Active NPI
Sumit Patel
- Physical Medicine & Rehabilitation Physician
- Ridley Park, PA
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Medicine & Rehabilitation Physician
- License
- MD449114
- Practice address
- 175 E Chester Pike
Ridley Park, PA 19078-2284 - Phone
- (201) 982-5546
- NPI assigned
- Jun 29, 2008
- Last updated
- Jun 10, 2022
- 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 |
|---|---|---|---|---|
| Physical Medicine & Rehabilitation Physician | 208100000X | MD449114 | PA | Primary |
Addresses
Primary practice location
175 E Chester Pike
Ridley Park, PA 19078-2284
Mailing address
1817 E York St
Suite 304
Philadelphia, PA 19125
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in PA
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
Enrollment records 1
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| MD449114 | PA | MD | Physical Medicine & Rehabilitation Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Wellspan Medical Group | Current | Accepting new patients | |
| St. Luke's Physician Group, Inc. | Current | Accepting new patients | |
| Gslpg, Inc | Current | Accepting new patients | |
| Skp1980 PLLC | Physical Medicine & Rehabilitation | Current | Accepting new patients |
| Wellspan Medical Group | Current | Accepting new patients | |
| Wellspan Medical Group | Current | Accepting new patients | |
| St. Luke's Physician Group, Inc. | Current | Accepting new patients | |
| St Luke's Physician Group Inc | Current | Accepting new patients |
Locations
169 Martin Ave
Ephrata, PA 17522
Phone (717) 733-0311
801 Ostrum St
Fountain Hill, PA 18015
Phone (610) 954-2200
30 N 4th St
Lebanon, PA 17046
Phone (717) 270-1949
100 Paramount Blvd
Orwigsburg, PA 17961
Phone (272) 639-1000
175 E Chester Pike
Ridley Park, PA 19078
Phone (610) 595-6000
1600 S George St
York, PA 17403
Phone (717) 848-3615
25 Monument Rd
Ste 270
York, PA 17403
Phone (717) 741-8250
Interoperability endpoints
- spatel233816@wellspan.direct-ci.com
Organizations & group practices 8
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.
-
- Physical Medicine & Rehabilitation Physician
- Ridley Park, PA
- NPI 1548990757
-
- Specialist
- Orwigsburg, PA
- NPI 1366006702
-
dba South Mountain Family Practice
- Family Medicine Physician
- Bethlehem, PA
- NPI 1700984622
-
dba WellSpan Digestive Health
- Gastroenterology Physician
- York, PA
- NPI 1669770004
-
dba St. Luke's Primary Care Orwigsburg
- Family Medicine Physician
- Orwigsburg, PA
- NPI 1710845144
-
dba St. Luke's Pediatric Endocrinology
- Pediatric Endocrinology Physician
- Center Valley, PA
- NPI 1194306647
-
dba WellSpan Pediatric Surgical Specialist
- Pediatric Surgery Physician
- York, PA
- NPI 1104799428
-
dba Wellspan Family Medicine - East Berlin
- Family Medicine Physician
- East Berlin, PA
- NPI 1649348525
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1214697600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1654819200000",
"number": "1285896498",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1817 E YORK ST",
"address_2": "SUITE 304",
"city": "PHILADELPHIA",
"state": "PA",
"postal_code": "19125"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "175 E CHESTER PIKE",
"city": "RIDLEY PARK",
"state": "PA",
"postal_code": "190782284",
"telephone_number": "201-982-5546"
}
],
"practiceLocations": [],
"basic": {
"last_name": "PATEL",
"first_name": "SUMIT",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2008-06-29",
"last_updated": "2022-06-10",
"certification_date": "2022-06-06",
"status": "A"
},
"taxonomies": [
{
"code": "208100000X",
"taxonomy_group": "",
"desc": "Physical Medicine & Rehabilitation",
"state": "PA",
"license": "MD449114",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Ridley Park, PA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 10, 2022; 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.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.