Individual provider Active NPI

Prina Patel, OD

  • Optometrist
  • Parkton, MD
National Provider Identifier
1205568797
Registry record updated Jul 22, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
License
TA2854 Issued in MD
Practice address
111 Mount Carmel Rd Ste 600
Parkton, MD 21120-9796
Phone
(410) 329-6700
NPI assigned
Jun 24, 2022
Last updated
Jul 22, 2022By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 22, 2022

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Optometrist 152W00000X TA2854 MD Primary

Addresses

Primary practice location

111 Mount Carmel Rd Ste 600
Parkton, MD 21120-9796

Mailing address

111 Mount Carmel Rd Ste 600
Parkton, MD 21120-9796
Phone (410) 329-6700

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MD
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: No
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20220720000191 MD Practitioner - Optometry 9335520543 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Optometry
Education
Other, 2022
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Katzen Medical Associates PCGroup PAC ID 9436051232, 24 clinicians

Practice addresses (Care Compare)

301 Saint Paul St
Baltimore, MD 21202-2102

Merit-based Incentive Payment System (MIPS)

Final score
85.29 of 100Reported as group
Quality
82.7
Improvement activities
40

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Katzen Medical Associates, PC Optometrist CurrentSince Sep 5, 2022 Accepting new patients

Locations

301 Saint Paul St
Ste 902
Baltimore, MD 21202
Phone (410) 727-8380

111 Mount Carmel Rd
Ste 600
Parkton, MD 21120
Phone (410) 329-6700

7106 Ridge Rd
Rosedale, MD 21237
Phone (410) 687-2300

Interoperability endpoints

  • Direct secure messaging: prina.patel.p1@direct.katzeneye.nextgenshare.com

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, 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": "1656028800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1658448000000",
    "number": "1205568797",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "111 MOUNT CARMEL RD STE 600",
            "city": "PARKTON",
            "state": "MD",
            "postal_code": "211209796",
            "telephone_number": "410-329-6700"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "111 MOUNT CARMEL RD STE 600",
            "city": "PARKTON",
            "state": "MD",
            "postal_code": "211209796",
            "telephone_number": "410-329-6700"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PATEL",
        "first_name": "PRINA",
        "name_prefix": "Dr.",
        "credential": "OD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2022-06-24",
        "last_updated": "2022-07-22",
        "certification_date": "2022-07-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "MD",
            "license": "TA2854",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Parkton, MD

Sources for this page

Verify at the official NPI Registry.