Individual provider Active NPI

Jesal Patel, NP

  • Nurse Practitioner
  • Philadelphia, PA
National Provider Identifier
1457159709
Registry record updated Mar 4, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Nurse PractitionerTaxonomy code 363L00000X
License
SP032340 Issued in PA
Practice address
2865 Walnut Hill St
Philadelphia, PA 19152-2135
Phone
(267) 306-7124
NPI assigned
Mar 4, 2025
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Mar 4, 2025

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Nurse Practitioner 363L00000X SP032340 PA Primary

Addresses

Primary practice location

2865 Walnut Hill St
Philadelphia, PA 19152-2135

Mailing address

2865 Walnut Hill St
Philadelphia, PA 19152-2135
Phone (267) 306-7124

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MD, DC2 enrollments
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
I20260312003562 MD Practitioner - Nurse Practitioner 4486137908 Reassigns benefits to 1 organization
I20260312003671 DC Practitioner - Nurse Practitioner 4486137908 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2024
Medicare assignment
May accept Medicare assignment

Practice addresses (Care Compare)

174 Waterfront St
Suite 330
National Harbor, MD 20745-1165

3405 Olandwood CT
Unit 102
Olney, MD 20832-1447

7120 Minstrel Way
Suite 100
Columbia, MD 21045-5274

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Nurse Practitioner

State licenses

LicenseStateTypeSpecialty
SP032340PAMDNurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Gastro Center of Maryland LLC CurrentSince Feb 1, 2026 Accepting new patients

Locations

7120 Minstrel Way
Ste 100
Columbia, MD 21045
Phone (571) 210-4828

3405 Olandwood Ct
Ste 102
Olney, MD 20832
Phone (301) 570-8671

Organizations & group practices 1

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.

NPI Registry JSON

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

{
    "created_epoch": "1741046400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1741046400000",
    "number": "1457159709",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2865 WALNUT HILL ST",
            "city": "PHILADELPHIA",
            "state": "PA",
            "postal_code": "191522135",
            "telephone_number": "267-306-7124"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2865 WALNUT HILL ST",
            "city": "PHILADELPHIA",
            "state": "PA",
            "postal_code": "191522135",
            "telephone_number": "267-306-7124"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PATEL",
        "first_name": "JESAL",
        "credential": "NP",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2025-03-04",
        "last_updated": "2025-03-04",
        "certification_date": "2025-02-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "PA",
            "license": "SP032340",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Philadelphia, PA

Sources for this page

Verify at the official NPI Registry.