Active NPI
Sudha P Patel, MD
- Surgery Physician
- Brooklyn, NY
National Provider Identifier
1205936424
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Surgery Physician
- License
- NY129033
- Practice address
- 1835 Bay Ridge Parkway
Brooklyn, NY 11204 - Phone
- (718) 236-6025
- Fax
- (718) 236-6391
- NPI assigned
- Sep 25, 2006
- 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 |
|---|---|---|---|---|
| Surgery Physician | 208600000X | NY129033 | NY | Primary |
Addresses
Primary practice location
1835 Bay Ridge Parkway
Brooklyn, NY 11204
Mailing address
318 E 62ND Street
New York, NY 10021
Phone (212) 752-0533
Other identifiers 3
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 00548861 | Medicaid | NY | |
| 0008818 | Other | NY | GHI |
| 129033 | Other | NY | UNITED HEALTHCARE |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in NY
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
Enrollment records 1
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
- HHS exclusion list flag
- Flagged The directory lists this NPI on an HHS exclusion list.
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| NY129033 | NY | MD | Surgery Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Sudha Patel MD PLLC | Surgery | Current | Accepting new patients |
| Sudha Patel MD PLLC | Past | Accepting new patients |
Locations
1835 Bay Ridge Pkwy
Brooklyn, NY 11204
Phone (718) 229-4868
Interoperability endpoints
- https://fhir4.healow.com/fhir/r4/BDFDBA/Endpoint/BDFDBA
Organizations & group practices 2
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.
-
- Surgery Physician
- Brooklyn, NY
- NPI 1851568091
-
- Multi-Specialty Clinic/Center
- Brooklyn, NY
- NPI 1689856403
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1159142400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1183852800000",
"number": "1205936424",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "318 E 62ND STREET",
"city": "NEW YORK",
"state": "NY",
"postal_code": "10021",
"telephone_number": "212-752-0533",
"fax_number": "212-752-4643"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1835 BAY RIDGE PARKWAY",
"city": "BROOKLYN",
"state": "NY",
"postal_code": "11204",
"telephone_number": "718-236-6025",
"fax_number": "718-236-6391"
}
],
"practiceLocations": [],
"basic": {
"last_name": "PATEL",
"first_name": "SUDHA",
"middle_name": "P",
"name_prefix": "Miss",
"credential": "MD",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2006-09-25",
"last_updated": "2007-07-08",
"status": "A"
},
"taxonomies": [
{
"code": "208600000X",
"taxonomy_group": "",
"desc": "Surgery",
"state": "NY",
"license": "NY129033",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "00548861",
"state": "NY"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "GHI",
"identifier": "0008818",
"state": "NY"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "UNITED HEALTHCARE",
"identifier": "129033",
"state": "NY"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Brooklyn, NY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; 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.