Individual provider Active NPI

Devendra Anantrai Patel, MD

  • Gynecology Physician
  • New York, NY
National Provider Identifier
1366458481
Registry record updated Mar 28, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Gynecology PhysicianTaxonomy code 207VG0400X
License
215080 Issued in NY
Practice address
10 Union SQ E Ste 2B
New York, NY 10003-3314
Phone
(212) 844-8590
Fax
(212) 844-8501
NPI assigned
Jul 31, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 28, 2019

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Obstetrics & Gynecology Physician 207V00000X 215080 NY
Gynecology Physician 207VG0400X 215080 NY Primary

Addresses

Primary practice location

10 Union SQ E Ste 2B
New York, NY 10003-3314

Mailing address

PO Box 28082
New York, NY 10087-8082
Phone (212) 987-3100

Other practice location 1

1090 Amsterdam Ave Ste 10B
New York, NY 10025-1737
Phone (212) 523-5179

Other identifiers 2

IdentifierTypeStateIssuer
02006788MedicaidNY
215080OtherNYMEDICAL LICENSE

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NY
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
I20070601000321 NY Practitioner - Obstetrics/Gynecology 4385742105 Reassigns benefits to 3 organizations

Care Compare profile

Medicare Care Compare
Specialty
Obstetrics/Gynecology
Education
Other, 1984
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Icahn School of Medicine at Mount SinaiGroup PAC ID 2264691070, shared by 32 NPIs, 2,809 clinicians

Practice addresses (Care Compare)

10 Union SQ E
New York, NY 10003-3314
Phone (212) 844-8590

1000 10TH Ave
New York, NY 10019-1147
Phone (212) 523-4000

104 E 35TH St
Suite 106
New York, NY 10016-3818
Phone (212) 844-1212

325 W 15TH St
New York, NY 10011-5903
Phone (212) 844-5729

Hospital & facility affiliations

  • Mount Sinai Beth Israel Hospital, New York, NY, CCN 330169
  • Mount Sinai West Hospital, New York, NY, CCN 330046

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
215080NYMDGynecology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
William F Ryan Community Health Center Inc CurrentSince Jul 14, 2018 Accepting new patients
William F Ryan Community Health Center Inc CurrentSince Jul 14, 2018 Accepting new patients
Icahn School of Medicine at Mount Sinai Obstetrics & Gynecology CurrentSince Sep 1, 2014 Accepting new patients
Icahn School of Medicine at Mount Sinai CurrentSince Sep 1, 2014 Accepting new patients
Icahn School of Medicine at Mount Sinai Obstetrics & Gynecology CurrentSince Feb 26, 2019 Accepting new patients
Downtown Bronx Medical Associates PC Past Accepting new patients
Bimc OB-GYN Associates Obstetrics & Gynecology Past Accepting new patients
Icahn School of Medicine at Mount Sinai Past Accepting new patients
Lincon Medical and Mental Center Past Accepting new patients

Locations

329 Hewes St
Brooklyn, NY 11211
Phone (718) 384-3475

10 Union Sq E
New York, NY 10003
Phone (212) 253-6800

1000 10th Ave
New York, NY 10019
Phone (212) 523-2369

150 E 42nd St
Fl 10
New York, NY 10017
Phone (646) 605-8119

1090 Amsterdam Ave
Ste 10B
New York, NY 10025
Phone (212) 523-5179

10 Union Sq E
Ste 2B
New York, NY 10003
Phone (212) 420-2577

110 W 97th St
New York, NY 10025
Phone (212) 316-7906

Networks

  • Healthfirst Medicare Network H3359
  • Healthfirst Medicare Network H1722
  • Healthfirst Medicare Network H9678
  • Healthfirst Medicare Network H5989

Organizations & group practices 9

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 5

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": "1154304000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1553731200000",
    "number": "1366458481",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 28082",
            "city": "NEW YORK",
            "state": "NY",
            "postal_code": "100878082",
            "telephone_number": "212-987-3100",
            "fax_number": "212-987-1799"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "10 UNION SQ E STE 2B",
            "city": "NEW YORK",
            "state": "NY",
            "postal_code": "100033314",
            "telephone_number": "212-844-8590",
            "fax_number": "212-844-8501"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1090 Amsterdam Ave Ste 10B",
            "address_purpose": "LOCATION",
            "city": "New York",
            "state": "NY",
            "postal_code": "100251737",
            "country_code": "US",
            "telephone_number": "212-523-5179",
            "fax_number": "212-523-3476",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "PATEL",
        "first_name": "DEVENDRA",
        "middle_name": "ANANTRAI",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-07-31",
        "last_updated": "2019-03-28",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207V00000X",
            "taxonomy_group": "",
            "desc": "Obstetrics & Gynecology",
            "state": "NY",
            "license": "215080",
            "primary": false
        },
        {
            "code": "207VG0400X",
            "taxonomy_group": "",
            "desc": "Obstetrics & Gynecology, Gynecology",
            "state": "NY",
            "license": "215080",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "02006788",
            "state": "NY"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICAL LICENSE",
            "identifier": "215080",
            "state": "NY"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in New York, NY

Sources for this page

Verify at the official NPI Registry.