Active NPI
Khusbu Patel, DPM
- Podiatrist
- Festus, MO
National Provider Identifier
1194389031
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Podiatrist
- License
- 2022025229
- Practice address
- 1455 US Highway 61 Ste a
Festus, MO 63028-4158 - Phone
- (636) 223-4639
- NPI assigned
- Apr 25, 2019
- Sex
- Female
- 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 |
|---|---|---|---|---|
| Podiatrist | 213E00000X | 2022025229 | MO | Primary |
Addresses
Primary practice location
1455 US Highway 61 Ste a
Festus, MO 63028-4158
Mailing address
385 Tremont Ave
East Orange, NJ 07018-1023
Other practice location 1
385 Tremont Ave
East Orange, NJ 07018-1023
Phone (201) 936-4698
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in MO
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: No
- Hospice: Yes
Enrollment records 1
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 2022025229 | MO | MD | Podiatrist |
Organizations & group practices 1
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.
-
- Podiatrist
- Festus, MO
- NPI 1427614601
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1556150400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1660521600000",
"number": "1194389031",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "385 TREMONT AVE",
"city": "EAST ORANGE",
"state": "NJ",
"postal_code": "070181023"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1455 US HIGHWAY 61 STE A",
"city": "FESTUS",
"state": "MO",
"postal_code": "630284158",
"telephone_number": "636-223-4639"
}
],
"practiceLocations": [
{
"address_1": "385 Tremont Ave",
"address_purpose": "LOCATION",
"city": "East Orange",
"state": "NJ",
"postal_code": "070181023",
"country_code": "US",
"telephone_number": "201-936-4698",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "PATEL",
"first_name": "KHUSBU",
"credential": "DPM",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2019-04-25",
"last_updated": "2022-08-15",
"certification_date": "2022-08-15",
"status": "A"
},
"taxonomies": [
{
"code": "213E00000X",
"taxonomy_group": "",
"desc": "Podiatrist",
"state": "MO",
"license": "2022025229",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Festus, MO
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 15, 2022; 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.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.