Priya Prakash Patel, PA

Primary specialty

Physician AssistantTaxonomy code 363A00000X

License

3031863 Issued in NY

Practice address

5100 Highbridge St Apt 46E
Fayetteville, NY 13066-2460

Phone

(207) 245-5944

NPI assigned

Apr 25, 2024

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in NY, PA2 enrollments

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 2

Specialty

Physician Assistant

Education

Other, 2023

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Susquehanna Physician ServicesGroup PAC ID 2264336460, 611 clinicians

Practice addresses (Care Compare)

Hospital & facility affiliations

• Upmc Williamsport Hospital, Williamsport, PA, CCN 390045
• Wellspan Evangelical Community Hospital Hospital, Lewisburg, PA, CCN 390013

Medicare enrollment (NPD)

Enrolled

Credentials

Physician Assistant

State licenses

Practice roles

Locations

Interoperability endpoints

• Direct secure messaging: priya.p.patel@upmcdirect.com

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.

• Susquehanna Physician Services

  • Cardiovascular Disease Physician
  • Williamsport, PA
  • NPI 1861431116

  Physician Assistant

  Medicare reassignment Care Compare group NPD
• First Docs PC

  • Internal Medicine Physician
  • Naperville, IL
  • NPI 1417655465

  NY

  Medicare reassignment
• Mercer Bucks Medical Associates, P.C.

  • Internal Medicine Physician
  • Levittown, PA
  • NPI 1952485971

  NY

  Medicare reassignment
• National Health Rehabilitation LLC

  • Physical Medicine & Rehabilitation Physician
  • Edgewater, NJ
  • NPI 1780080218

  NY

  Medicare reassignment
• Susquehanna Physician Services

  • Radiology Clinic/Center
  • Mansfield, PA
  • NPI 1073361564
  NPD
• Susquehanna Physician Services

  • Family Medicine Physician
  • South Williamsport, PA
  • NPI 1780631226
  NPD (past)

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

• Evangelical Community Hospital

  • General Acute Care Hospital
  • Lewisburg, PA
  • NPI 1124076039
  Care Compare affiliation
• Upmc Williamsport

  • Land Ambulance
  • Williamsport, PA
  • NPI 1093890360

  Hospital

  Care Compare affiliation
• Upmc Williamsport

  • Ambulatory Surgical Clinic/Center
  • Williamsport, PA
  • NPI 1225500770

  Hospital

  Care Compare affiliation
• Upmc Williamsport

  • Ambulatory Surgical Clinic/Center
  • Williamsport, PA
  • NPI 1285719559

  Hospital

  Care Compare affiliation
• Upmc Williamsport

  • General Acute Care Hospital
  • Williamsport, PA
  • NPI 1609801976
  Care Compare affiliation
• Upmc Williamsport

  • Psychiatric Hospital Unit
  • Williamsport, PA
  • NPI 1649746488
  Care Compare affiliation
• Upmc Williamsport

  • General Acute Care Hospital
  • Williamsport, PA
  • NPI 1740365097
  Care Compare affiliation
• Upmc Williamsport

  • Primary Care Clinic/Center
  • Williamsport, PA
  • NPI 1982788048

  Hospital

  Care Compare affiliation

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

{
    "created_epoch": "1714003200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1729728000000",
    "number": "1235985706",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5100 HIGHBRIDGE ST APT 46E",
            "city": "FAYETTEVILLE",
            "state": "NY",
            "postal_code": "130662460",
            "telephone_number": "207-245-5944"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5100 HIGHBRIDGE ST APT 46E",
            "city": "FAYETTEVILLE",
            "state": "NY",
            "postal_code": "130662460",
            "telephone_number": "207-245-5944"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PATEL",
        "first_name": "PRIYA",
        "middle_name": "PRAKASH",
        "credential": "PA",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2024-04-25",
        "last_updated": "2024-10-24",
        "certification_date": "2024-10-24",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "NY",
            "license": "3031863",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Painted Post, LLC
• Lindsey M Painter
• Sally A Palmer, NP
• Robert G Parke, MD
• Tamra A. Parker, LCSW-R
• Paula Pons Physician LLC
• Nicolas Pauly, NPP
• Samuel B Pearlstein, DPM
• Pediatric Dentistry & Interceptive Orthodontics P.C.
• Joseph G Perry, D.D.S

• Physician Assistant in Fayetteville, NY
• Providers in Fayetteville, NY by specialty
• Physician Assistant in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 24, 2024; 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.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.