Individual provider Active NPI

Bhavik P Patel, M.D.

  • Vascular & Interventional Radiology Physician
  • Philadelphia, PA
National Provider Identifier
1316201700
Registry record updated Aug 28, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Vascular & Interventional Radiology PhysicianTaxonomy code 2085R0204X
License
25MA10322500 Issued in NJ
Practice address
111 S 11TH St
Thomas Jefferson University Hospitals
Philadelphia, PA 19107
Phone
(215) 955-6000
NPI assigned
Jun 29, 2012
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 28, 2018

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

Specialties & licenses 6

Specialty (taxonomy)CodeLicenseStatePrimary
Diagnostic Radiology Physician 2085R0202X C1-0012579 DE
Vascular & Interventional Radiology Physician 2085R0204X MD463666 PA
Vascular & Interventional Radiology Physician 2085R0204X C1-0012579 DE
Vascular & Interventional Radiology Physician 2085R0204X 25MA10322500 NJ Primary
Diagnostic Radiology Physician 2085R0202X MD463666 PA
Diagnostic Radiology Physician 2085R0202X 25MA10322500 NJ

Addresses

Primary practice location

111 S 11TH St
Thomas Jefferson University Hospitals
Philadelphia, PA 19107

Mailing address

111 S 11TH St
Philadelphia, PA 19107-4824
Phone (215) 955-6000

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in PA, NJ2 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
I20180627001095 PA Practitioner - Diagnostic RadiologyPractitioner - Interventional Radiology 7719103225 Reassigns benefits to 2 organizations
I20180710001776 NJ Practitioner - Diagnostic RadiologyPractitioner - Interventional Radiology 7719103225 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Diagnostic RadiologyAlso: Interventional Radiology
Education
Rutgers R W Johnson Medical School (Cam/New Bruns/Pisc), 2012
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Kennedy Medical Group Practice, P.C.Group PAC ID 2860616877, 417 clinicians

Practice addresses (Care Compare)

435 Hurffville Cross Keys Rd
Turnersville, NJ 08012-2453
Phone (856) 513-4124

Hospital & facility affiliations

  • Jefferson Stratford Hospital Hospital, Stratford, NJ, CCN 310086
  • Thomas Jefferson University Hospital Hospital, Philadelphia, PA, CCN 390174

Procedures performed for Medicare patients

ProcedureNumber of procedures
Removal of skin lesions1-10

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
MD463666PAMDVascular & Interventional Radiology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Kennedy Medical Group Practice, P.C. CurrentSince Sep 1, 2022 Accepting new patients
Kennedy Medical Group Practice, P.C. CurrentSince Jun 15, 2021 Accepting new patients
HR Physician Services CurrentSince Oct 1, 2019 Accepting new patients
Kennedy Medical Group Practice PC CurrentSince Sep 1, 2022 Accepting new patients
Radiology Affiliates of Central New Jersey PC Diagnostic Radiology CurrentSince Jul 1, 2018 Accepting new patients
HR Physician Services CurrentSince Jan 9, 2020 Accepting new patients

Locations

701 N Clayton St
Wilmington, DE 19805
Phone (302) 421-4100

2201 Chapel Ave W
Cherry Hill, NJ 08002
Phone (856) 488-6500

457 Haddonfield Rd
Ste 110
Cherry Hill, NJ 08002
Phone (856) 406-4091

2501 Kuser Rd
Trenton, NJ 08691
Phone (609) 587-4777

601 Hamilton Ave
Trenton, NJ 08629
Phone (609) 599-5000

1 Hamilton Health Pl
Trenton, NJ 08690
Phone (609) 584-6763

3300 Tillman Dr
Fl 1
Bensalem, PA 19020
Phone (215) 244-2430

150 Brooklyn St
Carbondale, PA 18407
Phone (570) 282-2031

1000 Meade St
Dunmore, PA 18512
Phone (570) 504-2500

23 Bustleton Pike
Feasterville Trevose, PA 19053
Phone (215) 322-5938

821 Huntingdon Pike
Huntingdon Vy, PA 19006
Phone (215) 938-3413

1648 Huntingdon Pike
Meadowbrook, PA 19046
Phone (215) 938-3413

1400 Main St
Peckville, PA 18452
Phone (570) 307-7600

1201 Langhorne Newtown Rd
Penndel, PA 19047
Phone (215) 710-2100

111 S 11th St
Philadelphia, PA 19107
Phone (215) 955-6161

5800 Ridge Ave
Philadelphia, PA 19128
Phone (215) 487-4334

2601 Holme Ave
Philadelphia, PA 19152
Phone (215) 335-6000

1059 2nd Street Pike
Richboro, PA 18954
Phone (215) 322-6320

700 Quincy Ave
Scranton, PA 18510
Phone (570) 340-2100

746 Jefferson Ave
Scranton, PA 18510
Phone (570) 340-5079

45 2nd Street Pike
Ste 100
Southampton, PA 18966
Phone (215) 633-3456

Organizations & group practices 7

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 2

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": "1340928000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1535414400000",
    "number": "1316201700",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "111 S 11TH ST",
            "city": "PHILADELPHIA",
            "state": "PA",
            "postal_code": "191074824",
            "telephone_number": "215-955-6000"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "111 S 11TH ST",
            "address_2": "THOMAS JEFFERSON UNIVERSITY HOSPITALS",
            "city": "PHILADELPHIA",
            "state": "PA",
            "postal_code": "19107",
            "telephone_number": "215-955-6000"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PATEL",
        "first_name": "BHAVIK",
        "middle_name": "P",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2012-06-29",
        "last_updated": "2018-08-28",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2085R0202X",
            "taxonomy_group": "",
            "desc": "Radiology, Diagnostic Radiology",
            "state": "DE",
            "license": "C1-0012579",
            "primary": false
        },
        {
            "code": "2085R0204X",
            "taxonomy_group": "",
            "desc": "Radiology, Vascular & Interventional Radiology",
            "state": "PA",
            "license": "MD463666",
            "primary": false
        },
        {
            "code": "2085R0204X",
            "taxonomy_group": "",
            "desc": "Radiology, Vascular & Interventional Radiology",
            "state": "DE",
            "license": "C1-0012579",
            "primary": false
        },
        {
            "code": "2085R0204X",
            "taxonomy_group": "",
            "desc": "Radiology, Vascular & Interventional Radiology",
            "state": "NJ",
            "license": "25MA10322500",
            "primary": true
        },
        {
            "code": "2085R0202X",
            "taxonomy_group": "",
            "desc": "Radiology, Diagnostic Radiology",
            "state": "PA",
            "license": "MD463666",
            "primary": false
        },
        {
            "code": "2085R0202X",
            "taxonomy_group": "",
            "desc": "Radiology, Diagnostic Radiology",
            "state": "NJ",
            "license": "25MA10322500",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Philadelphia, PA

Sources for this page

Verify at the official NPI Registry.