Active NPI
Depen Patel, D.O.
- Family Medicine Physician
- Tacoma, WA
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Medicine Physician
- License
- 5101023451
- Practice address
- 1202 Martin Luther King Jr Way
Tacoma, WA 98405-3926 - Phone
- (253) 441-4742
- NPI assigned
- May 3, 2014
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Student in an Organized Health Care Education/Training Program | 390200000X | WA | ||
| Family Medicine Physician | 207Q00000X | 5101023451 | MI | Primary |
Addresses
Primary practice location
1202 Martin Luther King Jr Way
Tacoma, WA 98405-3926
Mailing address
1202 Martin Luther King Jr Way
Tacoma, WA 98405-3926
Phone (253) 441-4742
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in IL, CA
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
Enrollment records 2
Care Compare profile
Medicare Care CompareMerit-based Incentive Payment System (MIPS)
- Final score
- 75 of 100
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Osteopathy
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 6469 | OK | MD | Dentist |
| 18121 | CA | MD | Mechanotherapist |
| 5101023451 | MI | MD | Family Medicine Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| RPM Care Coordination, PC | Family Medicine | Current | Accepting new patients |
| Cloud Health Medical Group, P.a. | Past | Accepting new patients | |
| Cloud Health Medical Group of California, P.C. | Family Medicine | Past | Accepting new patients |
Locations
507 S Douglas St
Fl 3
El Segundo, CA 90245
1100 Glendon Ave
Ste 1555
Los Angeles, CA 90024
Phone (669) 342-9449
1500 N Halsted St
Fl 2
Chicago, IL 60642
Phone (312) 762-5335
159 N Sangamon St
Ste 200
Chicago, IL 60607
Phone (312) 549-8076
Organizations & group practices 3
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.
-
- Geriatric Medicine (Internal Medicine) Physician
- Danbury, CT
- NPI 1043882392
CA, Family Medicine, IL
-
- Internal Medicine Physician
- San Francisco, CA
- NPI 1194404327
Family Medicine
-
- Internal Medicine Physician
- White Plains, NY
- NPI 1528744935
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1399075200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1516147200000",
"number": "1336559079",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1202 MARTIN LUTHER KING JR WAY",
"city": "TACOMA",
"state": "WA",
"postal_code": "984053926",
"telephone_number": "253-441-4742"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1202 MARTIN LUTHER KING JR WAY",
"city": "TACOMA",
"state": "WA",
"postal_code": "984053926",
"telephone_number": "253-441-4742"
}
],
"practiceLocations": [],
"basic": {
"last_name": "PATEL",
"first_name": "DEPEN",
"credential": "D.O.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2014-05-03",
"last_updated": "2018-01-17",
"status": "A"
},
"taxonomies": [
{
"code": "390200000X",
"taxonomy_group": "",
"desc": "Student in an Organized Health Care Education/Training Program",
"state": "WA",
"license": null,
"primary": false
},
{
"code": "207Q00000X",
"taxonomy_group": "",
"desc": "Family Medicine",
"state": "MI",
"license": "5101023451",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Tacoma, WA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 17, 2018; 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.