Individual provider Active NPI

Kirtan Dinesh Patel, MD

  • Pediatrics Physician
  • Weston, MA
National Provider Identifier
1194350918
Registry record updated May 2, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pediatrics PhysicianTaxonomy code 208000000X
License
1027102 Issued in MA
Practice address
486 Boston Post Rd
Weston, MA 02493-1529
Phone
(781) 893-4456
Fax
(781) 647-9578
NPI assigned
Mar 12, 2020
Last updated
May 2, 2026By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 2, 2026

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Pediatrics Physician 208000000X 2025-01446 NC
Pediatrics Physician 208000000X 1027102 MA Primary

Addresses

Primary practice location

486 Boston Post Rd
Weston, MA 02493-1529

Mailing address

486 Boston Post Rd
Weston, MA 02493-1529
Phone (781) 893-4456

Other practice location 1

2406 Blue Ridge Rd Ste 100
Raleigh, NC 27607-6692
Phone (919) 786-5001

Electronic endpoints 1

TypeEndpointUseAffiliation
Other URL kirtanp05142exchange.tamu.edu

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in IL
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
I20240626004088 IL Practitioner - HospitalistPractitioner - Pediatric Medicine 6709320138 Reassigns benefits to 1 organization

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
1027102MAMDPediatrics Physician
2025-01446NCMDPediatrics Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Endeavor Health Medical Group CurrentSince Jun 12, 2024 Accepting new patients
Endeavor Health Medical Group Pediatrics CurrentSince Jun 12, 2024 Accepting new patients
Jeffers Mann & Artman Pediatric & Adolesent Medicine PA CurrentSince Jun 23, 2025 Accepting new patients
Weston Pediatric Physicians, P.C. Past Accepting new patients

Locations

9532 Eagle Way
Chicago, IL 60678

2650 Ridge Ave
#1223
Evanston, IL 60201
Phone (847) 982-3172

2650 Ridge Ave
Ste 2218A
Evanston, IL 60201
Phone (847) 503-4222

2406 Blue Ridge Rd
Ste 100
Raleigh, NC 27607
Phone (919) 786-5001

Interoperability endpoints

  • Direct secure messaging: kirtanpatel@jmp.allscriptsdirect.net

Organizations & group practices 4

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1583971200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1777680000000",
    "number": "1194350918",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "486 BOSTON POST RD",
            "city": "WESTON",
            "state": "MA",
            "postal_code": "024931529",
            "telephone_number": "781-893-4456",
            "fax_number": "781-647-9578"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "486 BOSTON POST RD",
            "city": "WESTON",
            "state": "MA",
            "postal_code": "024931529",
            "telephone_number": "781-893-4456",
            "fax_number": "781-647-9578"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "2406 Blue Ridge Rd Ste 100",
            "address_purpose": "LOCATION",
            "city": "Raleigh",
            "state": "NC",
            "postal_code": "276076692",
            "country_code": "US",
            "telephone_number": "919-786-5001",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "PATEL",
        "first_name": "KIRTAN",
        "middle_name": "DINESH",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2020-03-12",
        "last_updated": "2026-05-02",
        "certification_date": "2026-05-02",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208000000X",
            "taxonomy_group": "",
            "desc": "Pediatrics",
            "state": "NC",
            "license": "2025-01446",
            "primary": false
        },
        {
            "code": "208000000X",
            "taxonomy_group": "",
            "desc": "Pediatrics",
            "state": "MA",
            "license": "1027102",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "OTHERS",
            "endpointTypeDescription": "Other URL",
            "endpoint": "kirtanp05142exchange.tamu.edu",
            "affiliation": "N",
            "address_1": "8447 Riverside Parkway",
            "city": "Bryan",
            "state": "TX",
            "country_code": "US",
            "postal_code": "77087",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Weston, MA

Sources for this page

Verify at the official NPI Registry.