Individual provider Active NPI

Virendra I Patel, MD MPH

  • Vascular Surgery Physician
  • New York, NY
National Provider Identifier
1265496962
Registry record updated Jan 28, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Vascular Surgery PhysicianTaxonomy code 2086S0129X
License
288615 Issued in NY
Practice address
161 Fort Washington Avenue, Suite 532
Herbert Irving Pavilion
New York, NY 10032
Phone
(212) 342-3255
Fax
(212) 342-3252
NPI assigned
Apr 12, 2006
Last updated
Jan 28, 2025By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 28, 2025

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Vascular Surgery Physician 2086S0129X 25MA11739700 NJ
Vascular Surgery Physician 2086S0129X 73713 CT
Vascular Surgery Physician 2086S0129X 288615 NY Primary

Addresses

Primary practice location

161 Fort Washington Avenue, Suite 532
Herbert Irving Pavilion
New York, NY 10032

Mailing address

161 Fort Washington Avenue, Suite 532
Herbert Irving Pavilion
New York, NY 10032
Phone (212) 342-3255

Other practice location 1

300 Frank W Burr Blvd
Teaneck, NJ 07666-6704
Phone (212) 342-3255

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NY, NJ2 enrollments
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
I20170804002029 NY Practitioner - Vascular Surgery 2860563277 Reassigns benefits to 2 organizations
I20240426000982 NJ Practitioner - Vascular Surgery 2860563277 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Vascular Surgery
Education
Tufts University School of Medicine, 1998
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices

Practice addresses (Care Compare)

500 Grand Ave
Suite 1
Englewood, NJ 07631-4968
Phone (212) 342-8586

622 W 168TH St
New York, NY 10032-3720
Phone (212) 305-9876

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
100 of 100Reported as apm
Quality
85.32
Promoting interoperability
100
Improvement activities
40

Merit-based Incentive Payment System (MIPS)

Final score
100 of 100Reported as apm
Quality
85.32
Promoting interoperability
100
Improvement activities
40

Procedures performed for Medicare patients

ProcedureNumber of procedures
Spinal fusion30
Varicose vein removal1-10
Melanoma (skin cancer) excision1-10
Leg revascularization (restoring blood flow)23
Removal of tissue1-10

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
73713CTMDVascular Surgery Physician

Practice roles

OrganizationSpecialtyStatusNew patients
The Trustees of Columbia University in the City of New York Surgery CurrentSince Jul 1, 2017 Accepting new patients
Trustees of Columbia University in the City of New York Surgery Current Accepting new patients
Columbia Doctors of New Jersey, P. C. CurrentSince Apr 1, 2024 Accepting new patients
Columbia Doctors of New Jersey, P. C. CurrentSince Apr 1, 2024 Accepting new patients
Trustees of Columbia University in the City of New York CurrentSince Jun 1, 2018 Accepting new patients
Trustees of Columbia University in the Department of Otolaryngology Past Accepting new patients
The New York and Presbyterian Hospital Past Accepting new patients

Locations

500 Grand Ave
Fl 1
Englewood, NJ 07631
Phone (201) 227-1760

400 Kelby St
Fl 9
Fort Lee, NJ 07024

400 Kelby St
Fl 11
Fort Lee, NJ 07024

223 N Van Dien Ave
Ridgewood, NJ 07450
Phone (201) 447-8417

300 Frank W Burr Blvd
Teaneck, NJ 07666
Phone (201) 692-9434

622 W 168th St
New York, NY 10032
Phone (212) 305-4931

161 Fort Washington Ave
Ste 532
New York, NY 10032
Phone (212) 305-8591

161 Fort Washington Ave
#5
New York, NY 10032
Phone (212) 342-4743

161 Fort Washington Ave
New York, NY 10032
Phone (212) 305-8559

1111 Westchester Ave
White Plains, NY 10604
Phone (914) 229-5000

Networks

  • Healthfirst Medicare Network H3359
  • Healthfirst Medicare Network H9678
  • Healthfirst Medicare Network H1722
  • Healthfirst Medicare Network H5989

Interoperability endpoints

  • FHIR API: https://epicproxy-pub.et1089.epichosted.com/FHIRProxy/api/FHIR/R4/
  • FHIR API: https://epicproxy-pub.et1089.epichosted.com/FHIRProxy/api/FHIR/DSTU2/
  • Direct secure messaging: vip9069@direct.nyp.org

Organizations & group practices 7

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.

Hospital & facility affiliations 10

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

NPI Registry JSON

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

{
    "created_epoch": "1144800000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1738022400000",
    "number": "1265496962",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "161 FORT WASHINGTON AVENUE, SUITE 532",
            "address_2": "HERBERT IRVING PAVILION",
            "city": "NEW YORK",
            "state": "NY",
            "postal_code": "10032",
            "telephone_number": "212-342-3255",
            "fax_number": "212-342-3252"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "161 FORT WASHINGTON AVENUE, SUITE 532",
            "address_2": "HERBERT IRVING PAVILION",
            "city": "NEW YORK",
            "state": "NY",
            "postal_code": "10032",
            "telephone_number": "212-342-3255",
            "fax_number": "212-342-3252"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "300 Frank W Burr Blvd",
            "address_purpose": "LOCATION",
            "city": "Teaneck",
            "state": "NJ",
            "postal_code": "076666704",
            "country_code": "US",
            "telephone_number": "212-342-3255",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "PATEL",
        "first_name": "VIRENDRA",
        "middle_name": "I",
        "credential": "MD MPH",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-04-12",
        "last_updated": "2025-01-28",
        "certification_date": "2025-01-28",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2086S0129X",
            "taxonomy_group": "",
            "desc": "Surgery, Vascular Surgery",
            "state": "NJ",
            "license": "25MA11739700",
            "primary": false
        },
        {
            "code": "2086S0129X",
            "taxonomy_group": "",
            "desc": "Surgery, Vascular Surgery",
            "state": "CT",
            "license": "73713",
            "primary": false
        },
        {
            "code": "2086S0129X",
            "taxonomy_group": "",
            "desc": "Surgery, Vascular Surgery",
            "state": "NY",
            "license": "288615",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in New York, NY

Sources for this page

Verify at the official NPI Registry.