Mitul R Patel, M.D.

Primary specialty

General Practice PhysicianTaxonomy code 208D00000X

License

203391 Issued in NY

Practice address

250 Patchogue Yaphank Rd
Suites # 7
East Patchogue, NY 11772-4800

Phone

(631) 289-0900

Fax

(631) 569-4909

NPI assigned

Nov 8, 2005

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Other identifiers 8

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

Green means eligible to order or refer.

Enrollment records 1

Specialty

Family PracticeAlso: Internal Medicine

Education

Other, 1987

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Telehealth

Offers telehealth services

Practice addresses (Care Compare)

Hospital & facility affiliations

• Centerwell Home Health Home health agency, Hauppauge, NY, CCN 337232
• Tender Loving Care, an Amedisys Company Home health agency, Medford, NY, CCN 337260
• Wellbound Home health agency, Brooklyn, NY, CCN 337450
• Brookhaven Health Care Facility, LLC Nursing home, East Patchogue, NY, CCN 335694

Procedures performed for Medicare patients

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

Practice roles

Locations

Networks

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

Interoperability endpoints

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

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.

• Mitul R. Patel M.D. P.C.

  • General Practice Physician
  • East Patchogue, NY
  • NPI 1245521673
  Medicare reassignment NPD Authorized official
• Brookhaven Health Care Facility LLC

  • Skilled Nursing Facility
  • East Patchogue, NY
  • NPI 1386631547
  NPD (past)

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

• QC-Medi New York, Inc.

  dba CenterWell Home Health

  • Home Health Agency
  • Hauppauge, NY
  • NPI 1376575977
  Care Compare affiliation Name & address match
• Brookhaven Health Care Facility LLC

  • Skilled Nursing Facility
  • East Patchogue, NY
  • NPI 1386631547

  Nursing home

  Care Compare affiliation
• Tender Loving Care Health Care Services of Nassau Suffolk, LLC

  dba Tender Loving Care, an Amedisys Company

  • Home Health Agency
  • Medford, NY
  • NPI 1699715961
  Care Compare affiliation
• Wellbound LLC

  dba Wellbound

  • Home Health Agency
  • Brooklyn, NY
  • NPI 1518305572
  Care Compare affiliation

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

{
    "created_epoch": "1131408000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1416009600000",
    "number": "1285615120",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "250 PATCHOGUE YAPHANK RD",
            "address_2": "SUITES # 7",
            "city": "EAST PATCHOGUE",
            "state": "NY",
            "postal_code": "117724800",
            "telephone_number": "631-289-0900",
            "fax_number": "631-569-4909"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "250 PATCHOGUE YAPHANK RD",
            "address_2": "SUITES # 7",
            "city": "EAST PATCHOGUE",
            "state": "NY",
            "postal_code": "117724800",
            "telephone_number": "631-289-0900",
            "fax_number": "631-569-4909"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PATEL",
        "first_name": "MITUL",
        "middle_name": "R",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2005-11-08",
        "last_updated": "2014-11-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208D00000X",
            "taxonomy_group": "",
            "desc": "General Practice",
            "state": "NY",
            "license": "203391",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "VYTRA HEALTH ID NO.",
            "identifier": "67712",
            "state": "NY"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "EMPIRE BLUE CROSS ID",
            "identifier": "004AF3",
            "state": "NY"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "AETNA PROVIDER NUMBER",
            "identifier": "2046588",
            "state": "NY"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "OXFORD HEALTH ID NO.",
            "identifier": "P452012",
            "state": "NY"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "RR MEDICARE ID NO.",
            "identifier": "P00214307",
            "state": "NY"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "01849976",
            "state": "NY"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "018499760",
            "state": "NY"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "HIP HEALTH PLAN ID NO.",
            "identifier": "100693",
            "state": "NY"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Patchogue Cardiology Associates PC (Long Island Cardiology Associates)
• Patchogue Family Dental, PC
• Patchogue Orthodontics, PC
• Patchogue Pediatrics PC
• Bhavik Patel
• Nalinikant K. Patel, M.D.
• Preeya Patel
• Brooke Patterson, PT, DPT
• Joseph Michael Patti, RPA-C
• Loretta Marie Peck, P.T.

• General Practice Physician in East Patchogue, NY
• Providers in East Patchogue, NY by specialty
• General Practice Physician in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 15, 2014; 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.