh A Patel, M.D
- Title
- Dr
- Phone
- (610) 532-5343
Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Internal Medicine Physician | 207R00000X | MD038589L | PA | Primary |
Addresses
Primary practice location
1421 Lincoln Ave
Prospect Park, PA 19076-1107
Mailing address
1421 Lincoln Ave
Prospect Park, PA 19076-1107
Phone (610) 532-5343
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 00939603 | Medicaid | PA |
National Provider Directory
National Provider DirectoryLocations
1421 Lincoln Ave
Prospect Park, PA 19076
Phone (215) 532-5343
Interoperability endpoints
- https://fhir4.healow.com/fhir/r4/DBCABA
- https://api.platform.athenahealth.com/14961/brand/1/csg/1/fhir/r4
Practitioners & affiliated clinicians
Practitioners 1
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
-
- Internal Medicine Physician
- Prospect Park, PA
- NPI 1730185950
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1307404800000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1307404800000",
"number": "1194019166",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1421 LINCOLN AVE",
"city": "PROSPECT PARK",
"state": "PA",
"postal_code": "190761107",
"telephone_number": "610-532-5343"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1421 LINCOLN AVE",
"city": "PROSPECT PARK",
"state": "PA",
"postal_code": "190761107",
"telephone_number": "610-532-5343"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "MUKESH PATEL M.D",
"organizational_subpart": "NO",
"enumeration_date": "2011-06-07",
"last_updated": "2011-06-07",
"status": "A",
"authorized_official_last_name": "PATEL",
"authorized_official_first_name": "MUKESH",
"authorized_official_middle_name": "A",
"authorized_official_title_or_position": "DR",
"authorized_official_telephone_number": "610-532-5343",
"authorized_official_name_prefix": "Dr.",
"authorized_official_credential": "M.D"
},
"taxonomies": [
{
"code": "207R00000X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Internal Medicine",
"state": "PA",
"license": "MD038589L",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "00939603",
"state": "PA"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Prospect Park, PA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 7, 2011; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.