Individual provider Active NPI

Urvi Patel, MD

  • Dermatology Physician
  • Saint Louis, MO
National Provider Identifier
1285928697
Registry record updated Jun 16, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Dermatology PhysicianTaxonomy code 207N00000X
License
2015014037 Issued in MO
Practice address
522 N New Ballas Rd Ste 316
Ste 316
Saint Louis, MO 63141-6840
Phone
(314) 567-5873
Fax
(314) 454-4323
NPI assigned
Jun 2, 2011
Sex
Female
Sole proprietor
No

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 and National Provider Directory roles.

Hospital & facility affiliations 3

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

Care Compare profile

Medicare Care Compare
Specialty
Dermatology
Education
University of Tennessee, HSC, College of Medicine, 2011
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Meramec Dermatology LLC 12 clinicians

Practice addresses (Care Compare)

1204 E State Hwy 72
Rolla, MO 65401-3938
Phone (573) 878-5700

3783 Vogel Rd
Arnold, MO 63010-6202
Phone (636) 751-0995

Hospital & facility affiliations

  • Phelps County Regional Medical Center Hospital, Rolla, MO, CCN 260017

Merit-based Incentive Payment System (MIPS)

Final score
94.88 of 100Reported as group
Quality
89.76
Improvement activities
40

Procedures performed for Medicare patients

ProcedureNumber of procedures
Melanoma (skin cancer) excision14
Removal of skin lesions717
Removal of nail tissue1-10
Removal or shaving of skin growth25
Skin biopsy377

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MO
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

Enrollment IDStateProvider typePAC IDDetails
I20150901002234 MO Practitioner - Dermatology 7315176575 Reassigns benefits to 2 organizations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
2015014037MOMDDermatology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Meramec Dermatology LLC Dermatology CurrentSince Sep 1, 2021 Accepting new patients

Locations

3783 Vogel Rd
Arnold, MO 63010
Phone (636) 751-0995

1204 E State Route 72
Rolla, MO 65401
Phone (573) 364-1934

3555 Sunset Office Dr
Ste C102
Saint Louis, MO 63127
Phone (314) 858-1858

4800 Mexico Rd
Ste 104
Saint Peters, MO 63376
Phone (636) 916-4625

Specialties & licenses 1

NPPES NPI Registry
Specialty (taxonomy)CodeLicenseStatePrimary
Dermatology Physician 207N00000X 2015014037 MO Primary

Addresses

NPPES NPI Registry

Primary practice location

522 N New Ballas Rd Ste 316
Ste 316
Saint Louis, MO 63141-6840

Mailing address

660 S Euclid Ave
C B 8123
Saint Louis, MO 63110-1010
Phone (314) 567-5873

Other identifiers 1

NPPES NPI Registry
IdentifierTypeStateIssuer
ENROLLEDMedicaidIL

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format, last updated by the provider on Jun 16, 2021.

{
    "created_epoch": "1306972800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1623801600000",
    "number": "1285928697",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "660 S EUCLID AVE",
            "address_2": "C B 8123",
            "city": "SAINT LOUIS",
            "state": "MO",
            "postal_code": "631101010",
            "telephone_number": "314-567-5873",
            "fax_number": "636-275-8892"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "522 N NEW BALLAS RD STE 316",
            "address_2": "STE 316",
            "city": "SAINT LOUIS",
            "state": "MO",
            "postal_code": "631416840",
            "telephone_number": "314-567-5873",
            "fax_number": "314-454-4323"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PATEL",
        "first_name": "URVI",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2011-06-02",
        "last_updated": "2021-06-16",
        "certification_date": "2021-06-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207N00000X",
            "taxonomy_group": "",
            "desc": "Dermatology",
            "state": "MO",
            "license": "2015014037",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "ENROLLED",
            "state": "IL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Saint Louis, MO

Sources for this page

Verify at the official NPI Registry.