Individual provider Active NPI

Manish G Patel, DO

  • Anesthesiology Physician
  • Warwick, NY
National Provider Identifier
1457595191
Registry record updated Dec 28, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Anesthesiology PhysicianTaxonomy code 207L00000X
License
252059-1 Issued in NY
Practice address
12 Maple Ave
Warwick, NY 10990-1320
Phone
(845) 986-5175
NPI assigned
Apr 24, 2009
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Dec 28, 2019

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Anesthesiology Physician 207L00000X OS 10809 FL
Anesthesiology Physician 207L00000X 252059-1 NY Primary

Addresses

Primary practice location

12 Maple Ave
Warwick, NY 10990-1320

Mailing address

12 Maple Ave
Dept of Anesthesiology
Warwick, NY 10990
Phone (845) 986-5175

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
I20090908000326 NY Practitioner - Anesthesiology 4183779507 Reassigns benefits to 3 organizations

Care Compare profile

Medicare Care Compare
Specialty
Anesthesiology
Education
New York College of Osteo Medicine of New York Institute of Technology, 2005
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Ramapo Anesthesiologists, PCGroup PAC ID 3476444373, 78 clinicians

Practice addresses (Care Compare)

15 Maple Ave
Warwick, NY 10990-1028
Phone (845) 357-5775

Hospital & facility affiliations

  • St Anthony Community Hospital Hospital, Warwick, NY, CCN 330205

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
OS 10809FLMDAnesthesiology Physician
252059-1NYMDAnesthesiology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Warwick Anesthesia Group LLC Anesthesiology CurrentSince Sep 1, 2014 Accepting new patients
Ramapo Anesthesiologists, PC Anesthesiology CurrentSince Mar 9, 2024 Accepting new patients
Anesthesiology Medical Consultants, PLLC Anesthesiology CurrentSince Jul 24, 2009 Accepting new patients

Locations

160 E Main St
Port Jervis, NY 12771
Phone (845) 856-7000

233 Lafayette Ave
Ste LL5
Suffern, NY 10901
Phone (914) 794-7741

15 Maple Ave
Warwick, NY 10990
Phone (845) 986-2224

338 Harris Hill Rd
Ste 207
Williamsville, NY 14221

Organizations & group practices 3

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 1

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": "1240531200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1577491200000",
    "number": "1457595191",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "12 MAPLE AVE",
            "address_2": "DEPT OF ANESTHESIOLOGY",
            "city": "WARWICK",
            "state": "NY",
            "postal_code": "10990",
            "telephone_number": "845-986-5175"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "12 MAPLE AVE",
            "city": "WARWICK",
            "state": "NY",
            "postal_code": "109901320",
            "telephone_number": "845-986-5175"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PATEL",
        "first_name": "MANISH",
        "middle_name": "G",
        "name_prefix": "Dr.",
        "credential": "DO",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2009-04-24",
        "last_updated": "2019-12-28",
        "certification_date": "2019-12-28",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207L00000X",
            "taxonomy_group": "",
            "desc": "Anesthesiology",
            "state": "FL",
            "license": "OS 10809",
            "primary": false
        },
        {
            "code": "207L00000X",
            "taxonomy_group": "",
            "desc": "Anesthesiology",
            "state": "NY",
            "license": "252059-1",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Warwick, NY

Sources for this page

Verify at the official NPI Registry.