Individual provider Active NPI

Harish Patel, M.D.

  • Pulmonary Disease Physician
  • Brooklyn, NY
National Provider Identifier
1396784534
Registry record updated Jun 9, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pulmonary Disease PhysicianTaxonomy code 207RP1001X
License
178546 Issued in NY
Practice address
220A Nichols Ave
Brooklyn, NY 11208-1814
Phone
(718) 417-4740
NPI assigned
Jun 5, 2006
Last updated
Jun 9, 2016By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 9, 2016

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Pulmonary Disease Physician 207RP1001X 178546 NY Primary

Addresses

Primary practice location

220A Nichols Ave
Brooklyn, NY 11208-1814

Mailing address

220A Nichols Ave
Brooklyn, NY 11208-1814
Phone (718) 417-4740

Other identifiers 1

IdentifierTypeStateIssuer
01484862MedicaidNY

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
I20060630000251 NY Practitioner - Pulmonary DiseasePractitioner - Internal Medicine 6800808437 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Pulmonary DiseaseAlso: Internal Medicine
Education
Other, 1980
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Interfaith Professional Physician Services PCGroup PAC ID 9931378171, 383 clinicians

Practice addresses (Care Compare)

1545 Atlantic Ave
Brooklyn, NY 11213-1122
Phone (718) 613-4000

Hospital & facility affiliations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
178546NYMDPulmonary Disease Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Kingsbrook Medical Associates, PC CurrentSince Jan 1, 2021 Accepting new patients
Interfaith Professional Physician Services, P.C. Pulmonary Disease CurrentSince Oct 1, 2021 Accepting new patients
Wyckoff Heights Medical Center Current Accepting new patients
Kingsbrook Medical Associates PC CurrentSince Jan 1, 2021 Accepting new patients
Imtiyaz I Kapadwala DPM PC Past Accepting new patients
Wyckoff Medical Services, P C Past Accepting new patients

Locations

1110 Eastern Pkwy
Pier Toussaint
Brooklyn, NY 11213
Phone (718) 735-1900

1545 Atlantic Ave
Brooklyn, NY 11213
Phone (718) 613-4175

374 Stockholm St
Brooklyn, NY 11237
Phone (718) 963-6485

585 Schenectady Ave
Brooklyn, NY 11203
Phone (718) 604-0461

Networks

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

Interoperability endpoints

  • Direct secure messaging: harishpatel@whmc.allscriptsdirect.net

Organizations & group practices 6

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

Hospital & facility affiliations 4

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": "1149465600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1465430400000",
    "number": "1396784534",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "220A NICHOLS AVE",
            "city": "BROOKLYN",
            "state": "NY",
            "postal_code": "112081814",
            "telephone_number": "718-417-4740"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "220A NICHOLS AVE",
            "city": "BROOKLYN",
            "state": "NY",
            "postal_code": "112081814",
            "telephone_number": "718-417-4740"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PATEL",
        "first_name": "HARISH",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-06-05",
        "last_updated": "2016-06-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207RP1001X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Pulmonary Disease",
            "state": "NY",
            "license": "178546",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "01484862",
            "state": "NY"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Brooklyn, NY

Sources for this page

Verify at the official NPI Registry.