Individual provider Active NPI

Ankur Patel, FNP

  • Psychiatric/Mental Health Nurse Practitioner
  • Macomb, MI
National Provider Identifier
1245636091
Registry record updated Jun 16, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Psychiatric/Mental Health Nurse PractitionerTaxonomy code 363LP0808X
License
4704263525 Issued in MI
Practice address
15644 Houghton St
Macomb, MI 48044-1512
Phone
(248) 632-8182
NPI assigned
Nov 6, 2014
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jun 16, 2026

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Psychiatric/Mental Health Nurse Practitioner 363LP0808X 4704263525 MI Primary
Primary Care Nurse Practitioner 363LP2300X 4704263525 MI

Addresses

Primary practice location

15644 Houghton St
Macomb, MI 48044-1512

Mailing address

15644 Houghton St
Macomb, MI 48044-1512
Phone (248) 632-8182

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
I20150123000667 MI Practitioner - Nurse Practitioner 4183767882 Reassigns benefits to 5 organizations

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2014
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Promed Urgent Care PLLCGroup PAC ID 5395135800, 2 clinicians
Promed Primary Care PLLCGroup PAC ID 8820480007, 2 clinicians

Practice addresses (Care Compare)

19041 E 12 Mile Rd
Suite 102
Roseville, MI 48066-2609
Phone (248) 632-8182

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Master of Science, Nurse Practitioner

State licenses

LicenseStateTypeSpecialty
4704263525MIMDPsychiatric/Mental Health Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Iah of Michigan, PLLC CurrentSince Sep 3, 2023 Accepting new patients
Pure Psychiatry of Michigan PLLC CurrentSince Apr 1, 2026 Accepting new patients
Inner Balance Mental Health LLC Psychiatric/Mental Health CurrentSince Jul 1, 2025 Accepting new patients
Port Huron Pharmacy, LLC PastSince Dec 5, 2011 Accepting new patients
Wellstreet Urgent Care of Michigan PastSince Aug 6, 2023 Accepting new patients
Pure Psychiatry of Michigan PLLC PastSince Apr 1, 2026 Accepting new patients
Care First Home Health Services, Inc. PastSince Dec 29, 2009 Accepting new patients

Locations

1803 Whites Rd
Ste 2
Kalamazoo, MI 49008
Phone (269) 238-1990

19041 E 12 Mile Rd
#103
Roseville, MI 48066
Phone (586) 580-9486

47710 Van Dyke Ave
Ste 150
Shelby Township, MI 48317

500 Kirts Blvd
Ste 100
Troy, MI 48084
Phone (214) 824-6000

375 Eureka Rd
Ste B
Wyandotte, MI 48192
Phone (734) 225-9300

Interoperability endpoints

  • FHIR API: https://fhir4.healow.com/fhir/r4/IIHEDD/Endpoint/IIHEDD

Organizations & group practices 9

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": "1415232000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1781568000000",
    "number": "1245636091",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "15644 HOUGHTON ST",
            "city": "MACOMB",
            "state": "MI",
            "postal_code": "480441512",
            "telephone_number": "248-632-8182"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "15644 HOUGHTON ST",
            "city": "MACOMB",
            "state": "MI",
            "postal_code": "480441512",
            "telephone_number": "248-632-8182"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PATEL",
        "first_name": "ANKUR",
        "credential": "FNP",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2014-11-06",
        "last_updated": "2026-06-16",
        "certification_date": "2026-06-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LP0808X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Psychiatric/Mental Health",
            "state": "MI",
            "license": "4704263525",
            "primary": true
        },
        {
            "code": "363LP2300X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Primary Care",
            "state": "MI",
            "license": "4704263525",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Macomb, MI

Sources for this page

Verify at the official NPI Registry.