Individual provider Active NPI

Surendra Motibhai Patel, M.D.

  • Internal Medicine Physician
  • Fresno, CA
National Provider Identifier
1346203973
Registry record updated Oct 30, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
License
A50956 Issued in CA
Practice address
5680 N Fresno St
Suite 101
Fresno, CA 93710-8331
Phone
(559) 440-1110
Fax
(559) 440-1114
NPI assigned
Apr 6, 2006
Last updated
Oct 30, 2021By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 30, 2021

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine Physician 207R00000X A50956 CA Primary

Addresses

Primary practice location

5680 N Fresno St
Suite 101
Fresno, CA 93710-8331

Mailing address

5680 N Fresno St
Suite 101
Fresno, CA 93710-8331
Phone (559) 440-1110

Other names 1

  • Surendra Motibhai Patel Other name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CA
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
I20040804001528 CA Practitioner - Internal MedicinePractitioner - Emergency Medicine 9931170750 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Internal Medicine
Education
Texas Tech University Health Science Center School of Medicine, 1991
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services

Practice addresses (Care Compare)

Fresno, CA 93730
Phone (559) 440-1110

Hospital & facility affiliations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
50956CAMDMental Health Counselor

Practice roles

OrganizationSpecialtyStatusNew patients
Saint Agnes Medical Center CurrentSince Feb 18, 2010 Accepting new patients
Trinity Home Health Services CurrentSince Feb 18, 2010 Accepting new patients
Surendra Patel MD, Inc CurrentSince Jan 1, 2016 Accepting new patients
Surendra Patel MD, LLC PastSince Jan 23, 2011 Accepting new patients

Locations

1303 E Herndon Ave
Fresno, CA 93720
Phone (559) 449-3000

5680 N Fresno St
Ste 101
Fresno, CA 93710
Phone (559) 375-1325

Organizations & group practices 4

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

Hospital & facility affiliations 3

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": "1144281600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1635552000000",
    "number": "1346203973",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5680 N FRESNO ST",
            "address_2": "SUITE 101",
            "city": "FRESNO",
            "state": "CA",
            "postal_code": "937108331",
            "telephone_number": "559-440-1110",
            "fax_number": "559-440-1114"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5680 N FRESNO ST",
            "address_2": "SUITE 101",
            "city": "FRESNO",
            "state": "CA",
            "postal_code": "937108331",
            "telephone_number": "559-440-1110",
            "fax_number": "559-440-1114"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PATEL",
        "first_name": "SURENDRA",
        "middle_name": "MOTIBHAI",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-04-06",
        "last_updated": "2021-10-30",
        "certification_date": "2021-10-30",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "CA",
            "license": "A50956",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "SURENDRA",
            "last_name": "PATEL",
            "middle_name": "MOTIBHAI",
            "credential": "M.D.",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

Other providers in Fresno, CA

Sources for this page

Verify at the official NPI Registry.