Individual provider Active NPI

Bhupendra Patel, FNP-C

  • Family Nurse Practitioner
  • Sterling Heights, MI
National Provider Identifier
1215384151
Registry record updated May 20, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
4704269849 Issued in MI
Practice address
38314 San Angelo Dr
38314 San Angelo Dr
Sterling Heights, MI 48312-1277
Phone
(586) 339-5081
NPI assigned
May 20, 2016
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 20, 2016

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse Practitioner 363LF0000X 4704269849 MI Primary

Addresses

Primary practice location

38314 San Angelo Dr
38314 San Angelo Dr
Sterling Heights, MI 48312-1277

Mailing address

38314 San Angelo Dr
Sterling Heights, MI 48312-1277

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20170609001755 MI Practitioner - Nurse Practitioner 7911275250 Reassigns benefits to 2 organizations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Matrix Medical Plus CurrentSince Apr 1, 2023 Accepting new patients
Signify Health Medical Associates, PLLC CurrentSince Jul 12, 2022 Accepting new patients
New Image Home Medical Equipment Inc. PastSince May 1, 2017 Accepting new patients

Locations

400 Renaissance Ctr
Ste 2600
Detroit, MI 48243
Phone (248) 599-1582

13 N Washington St
Ypsilanti, MI 48197
Phone (734) 329-4620

424 Church St
Ste 2600
Nashville, TN 37219
Phone (480) 450-3721

4055 Valley View Ln
Ste 400
Dallas, TX 75244
Phone (469) 466-7037

Organizations & group practices 3

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.

NPI Registry JSON

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

{
    "created_epoch": "1463702400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1463702400000",
    "number": "1215384151",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "38314 SAN ANGELO DR",
            "city": "STERLING HEIGHTS",
            "state": "MI",
            "postal_code": "483121277"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "38314 SAN ANGELO DR",
            "address_2": "38314 SAN ANGELO DR",
            "city": "STERLING HEIGHTS",
            "state": "MI",
            "postal_code": "483121277",
            "telephone_number": "586-339-5081"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PATEL",
        "first_name": "BHUPENDRA",
        "credential": "FNP-C",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2016-05-20",
        "last_updated": "2016-05-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "MI",
            "license": "4704269849",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Sterling Heights, MI

Sources for this page

Verify at the official NPI Registry.