Active NPI
Purshottam N Patel, MD
- Urology Physician
- Sunbury, PA
National Provider Identifier
1285619023
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Urology Physician
- License
- MD037501L
- Practice address
- 1214A Line St
Ste B
Sunbury, PA 17801-1604 - Phone
- (570) 286-0330
- Fax
- (570) 286-5302
- NPI assigned
- Dec 14, 2005
- Last updated
- Jul 13, 2026
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Urology Physician | 208800000X | MD037501L | PA | Primary |
Addresses
Primary practice location
1214A Line St
Ste B
Sunbury, PA 17801-1604
Mailing address
1214A Line St
Ste B
Sunbury, PA 17801-1604
Phone (570) 286-0330
Other identifiers 5
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 01077301 | Other | CAPITAL | |
| 0000991683 | Other | KEYSTME | |
| 46415 | Other | BS | |
| 7991683 | Other | GATEWAY | |
| 0006789640001 | Medicaid | PA |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Evangelical Rad Assoc LTD | Past | Accepting new patients |
Organizations & group practices 2
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.
-
- Urology Physician
- Sunbury, PA
- NPI 1023181153
-
- Diagnostic Radiology Physician
- Lewisburg, PA
- NPI 1790734218
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1134518400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1783900800000",
"number": "1285619023",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1214A LINE ST",
"address_2": "STE B",
"city": "SUNBURY",
"state": "PA",
"postal_code": "178011604",
"telephone_number": "570-286-0330",
"fax_number": "570-286-5302"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1214A LINE ST",
"address_2": "STE B",
"city": "SUNBURY",
"state": "PA",
"postal_code": "178011604",
"telephone_number": "570-286-0330",
"fax_number": "570-286-5302"
}
],
"practiceLocations": [],
"basic": {
"last_name": "PATEL",
"first_name": "PURSHOTTAM",
"middle_name": "N",
"name_prefix": "Dr.",
"credential": "MD",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2005-12-14",
"last_updated": "2026-07-13",
"status": "A"
},
"taxonomies": [
{
"code": "208800000X",
"taxonomy_group": "",
"desc": "Urology",
"state": "PA",
"license": "MD037501L",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "CAPITAL",
"identifier": "01077301",
"state": null
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "KEYSTME",
"identifier": "0000991683",
"state": null
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BS",
"identifier": "46415",
"state": null
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "GATEWAY",
"identifier": "7991683",
"state": null
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "0006789640001",
"state": "PA"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Sunbury, PA
- P N Patel M.D P.C.
- PA Institute of Neurological Disorder PC
- Pagana & Pagana-Defazio Family Practice LLC
- Jessica Barbara Pagana-Defazio, DO
- John Patrick Pagana, M.D.
- Pennsylvania CVS Pharmacy, L.L.C. (CVS Pharmacy #01592)
- Pennsylvania Medical Professionals PC (Sunbury Anesthesia Group)
- Michael A. Phillips, D.C.
- Phoenix Rehabilitation and Health Services, Inc.
- Ashley Lynn Polcovich
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 13, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.