Individual provider Active NPI

Ketan Patel, M.D.

  • Diagnostic Radiology Physician
  • Brockton, MA
National Provider Identifier
1194722074
Registry record updated Apr 27, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Diagnostic Radiology PhysicianTaxonomy code 2085R0202X
License
216713 Issued in MA
Practice address
265 Westgate Dr
Brockton
Brockton, MA 02301-1817
Phone
(800) 258-4674
Fax
(508) 897-3198
NPI assigned
Jul 7, 2005
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 27, 2026

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Diagnostic Radiology Physician 2085R0202X 216713 MA Primary

Addresses

Primary practice location

265 Westgate Dr
Brockton
Brockton, MA 02301-1817

Mailing address

265 Westgate Dr
Brockton
Brockton, MA 02301-1817
Phone (800) 258-4674

Other practice location 1

14 Prospect St
Milford, MA 01757-3003
Phone (508) 473-1190

Other practice location 2

68A Main St
Medway, MA 02053-1775
Phone (508) 488-3635

Other practice location 3

55 Lake Ave N
Worcester, MA 01655-0002
Phone (508) 334-3850

Other identifiers 2

IdentifierTypeStateIssuer
2002281MedicaidMA
J25903OtherMABCBS

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MA, NH2 enrollments
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 2

Enrollment IDStateProvider typePAC IDDetails
I20040807000224 MA Practitioner - Diagnostic Radiology 9739093642 Reassigns benefits to 3 organizations
I20220201001902 NH Practitioner - Diagnostic Radiology 9739093642 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Diagnostic Radiology
Education
New York University School of Medicine, 1997
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Umass Memorial Radiology Phys ServGroup PAC ID 6800868779, 40 clinicians
Sportsmedicine Atlantic Orthopaedics PAGroup PAC ID 4587561196, 28 clinicians
Shields Radiology AssociatesGroup PAC ID 8527026103, 16 clinicians

Practice addresses (Care Compare)

14 Prospect St
Milford, MA 01757-3003
Phone (508) 847-1190

1900 Lafayette Rd
Suite a
Portsmouth, NH 03801-5679
Phone (603) 431-1121

214 Shrewsbury St
Worcester, MA 01604-4629
Phone (508) 756-7300

265 Westgate Dr
Suite 2
Brockton, MA 02301-1817
Phone (800) 258-4674

54 Washington St
Wellesley, MA 02481-3208
Phone (617) 658-2101

Hospital & facility affiliations

  • Milford Regional Medical Center Hospital, Milford, MA, CCN 220090
  • Dana-Farber Cancer Institute Hospital, Boston, MA, CCN 220162

Merit-based Incentive Payment System (MIPS)

Final score
75 of 100Reported as group

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
216713MAMDClinical Social Worker

Practice roles

OrganizationSpecialtyStatusNew patients
Umass Memorial Medical Group Inc CurrentSince Mar 16, 2026 Accepting new patients
Umass Memorial Medical Group, Inc. CurrentSince Mar 16, 2026 Accepting new patients
Fall River-New Bedford Regional MRI, Limited Partnership CurrentSince Aug 14, 2007 Accepting new patients
South Shore MRI, Limited Partnership Diagnostic Radiology CurrentSince Feb 15, 2007 Accepting new patients
Massachusetts Bay Regional MRI Limited Partnership CurrentSince Aug 7, 2017 Accepting new patients
Shields Radiology Associates Diagnostic Radiology CurrentSince Mar 1, 2004 Accepting new patients
Umass Memorial MRI & Imaging Center, LLC Diagnostic Radiology CurrentSince Jan 1, 2008 Accepting new patients
Massachusetts Bay Regional MRI Limited Partnership CurrentSince Mar 14, 2007 Accepting new patients
Shields MRI & Imaging Center of Cape Cod, LLC CurrentSince Mar 14, 2007 Accepting new patients
Shields Healthcare of Cambridge, Inc. CurrentSince Oct 2, 2006 Accepting new patients
Sportsmedicine Atlantic Orthopaedics PA CurrentSince Mar 1, 2022 Accepting new patients
Sportsmedicine Atlantic Orthopaedics PA CurrentSince Mar 1, 2022 Accepting new patients
Radiology Consultants of North Dallas PA Diagnostic Radiology Past Accepting new patients

Locations

68A Main St
Medway, MA 02053
Phone (508) 321-2850

14 Prospect St
Milford, MA 01757
Phone (508) 422-2343

24 Newton St
Southborough, MA 01772
Phone (508) 460-3190

340 Thompson Rd
Webster, MA 01570
Phone (508) 943-2600

10 Little Brook Rd
West Wareham, MA 02576

55 Lake Ave N
Worcester, MA 01655
Phone 508334100048862

214 Shrewsbury St
Worcester, MA 01604
Phone (508) 756-7300

1900 Lafayette Rd
Ste A
Portsmouth, NH 03801
Phone (603) 431-1121

Organizations & group practices 14

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.

View all 14

Hospital & facility affiliations 2

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1120694400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1777248000000",
    "number": "1194722074",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "265 WESTGATE DR",
            "address_2": "BROCKTON",
            "city": "BROCKTON",
            "state": "MA",
            "postal_code": "023011817",
            "telephone_number": "800-258-4674",
            "fax_number": "508-897-3198"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "265 WESTGATE DR",
            "address_2": "BROCKTON",
            "city": "BROCKTON",
            "state": "MA",
            "postal_code": "023011817",
            "telephone_number": "800-258-4674",
            "fax_number": "508-897-3198"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "14 Prospect St",
            "address_purpose": "LOCATION",
            "city": "Milford",
            "state": "MA",
            "postal_code": "017573003",
            "country_code": "US",
            "telephone_number": "508-473-1190",
            "fax_number": "508-634-3687",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "68A Main St",
            "address_purpose": "LOCATION",
            "city": "Medway",
            "state": "MA",
            "postal_code": "020531775",
            "country_code": "US",
            "telephone_number": "508-488-3635",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "55 Lake Ave N",
            "address_purpose": "LOCATION",
            "city": "Worcester",
            "state": "MA",
            "postal_code": "016550002",
            "country_code": "US",
            "telephone_number": "508-334-3850",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "PATEL",
        "first_name": "KETAN",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2005-07-07",
        "last_updated": "2026-04-27",
        "certification_date": "2026-04-27",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2085R0202X",
            "taxonomy_group": "",
            "desc": "Radiology, Diagnostic Radiology",
            "state": "MA",
            "license": "216713",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "2002281",
            "state": "MA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS",
            "identifier": "J25903",
            "state": "MA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Brockton, MA

Sources for this page

Verify at the official NPI Registry.