Nishith G Patel, OD

Primary specialty

OptometristTaxonomy code 152W00000X

License

TA2261 Issued in MD

Practice address

2626 Brandermill Blvd
Gambrills, MD 21054-1651

Phone

(410) 451-9499

NPI assigned

Aug 8, 2011

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Enrolled in MD, DC2 enrollments

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: Yes
• Power mobility devices: No
• Hospice: Yes

Green means eligible to order or refer.

Enrollment records 2

Specialty

Optometry

Education

New England College of Optometry, 2011

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

NV OptometryGroup PAC ID 1850626276, 4 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

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.

• NV Optometry

  • Optometrist
  • Gambrills, MD
  • NPI 1972080869

  DC, MD

  Medicare reassignment Care Compare group Authorized official
• Eyes on Main L.L.C.

  • Eyewear Supplier
  • Annapolis, MD
  • NPI 1841426137
  NPD (past)
• Myeyedr Optometry of Maryland, LLC

  • Optometrist
  • Bowie, MD
  • NPI 1467969667
  NPD (past)

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

{
    "created_epoch": "1312761600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1312761600000",
    "number": "1326327487",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2626 BRANDERMILL BLVD",
            "city": "GAMBRILLS",
            "state": "MD",
            "postal_code": "210541651"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2626 BRANDERMILL BLVD",
            "city": "GAMBRILLS",
            "state": "MD",
            "postal_code": "210541651",
            "telephone_number": "410-451-9499"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PATEL",
        "first_name": "NISHITH",
        "middle_name": "G",
        "credential": "OD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2011-08-08",
        "last_updated": "2011-08-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "MD",
            "license": "TA2261",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MD BOARD OF OPTOMETRY",
            "identifier": "TA2261",
            "state": "MD"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Adeyosola Oludara Oyewale
• Varsha Padmanabhan, D.D.S
• Panoptic Eye Care, LLC
• Karen Parker Davidson, RN
• Kinjal Patel, OT
• Susan Kathleen Todd Peeler, MD
• Joy Peterson, FNP-C
• Erin Pfenninger
• Poorna Phaltankar, DMD
• PM Pediatrics of Maryland LLC

• All providers in Gambrills, MD
• Optometrist in Maryland

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 8, 2011; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.