NPIMap

Individual provider Active NPI

Purvi Suryakant Patel, M.D.

  • Family Medicine Physician
  • Lathrup Village, MI
National Provider Identifier
1427286095
Registry record updated Aug 14, 2017
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
4301094535 Issued in MI
Practice address
18161 W 12 Mile Rd Ste 2
2
Lathrup Village, MI 48076-2662
Phone
(248) 552-1200
Fax
(248) 552-1201
NPI assigned
Jun 23, 2009
Last updated
Aug 14, 2017By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 14, 2017

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine Physician 207Q00000X 4301094535 MI Primary

Addresses

Primary practice location

18161 W 12 Mile Rd Ste 2
2
Lathrup Village, MI 48076-2662

Mailing address

18161 West 12 Mile Road
Suite 2
Lathrup Village, MI 48076
Phone (248) 552-1200

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MI
Eligible to order & refer
  • Part B services
  • Medical equipment
  • Home health
  • Power mobility devices
  • Hospice
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20120517000651 MI Practitioner - Family Practice 7517120116 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Family Practice
Education
Other, 2008
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Henry Ford Semi Medical GroupGroup PAC ID 0648180406, 246 clinicians

Practice addresses (Care Compare)

18161 W 12 Mile Rd
2 Excel Health
Lathrup Village, MI 48076-2662
Phone (248) 552-1200

Hospital & facility affiliations

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Henry Ford Semi Medical Group Family Medicine CurrentSince Sep 1, 2017 Accepting new patients
Henry Ford Semi Medical Group Family Medicine Current Accepting new patients
Ascension Macomb Oakland Hospital Past Accepting new patients
Hartland Urgent Care PLLC Past Accepting new patients
Warren Urgent Care PC PastSince Oct 22, 2023 Accepting new patients
Southgate Urgent Care PC PastSince Oct 22, 2023 Accepting new patients

Locations

18161 W 12 Mile Rd
Ste 2
Lathrup Village, MI 48076
Phone (248) 552-1200

26850 Providence Pkwy
Ste 520
Novi, MI 48374
Phone (248) 465-3790

Interoperability endpoints

  • Direct secure messaging: ppatel1144042@direct.hfhs.org

Organizations & group practices 7

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": "1245715200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1502668800000",
    "number": "1427286095",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "18161 WEST 12 MILE ROAD",
            "address_2": "SUITE 2",
            "city": "LATHRUP VILLAGE",
            "state": "MI",
            "postal_code": "48076",
            "telephone_number": "248-552-1200",
            "fax_number": "248-552-1201"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "18161 W 12 MILE RD STE 2",
            "address_2": "2",
            "city": "LATHRUP VILLAGE",
            "state": "MI",
            "postal_code": "480762662",
            "telephone_number": "248-552-1200",
            "fax_number": "248-552-1201"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PATEL",
        "first_name": "PURVI",
        "middle_name": "SURYAKANT",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2009-06-23",
        "last_updated": "2017-08-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "MI",
            "license": "4301094535",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Lathrup Village, MI

Sources for this page

Verify at the official NPI Registry.