Individual provider Active NPI

Chirag K Patel, O.D

  • Optometrist
  • Needham, MA
National Provider Identifier
1376831990
Registry record updated Aug 19, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
License
5011 Issued in MA
Practice address
464 Hillside Ave
Suite #205
Needham, MA 02494-1227
Phone
(781) 726-7337
Fax
(781) 726-7310
NPI assigned
Jul 17, 2011
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Aug 19, 2014

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Optometrist 152W00000X 7826TG TX
Optometrist 152W00000X 5011 MA Primary

Addresses

Primary practice location

464 Hillside Ave
Suite #205
Needham, MA 02494-1227

Mailing address

464 Hillside Ave
Suite #205
Needham, MA 02494-1227
Phone (781) 726-7337

Other identifiers 1

IdentifierTypeStateIssuer
112409104MedicaidTX

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MA
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: No
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20140524000030 MA Practitioner - Optometry 1759539604 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Optometry
Education
Other, 2011
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
The Boston Foundation for Sight IncGroup PAC ID 7012977424, 6 clinicians

Practice addresses (Care Compare)

464 Hillside Ave
Suite 205
Needham, MA 02494-1228
Phone 7817267337139

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
7826TGTXMDOptometrist

Practice roles

OrganizationSpecialtyStatusNew patients
The Boston Foundation for Sight, Inc. CurrentSince Feb 3, 2014 Accepting new patients
Boston Eye Associates, P.C. Past Accepting new patients

Locations

464 Hillside Ave
Ste 205
Needham Heights, MA 02494
Phone (781) 726-7337

Interoperability endpoints

  • Direct secure messaging: cpatel@bostonsight.direct.eyemdemr.com

Organizations & group practices 2

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": "1310860800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1408406400000",
    "number": "1376831990",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "464 HILLSIDE AVE",
            "address_2": "SUITE #205",
            "city": "NEEDHAM",
            "state": "MA",
            "postal_code": "024941227",
            "telephone_number": "781-726-7337",
            "fax_number": "781-726-7310"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "464 HILLSIDE AVE",
            "address_2": "SUITE #205",
            "city": "NEEDHAM",
            "state": "MA",
            "postal_code": "024941227",
            "telephone_number": "781-726-7337",
            "fax_number": "781-726-7310"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PATEL",
        "first_name": "CHIRAG",
        "middle_name": "K",
        "name_prefix": "Dr.",
        "credential": "O.D",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2011-07-17",
        "last_updated": "2014-08-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "TX",
            "license": "7826TG",
            "primary": false
        },
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "MA",
            "license": "5011",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "112409104",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Needham, MA

Sources for this page

Verify at the official NPI Registry.