Individual provider Active NPI

Kishan A Patel

  • Neurology Physician
  • Forest Hills, NY
National Provider Identifier
1346473071
Registry record updated Oct 1, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
Neurology PhysicianTaxonomy code 2084N0400X
License
271844 Issued in NY
Practice address
11247 Queens Blvd
Suite 206
Forest Hills, NY 11375-7417
Phone
(718) 544-4200
NPI assigned
Aug 28, 2009
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Oct 1, 2013

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Neurology Physician 2084N0400X 271844 NY Primary

Addresses

Primary practice location

11247 Queens Blvd
Suite 206
Forest Hills, NY 11375-7417

Mailing address

11247 Queens Blvd
Suite 206
Forest Hills, NY 11375-7417

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NY, 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
I20131209001242 NY Practitioner - Neurology 6608003157 Reassigns benefits to 3 organizations
I20170524001279 NJ Practitioner - Neurology 6608003157 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Neurology
Education
Other, 2008
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services

Practice addresses (Care Compare)

615 Main Ave
Suite 1
Passaic, NJ 07055-5067
Phone (718) 544-4200

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Greater Ny Neurology PC Neurology CurrentSince Jul 1, 2014 Accepting new patients
SJ All Medical PC CurrentSince Sep 11, 2014 Accepting new patients
Madison Medical Practice P.C. PastSince Jul 1, 2014 Accepting new patients
Shah Anuj MD PC Past Accepting new patients

Locations

225 Broadway
Ste 705
New York, NY 10007
Phone (212) 349-2787

274 Madison Ave
Rm 304
New York, NY 10016
Phone (212) 349-2787

139 N Central Ave
Ste 3
Valley Stream, NY 11580
Phone (516) 887-0020

139 N Central Ave
Ste 2
Valley Stream, NY 11580
Phone (516) 887-8808

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": "1251417600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1380585600000",
    "number": "1346473071",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "11247 QUEENS BLVD",
            "address_2": "SUITE 206",
            "city": "FOREST HILLS",
            "state": "NY",
            "postal_code": "113757417"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "11247 QUEENS BLVD",
            "address_2": "SUITE 206",
            "city": "FOREST HILLS",
            "state": "NY",
            "postal_code": "113757417",
            "telephone_number": "718-544-4200"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PATEL",
        "first_name": "KISHAN",
        "middle_name": "A",
        "name_prefix": "Dr.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2009-08-28",
        "last_updated": "2013-10-01",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2084N0400X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Neurology",
            "state": "NY",
            "license": "271844",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Forest Hills, NY

Sources for this page

Verify at the official NPI Registry.