Organization Active NPI

Mukesh Patel M.D

  • Internal Medicine Physician
  • Prospect Park, PA
National Provider Identifier
1194019166
Registry record updated Jun 7, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
License
MD038589L Issued in PA
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

Updated by the provider on Jun 7, 2011

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

Authorized official

Name
Dr. Mukesh A Patel, M.DNPI 1730185950
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)CodeLicenseStatePrimary
Internal Medicine PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 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

IdentifierTypeStateIssuer
00939603MedicaidPA

National Provider Directory

National Provider Directory

Locations

1421 Lincoln Ave
Prospect Park, PA 19076
Phone (215) 532-5343

Interoperability endpoints

  • FHIR API: https://fhir4.healow.com/fhir/r4/DBCABA
  • FHIR API: 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.

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.

Verify at the official NPI Registry.