Individual provider Active NPI

Amar Patel

  • Certified Registered Nurse Anesthetist
  • Lowell, MA
National Provider Identifier
1407451479
Registry record updated Nov 30, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Certified Registered Nurse AnesthetistTaxonomy code 367500000X
License
122575 Issued in MA
Practice address
73 Leonard Cir
Lowell, MA 01854-1248
Phone
(978) 726-6188
NPI assigned
Nov 30, 2020
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Nov 30, 2020

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Certified Registered Nurse Anesthetist 367500000X 122575 MA Primary

Addresses

Primary practice location

73 Leonard Cir
Lowell, MA 01854-1248

Mailing address

73 Leonard Cir
Lowell, MA 01854-1248
Phone (978) 726-6188

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MA

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20250804000998 MA Practitioner - Certified Registered Nurse Anesthetist (Crna) 8921516725 Reassigns benefits to 3 organizations

Care Compare profile

Medicare Care Compare
Specialty
Certified Registered Nurse Anesthetist (Crna)
Education
Other, 2018
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Umass Memorial Medical Group IncGroup PAC ID 4284539891, 2,494 clinicians
Lowell Anesthesiology Service IncGroup PAC ID 3072556141, 98 clinicians

Practice addresses (Care Compare)

21 Eastern Ave
Worcester, MA 01605-3094
Phone (508) 856-2500

300 Federal St
Suite 103
Andover, MA 01810-1038
Phone (978) 459-6737

33 Bartlett St
Suite 203
Lowell, MA 01852-1317
Phone (978) 689-4601

Hospital & facility affiliations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
122575MAMDSocial Worker

Practice roles

OrganizationSpecialtyStatusNew patients
Lowell Anesthesiology Service, Inc. CurrentSince Aug 8, 2025 Accepting new patients
Umass Memorial Medical Group Inc CurrentSince Jul 23, 2025 Accepting new patients
Umass Memorial Medical Group, Inc. CurrentSince Jul 23, 2025 Accepting new patients

Locations

33 Bartlett St
Ste 203
Lowell, MA 01852
Phone (978) 689-4601

21 Eastern Ave
Worcester, MA 01605
Phone (508) 334-8419

55 Lake Ave N
Worcester, MA 01655
Phone 508334100048862

Organizations & group practices 4

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 2

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": "1606694400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1606694400000",
    "number": "1407451479",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "73 LEONARD CIR",
            "city": "LOWELL",
            "state": "MA",
            "postal_code": "018541248",
            "telephone_number": "978-726-6188"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "73 LEONARD CIR",
            "city": "LOWELL",
            "state": "MA",
            "postal_code": "018541248",
            "telephone_number": "978-726-6188"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PATEL",
        "first_name": "AMAR",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2020-11-30",
        "last_updated": "2020-11-30",
        "certification_date": "2020-11-30",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "367500000X",
            "taxonomy_group": "",
            "desc": "Nurse Anesthetist, Certified Registered",
            "state": "MA",
            "license": "122575",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Lowell, MA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 30, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • 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.