Individual provider Active NPI

Kanaiyalal Patel, M.D.

  • Sleep Medicine (Otolaryngology) Physician
  • Greenbelt, MD
National Provider Identifier
1295737914
Registry record updated Apr 8, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Sleep Medicine (Otolaryngology) PhysicianTaxonomy code 207YS0012X
License
D0021799 Issued in MD
Practice address
7231 Hanover Pkwy
Suite B
Greenbelt, MD 20770-2027
Phone
(301) 441-3122
Fax
(301) 441-3124
NPI assigned
Aug 12, 2005
Last updated
Apr 8, 2020By the provider in NPPES
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Apr 8, 2020

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Otolaryngology Physician 207Y00000X D0021799 MD
Specialist 174400000X D21799 MD
Sleep Medicine (Otolaryngology) Physician 207YS0012X D0021799 MD Primary

Addresses

Primary practice location

7231 Hanover Pkwy
Suite B
Greenbelt, MD 20770-2027

Mailing address

7235 Hanover Pkwy
Suite B
Greenbelt, MD 20770-3601
Phone (301) 441-3122

Other identifiers 1

IdentifierTypeStateIssuer
255251500MedicaidMD

Other names 1

  • Kanu Patel Professional name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in DC, MD2 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
I20110523000775 DC Practitioner - Otolaryngology 7012190630 Reassigns benefits to 1 organization
O20110318000864 MD DME Supplier - Physician - OtolaryngologyDME Supplier - Sleep Laboratory/Medicine 6204019821 1 other NPI on this enrollment
This NPI is an additional NPI on the enrollment
Practice locations: Greenbelt, MD

Other NPIs on the same Medicare enrollment 1

NPIs listed together on one Medicare enrollment, typically parts of the same organization.

Care Compare profile

Medicare Care Compare
Specialty
Otolaryngology
Education
Georgetown University School of Medicine, 1982
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Kanu Patel M.D.,P.a.Group PAC ID 6204019821, 2 clinicians

Practice addresses (Care Compare)

7235 Hanover Pkwy
Suite B
Greenbelt, MD 20770-3601
Phone (301) 441-3122

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
75 of 100Reported as group

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
D0021799MDMDOtolaryngology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Kanu Patel M.D.,P.a. Specialist CurrentSince Jul 1, 1982 Accepting new patients
Freedom Hearing Center LLC Past Accepting new patients
Frederick Health Hospital Inc Past Accepting new patients

Locations

7231 Hanover Pkwy
Ste B
Greenbelt, MD 20770
Phone (301) 441-3122

7235 Hanover Pkwy
Ste B
Greenbelt, MD 20770
Phone (301) 220-2277

Interoperability endpoints

  • FHIR API: https://fhir4.healow.com/fhir/r4/IFCACD/Endpoint/IFCACD
  • Direct secure messaging: kanu.patel@entsleep.eclinicaldirectplus.com

Organizations & group practices 5

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 1

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": "1123804800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1586304000000",
    "number": "1295737914",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7235 HANOVER PKWY",
            "address_2": "SUITE B",
            "city": "GREENBELT",
            "state": "MD",
            "postal_code": "207703601",
            "telephone_number": "301-441-3122",
            "fax_number": "301-441-3124"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7231 HANOVER PKWY",
            "address_2": "SUITE B",
            "city": "GREENBELT",
            "state": "MD",
            "postal_code": "207702027",
            "telephone_number": "301-441-3122",
            "fax_number": "301-441-3124"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PATEL",
        "first_name": "KANAIYALAL",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2005-08-12",
        "last_updated": "2020-04-08",
        "certification_date": "2020-04-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Y00000X",
            "taxonomy_group": "",
            "desc": "Otolaryngology",
            "state": "MD",
            "license": "D0021799",
            "primary": false
        },
        {
            "code": "174400000X",
            "taxonomy_group": "",
            "desc": "Specialist",
            "state": "MD",
            "license": "D21799",
            "primary": false
        },
        {
            "code": "207YS0012X",
            "taxonomy_group": "",
            "desc": "Otolaryngology, Sleep Medicine",
            "state": "MD",
            "license": "D0021799",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "255251500",
            "state": "MD"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "KANU",
            "last_name": "PATEL",
            "credential": "M.D.",
            "code": "2",
            "type": "Professional Name"
        }
    ]
}

Other providers in Greenbelt, MD

Sources for this page

Verify at the official NPI Registry.