NPIMap

Individual provider Active NPI

Amol Minesh Patel, D.O.

  • Nephrology Physician
  • Seattle, WA
National Provider Identifier
1346776770
Registry record updated Jan 31, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Nephrology PhysicianTaxonomy code 207RN0300X
License
OP61054499 Issued in WA
Practice address
1959 NE Pacific St
Seattle, WA 98195-2717
Phone
(206) 543-2346
NPI assigned
May 4, 2017
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 31, 2023

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Nephrology Physician 207RN0300X U0823 TX
Student in an Organized Health Care Education/Training Program 390200000X
Nephrology Physician 207RN0300X OP61054499 WA Primary

Addresses

Primary practice location

1959 NE Pacific St
Seattle, WA 98195-2717

Mailing address

1959 NE Pacific Street Box 356521
Seattle, WA 98195-0001
Phone (206) 543-2346

Other practice location 1

6550 Fannin St
SM 1001
Houston, TX 77030-2717
Phone (713) 441-5115

Other practice location 2

200 S Rivershire Dr Ste 300
Conroe, TX 77304-3485
Phone (832) 610-2822

Other identifiers 1

IdentifierTypeStateIssuer
U0823OtherTXTEXAS MEDICAL BOARD

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in TX
Eligible to order & refer
  • Part B services
  • Medical equipment
  • Home health
  • Power mobility devices
  • Hospice
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20231106001032 TX Practitioner - Nephrology 2668803628 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nephrology
Education
Other, 2017
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Healing Kidneys Institute of Houston PLLCGroup PAC ID 1254643232, 4 clinicians

Practice addresses (Care Compare)

150 Pine Forest Dr
Suite 101
Shenandoah, TX 77384-5302
Phone (832) 610-2822

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
75 of 100Reported as individual

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Healing Kidneys Institute of Houston PLLC Nephrology CurrentSince Sep 1, 2023 Accepting new patients

Locations

200 S Rivershire Dr
Ste 300
Conroe, TX 77304
Phone (832) 610-2822

17320 Red Oak Dr
Houston, TX 77090
Phone (832) 610-2822

150 Pine Forest Dr
Ste 101
Shenandoah, TX 77384
Phone (832) 610-2822

Interoperability endpoints

  • Direct secure messaging: apatel35142@direct.davitaphysiciansolutions.com
  • Direct secure messaging: apatel1016067@direct.ehre.uwmedicine.org

Organizations & group practices 1

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.

Hospital & facility affiliations 11

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": "1493856000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1675123200000",
    "number": "1346776770",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1959 NE PACIFIC STREET BOX 356521",
            "city": "SEATTLE",
            "state": "WA",
            "postal_code": "981950001",
            "telephone_number": "206-543-2346"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1959 NE PACIFIC ST",
            "city": "SEATTLE",
            "state": "WA",
            "postal_code": "981952717",
            "telephone_number": "206-543-2346"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "6550 Fannin St",
            "address_2": "SM 1001",
            "address_purpose": "LOCATION",
            "city": "Houston",
            "state": "TX",
            "postal_code": "770302717",
            "country_code": "US",
            "telephone_number": "713-441-5115",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "200 S Rivershire Dr Ste 300",
            "address_purpose": "LOCATION",
            "city": "Conroe",
            "state": "TX",
            "postal_code": "773043485",
            "country_code": "US",
            "telephone_number": "832-610-2822",
            "fax_number": "936-777-8831",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "PATEL",
        "first_name": "AMOL",
        "middle_name": "MINESH",
        "name_prefix": "Dr.",
        "credential": "D.O.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2017-05-04",
        "last_updated": "2023-01-31",
        "certification_date": "2023-01-31",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207RN0300X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Nephrology",
            "state": "TX",
            "license": "U0823",
            "primary": false
        },
        {
            "code": "390200000X",
            "taxonomy_group": "",
            "desc": "Student in an Organized Health Care Education/Training Program",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "207RN0300X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Nephrology",
            "state": "WA",
            "license": "OP61054499",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "TEXAS MEDICAL BOARD",
            "identifier": "U0823",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Seattle, WA

Sources for this page

Verify at the official NPI Registry.