Active NPI
Mital Patel, PA
- Medical Physician Assistant
- Avon, CT
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Medical Physician Assistant
- License
- 5921
- Practice address
- 385 W Main St
Avon, CT 06001-4357 - Phone
- (860) 777-1280
- NPI assigned
- Nov 12, 2010
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Physician Assistant | 363A00000X | 5921 | CT | |
| Medical Physician Assistant | 363AM0700X | 5921 | CT | Primary |
Addresses
Primary practice location
385 W Main St
Avon, CT 06001-4357
Mailing address
385 W Main St
Avon, CT 06001-4357
Phone (860) 777-1280
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 323462701 | Medicaid | TX |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in CT
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: No
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Physician Assistant
- Education
- Other, 2010
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
1008 S Main St
Cheshire, CT 06410-3420
Phone (475) 244-6051
1025 Silas Deane Hwy
Wethersfield, CT 06109-4223
Phone (860) 696-2400
1445 New Britain Ave
West Hartford, CT 06110-1659
Phone (860) 317-9787
28 Shunpike Rd
Cromwell, CT 06416-2454
Phone (860) 613-5630
336 N Main St
West Hartford, CT 06117-2675
Phone (860) 200-7701
385 W Main St
Avon, CT 06001-4357
Phone (860) 777-6977
40 Fenn Rd
Newington, CT 06111-2212
Phone (860) 777-1283
54 Hazard Ave
Enfield, CT 06082-3845
Phone (860) 787-5780
752 Washington St
Middletown, CT 06457-2904
Phone (860) 613-5377
775 Queen St
Southington, CT 06489-1531
Phone (860) 777-1281
875 E Main St
Meriden, CT 06450-6006
Phone (475) 343-3483
99 Executive Blvd
Suite 105
Southington, CT 06489-6029
Phone (860) 384-7847
Merit-based Incentive Payment System (MIPS)
- Final score
- 81.78 of 100
- Quality
- 85.61
- Promoting interoperability
- 100
- Improvement activities
- 40
- Cost
- 46.45
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Physician Assistant
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Institute of Reconstructive Plastic Surgery of Central Texas | Past | Accepting new patients | |
| University Plastic Surgery Associates, PC | Past | Accepting new patients |
Interoperability endpoints
- mital.patel@xdr.hhchealthdirect.org
Organizations & group practices 3
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.
-
- Urgent Care Clinic/Center
- Avon, CT
- NPI 1093239683
-
- Plastic and Reconstructive Surgery Physician
- Austin, TX
- NPI 1548401417
-
- Plastic and Reconstructive Surgery Physician
- Indianapolis, IN
- NPI 1447262282
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1289520000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1677110400000",
"number": "1386945996",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "385 W MAIN ST",
"city": "AVON",
"state": "CT",
"postal_code": "060014357",
"telephone_number": "860-777-1280"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "385 W MAIN ST",
"city": "AVON",
"state": "CT",
"postal_code": "060014357",
"telephone_number": "860-777-1280"
}
],
"practiceLocations": [],
"basic": {
"last_name": "PATEL",
"first_name": "MITAL",
"credential": "PA",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2010-11-12",
"last_updated": "2023-02-23",
"certification_date": "2023-02-23",
"status": "A"
},
"taxonomies": [
{
"code": "363A00000X",
"taxonomy_group": "",
"desc": "Physician Assistant",
"state": "CT",
"license": "5921",
"primary": false
},
{
"code": "363AM0700X",
"taxonomy_group": "",
"desc": "Physician Assistant, Medical",
"state": "CT",
"license": "5921",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "323462701",
"state": "TX"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Avon, CT
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 23, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.