Samir B Patel, M.D.

Primary specialty

Family Medicine PhysicianTaxonomy code 207Q00000X

License

25MA09103600 Issued in NJ

Practice address

11 Ellerdale Rd
Fallsington, PA 19054-1139

Phone

(267) 249-7703

Fax

(215) 295-4182

NPI assigned

Jan 5, 2010

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Enrolled in NJ, PA2 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

Specialty

Family Practice

Education

Other, 2012

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

On Demand Urgent Care Group PCGroup PAC ID 5991029712, 95 clinicians

Practice addresses (Care Compare)

Merit-based Incentive Payment System (MIPS)

Final score

86.37 of 100Reported as group

Quality

70.23

Promoting interoperability

100

Improvement activities

40

Cost

77.22

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

Practice roles

Locations

Interoperability endpoints

• Direct secure messaging: samir.patel.1@14965.direct.athenahealth.com

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.

• On Demand Urgent Care Group PC

  dba On Demand Urgent Care

  • Urgent Care Clinic/Center
  • Philadelphia, PA
  • NPI 1053729814
  Medicare reassignment Care Compare group NPD
• Pennsylvania Urgent Care Centers, PLLC

  dba AFC Urgent Care

  • Urgent Care Clinic/Center
  • Downingtown, PA
  • NPI 1902128721
  Medicare reassignment NPD
• Jersey Irish Medical

  dba AFC Urgent Care

  • Urgent Care Clinic/Center
  • Bound Brook, NJ
  • NPI 1144575739

  Family Medicine

  Medicare reassignment NPD
• MHP MD PLLC

  dba AFC Urgent Care

  • Urgent Care Clinic/Center
  • Conshohocken, PA
  • NPI 1508538695
  NPD
• On Demand Urgent Care Group PC

  • Urgent Care Clinic/Center
  • Philadelphia, PA
  • NPI 1881083723
  NPD (past)

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1262649600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1574812800000",
    "number": "1396075958",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "11 ELLERDALE RD",
            "city": "FALLSINGTON",
            "state": "PA",
            "postal_code": "190541139",
            "telephone_number": "267-249-7703",
            "fax_number": "215-295-4182"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "11 ELLERDALE RD",
            "city": "FALLSINGTON",
            "state": "PA",
            "postal_code": "190541139",
            "telephone_number": "267-249-7703",
            "fax_number": "215-295-4182"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PATEL",
        "first_name": "SAMIR",
        "middle_name": "B",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2010-01-05",
        "last_updated": "2019-11-27",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "390200000X",
            "taxonomy_group": "",
            "desc": "Student in an Organized Health Care Education/Training Program",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "NJ",
            "license": "25MA09103600",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Michelle D Kisler, MA, E.D.S, LPC, NCC
• Lower Bucks Community Centers, Inc.
• Judith A McCarthy, LMT, CPMT
• Nicholas Mervis
• New Freedom Behavioral Health, LLC (DayBreak Treatment Solutions of Bucks County)
• Pennsbury Area School District
• St. Francis-St Joseph Homes for Children
• Janet Amy Williams, PHARMD

• Family Medicine Physician in Fallsington, PA
• Providers in Fallsington, PA by specialty
• Family Medicine Physician in Pennsylvania

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 27, 2019; 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.

Verify at the official NPI Registry.