Individual provider Active NPI

Gautam P Patel, M.D.

  • Diagnostic Radiology Physician
  • Pittsburgh, PA
National Provider Identifier
1316900533
Registry record updated May 3, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Diagnostic Radiology PhysicianTaxonomy code 2085R0202X
License
MD038914L Issued in PA
Practice address
995 Greentree Rd
Pittsburgh, PA 15220-3242
Phone
(412) 920-1120
Fax
(412) 922-8169
NPI assigned
Apr 10, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 3, 2021

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

Specialties & licenses 6

Specialty (taxonomy)CodeLicenseStatePrimary
Body Imaging Physician 2085B0100X MD038914L PA
Neuroradiology Physician 2085N0700X MD038914L PA
Nuclear Radiology Physician 2085N0904X MD038914L PA
Vascular & Interventional Radiology Physician 2085R0204X MD038914L PA
Diagnostic Ultrasound Physician 2085U0001X MD038914L PA
Diagnostic Radiology Physician 2085R0202X MD038914L PA Primary

Addresses

Primary practice location

995 Greentree Rd
Pittsburgh, PA 15220-3242

Mailing address

995 Greentree Rd
Pittsburgh, PA 15220-3242
Phone (412) 920-1120

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
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20040108000034 PA Practitioner - Diagnostic Radiology 6901705912 Reassigns benefits to 4 organizations
Practice locations: Pittsburgh, PA

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
MD038914LPAMDNeuroradiology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
High Field Imaging, P.C. Diagnostic Radiology CurrentSince Sep 9, 2013 Accepting new patients
Imaging Associates of Greater Pittsburgh Diagnostic Radiology CurrentSince Nov 1, 2010 Accepting new patients
West Hills Open MRI & Imaging Center, Inc Diagnostic Radiology CurrentSince Sep 11, 2010 Accepting new patients
Medical Diagnostic Services, LTD. Diagnostic Radiology CurrentSince Jan 25, 2012 Accepting new patients
Usdl Pittsburgh, Inc. Past Accepting new patients
V S Radiology Associates Past Accepting new patients

Locations

119 Wilson Rd
Bentleyville, PA 15314
Phone (724) 239-4700

410 Cranberry St
Ste 120
Erie, PA 16507
Phone (814) 480-8040

1163 Country Club Rd
#H
Monongahela, PA 15063
Phone (724) 258-1000

890 Beaver Grade Rd
Moon Twp, PA 15108
Phone (412) 269-9995

995 Greentree Rd
Pittsburgh, PA 15220
Phone (412) 920-1700

1895 Jefferson Rd
Rices Landing, PA 15357
Phone (724) 883-2223

Organizations & group practices 6

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.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1144627200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1620000000000",
    "number": "1316900533",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "995 GREENTREE RD",
            "city": "PITTSBURGH",
            "state": "PA",
            "postal_code": "152203242",
            "telephone_number": "412-920-1120",
            "fax_number": "412-922-8169"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "995 GREENTREE RD",
            "city": "PITTSBURGH",
            "state": "PA",
            "postal_code": "152203242",
            "telephone_number": "412-920-1120",
            "fax_number": "412-922-8169"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PATEL",
        "first_name": "GAUTAM",
        "middle_name": "P",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-04-10",
        "last_updated": "2021-05-03",
        "certification_date": "2021-05-03",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2085B0100X",
            "taxonomy_group": "",
            "desc": "Radiology, Body Imaging",
            "state": "PA",
            "license": "MD038914L",
            "primary": false
        },
        {
            "code": "2085N0700X",
            "taxonomy_group": "",
            "desc": "Radiology, Neuroradiology",
            "state": "PA",
            "license": "MD038914L",
            "primary": false
        },
        {
            "code": "2085N0904X",
            "taxonomy_group": "",
            "desc": "Radiology, Nuclear Radiology",
            "state": "PA",
            "license": "MD038914L",
            "primary": false
        },
        {
            "code": "2085R0204X",
            "taxonomy_group": "",
            "desc": "Radiology, Vascular & Interventional Radiology",
            "state": "PA",
            "license": "MD038914L",
            "primary": false
        },
        {
            "code": "2085U0001X",
            "taxonomy_group": "",
            "desc": "Radiology, Diagnostic Ultrasound",
            "state": "PA",
            "license": "MD038914L",
            "primary": false
        },
        {
            "code": "2085R0202X",
            "taxonomy_group": "",
            "desc": "Radiology, Diagnostic Radiology",
            "state": "PA",
            "license": "MD038914L",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Pittsburgh, PA

Sources for this page

Verify at the official NPI Registry.