Individual provider Active NPI

Nirav Patel, M.D.

  • Diagnostic Radiology Physician
  • Philadelphia, PA
National Provider Identifier
1467671388
Registry record updated Jul 8, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Diagnostic Radiology PhysicianTaxonomy code 2085R0202X
License
MT187352 Issued in PA
Practice address
1000 Walnut St
Apt. 909
Philadelphia, PA 19107-5517
Phone
(646) 245-8360
NPI assigned
Apr 25, 2007
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jul 8, 2007

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Diagnostic Radiology Physician 2085R0202X MT187352 PA Primary

Addresses

Primary practice location

1000 Walnut St
Apt. 909
Philadelphia, PA 19107-5517

Mailing address

1000 Walnut St
Apt. 909
Philadelphia, PA 19107-5517
Phone (646) 245-8360

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NJ
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
I20110908001713 NJ Practitioner - Diagnostic Radiology 1355492570 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Diagnostic Radiology
Education
Albert Einstein College of Medicine of Yeshiva University, 2004
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Summit Imaging Services LLCGroup PAC ID 9436597945, 71 clinicians

Practice addresses (Care Compare)

30 Winchester Dr
Scotch Plains, NJ 07076-2723
Phone (770) 607-7339

Hospital & facility affiliations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
MT187352PAMDDiagnostic Radiology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Regional Diagnostic Imaging, LLC Diagnostic Radiology CurrentSince Jul 23, 2011 Accepting new patients
Summit Imaging Services LLC Diagnostic Radiology CurrentSince Jul 30, 2025 Accepting new patients
Bryn Mawr Imaging Diagnostic Radiology Past Accepting new patients
Radiology Associates of the Main Line P C Diagnostic Radiology Past Accepting new patients

Locations

1505 W Sherman Ave
Vineland, NJ 08360
Phone (856) 451-6600

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 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": "1177459200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1467671388",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1000 WALNUT ST",
            "address_2": "APT. 909",
            "city": "PHILADELPHIA",
            "state": "PA",
            "postal_code": "191075517",
            "telephone_number": "646-245-8360"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1000 WALNUT ST",
            "address_2": "APT. 909",
            "city": "PHILADELPHIA",
            "state": "PA",
            "postal_code": "191075517",
            "telephone_number": "646-245-8360"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PATEL",
        "first_name": "NIRAV",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2007-04-25",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2085R0202X",
            "taxonomy_group": "",
            "desc": "Radiology, Diagnostic Radiology",
            "state": "PA",
            "license": "MT187352",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Philadelphia, PA

Sources for this page

Verify at the official NPI Registry.