Individual provider Active NPI

Maulik Mafatlal Patel, M.D.

  • Interventional Cardiology Physician
  • Rockville Centre, NY
National Provider Identifier
1295940278
Registry record updated Feb 24, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Interventional Cardiology PhysicianTaxonomy code 207RI0011X
License
243923 Issued in NY
Practice address
30 Hempstead Ave Ste 144
Rockville Centre, NY 11570-4034
Phone
(516) 654-0022
Fax
(800) 420-6087
NPI assigned
May 11, 2007
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Feb 24, 2026

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Interventional Cardiology Physician 207RI0011X A122682 CA
Interventional Cardiology Physician 207RI0011X 243923 NY Primary
Cardiovascular Disease Physician 207RC0000X 243923 NY

Addresses

Primary practice location

30 Hempstead Ave Ste 144
Rockville Centre, NY 11570-4034

Mailing address

30 Hempstead Ave Ste 144
Rockville Centre, NY 11570-4034
Phone (516) 654-0022

Other practice location 1

2773 Harris St Ste A
Eureka, CA 95503-4866
Phone (707) 442-1182

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NY, CA, SD3 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 3

Enrollment IDStateProvider typePAC IDDetails
I20070815000245 NY Practitioner - Cardiovascular Disease (Cardiology)Practitioner - Internal MedicinePractitioner - Interventional Cardiology 0345332755 Reassigns benefits to 2 organizations
I20251009001668 CA Practitioner - Interventional CardiologyPractitioner - Cardiovascular Disease (Cardiology) 0345332755 Reassigns benefits to 1 organization
I20260302002998 SD Practitioner - Cardiovascular Disease (Cardiology)Practitioner - Interventional Cardiology 0345332755 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Interventional CardiologyAlso: Cardiovascular Disease (Cardiology)
Education
Other, 2001
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Providence Medical FoundationGroup PAC ID 8921993205, 1,461 clinicians
Avera St LukesGroup PAC ID 6406764927, 164 clinicians

Practice addresses (Care Compare)

2773 Harris St
Suite a
Eureka, CA 95503-4866
Phone (707) 267-2070

30 Hempstead Ave
Suite 144
Rockville Centre, NY 11570-4034
Phone (516) 654-0022

305 S State St
Aberdeen, SD 57401-4527
Phone (605) 622-5100

8 E US Hwy 12
Groton, SD 57445-2176
Phone (605) 397-4242

Hospital & facility affiliations

Procedures performed for Medicare patients

ProcedureNumber of procedures
Coronary angioplasty and stenting1-10

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
A122682CAMDInterventional Cardiology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
CHS Physician Partners, PC Internal Medicine CurrentSince May 1, 2016 Accepting new patients
CHS Physician Partners, PC Interventional Cardiology Current Accepting new patients
Avera St. Lukes CurrentSince Dec 19, 2025 Accepting new patients
CHS Physician Partners, P.C Cardiovascular Disease CurrentSince May 1, 2016 Accepting new patients
Heart of New York Medical PC Cardiovascular Disease CurrentSince Jun 20, 2025 Accepting new patients
Providence Medical Foundation Current Accepting new patients
Avera St. Luke'S Internal Medicine CurrentSince Dec 19, 2025 Accepting new patients
Providence Medical Foundation CurrentSince Sep 1, 2025 Accepting new patients
Providence Medical Foundation CurrentSince Sep 1, 2025 Accepting new patients
Providence Medical Foundation Past Accepting new patients

Locations

2773 Harris St
Ste A
Eureka, CA 95503
Phone (707) 442-1182

500 Doyle Park Dr
Ste 100
Santa Rosa, CA 95405
Phone (714) 449-4842

1165 Montgomery Dr
#1112
Santa Rosa, CA 95405
Phone (707) 546-3210

1650 Grand Concourse
Bronx, NY 10457
Phone (718) 294-7104

55 N Main St
Freeport, NY 11520
Phone (516) 352-8300

645 W Broadway
Long Beach, NY 11561
Phone (516) 431-4400

243 Atlantic Ave
Lynbrook, NY 11563
Phone (516) 599-2744

1703 Merrick Ave
North Merrick, NY 11566
Phone (516) 242-5892

50 Maine Ave
Rockville Ctr, NY 11570
Phone (516) 508-3552

30 Hempstead Ave
Ste 144
Rockville Ctr, NY 11570
Phone (516) 490-9060

1000 N Village Ave
Rockville Ctr, NY 11570
Phone (516) 705-1012

100 Port Washington Blvd
Roslyn, NY 11576
Phone (516) 562-6385

Interoperability endpoints

  • Direct secure messaging: heartofnewyorkmedical.maulikpatel@162108.advancedmd-direct.com

Organizations & group practices 10

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 8

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": "1178841600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1771891200000",
    "number": "1295940278",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "30 HEMPSTEAD AVE STE 144",
            "city": "ROCKVILLE CENTRE",
            "state": "NY",
            "postal_code": "115704034",
            "telephone_number": "516-654-0022",
            "fax_number": "800-420-6087"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "30 HEMPSTEAD AVE STE 144",
            "city": "ROCKVILLE CENTRE",
            "state": "NY",
            "postal_code": "115704034",
            "telephone_number": "516-654-0022",
            "fax_number": "800-420-6087"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "2773 Harris St Ste A",
            "address_purpose": "LOCATION",
            "city": "Eureka",
            "state": "CA",
            "postal_code": "955034866",
            "country_code": "US",
            "telephone_number": "707-442-1182",
            "fax_number": "707-442-1635",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "PATEL",
        "first_name": "MAULIK",
        "middle_name": "MAFATLAL",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2007-05-11",
        "last_updated": "2026-02-24",
        "certification_date": "2026-02-24",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207RI0011X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Interventional Cardiology",
            "state": "CA",
            "license": "A122682",
            "primary": false
        },
        {
            "code": "207RI0011X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Interventional Cardiology",
            "state": "NY",
            "license": "243923",
            "primary": true
        },
        {
            "code": "207RC0000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Cardiovascular Disease",
            "state": "NY",
            "license": "243923",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Rockville Centre, NY

Sources for this page

Verify at the official NPI Registry.