Active NPI
Anish S. Patel, M.D., M.B.A
- Sports Medicine (Internal Medicine) Physician
- Brandywine, MD
National Provider Identifier
1467748244
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Sports Medicine (Internal Medicine) Physician
- License
- 0101263139
- Practice address
- 7450 Albert Rd FL 3
Brandywine, MD 20613-3035 - Phone
- (301) 599-0460
- Fax
- (301) 888-2233
- NPI assigned
- Jun 21, 2011
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Sports Medicine (Internal Medicine) Physician | 207RS0010X | 0101263139 | VA | Primary |
| Orthopaedic Surgery Physician | 207X00000X | 0101263139 | VA |
Addresses
Primary practice location
7450 Albert Rd FL 3
Brandywine, MD 20613-3035
Mailing address
7450 Albert Rd FL 3
Brandywine, MD 20613-3035
Phone (301) 599-0460
Other practice location 1
9000 Stony Point Pkwy
Richmond, VA 23235-1900
Phone (804) 560-8945
Other practice location 2
1300 W Broad St
Richmond, VA 23284-9089
Phone (804) 828-7069
Other practice location 3
417 N 11th St
Richmond, VA 23298-5002
Phone (804) 828-7069
Other practice location 4
11958 W Broad St
Henrico, VA 23233-1007
Phone (804) 364-4669
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Master of Business Administration, Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 0101263139 | VA | MD | Orthopaedic Surgery Physician |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1308614400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1612137600000",
"number": "1467748244",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "7450 ALBERT RD FL 3",
"city": "BRANDYWINE",
"state": "MD",
"postal_code": "206133035",
"telephone_number": "301-599-0460",
"fax_number": "301-888-2233"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "7450 ALBERT RD FL 3",
"city": "BRANDYWINE",
"state": "MD",
"postal_code": "206133035",
"telephone_number": "301-599-0460",
"fax_number": "301-888-2233"
}
],
"practiceLocations": [
{
"address_1": "9000 Stony Point Pkwy",
"address_purpose": "LOCATION",
"city": "Richmond",
"state": "VA",
"postal_code": "232351900",
"country_code": "US",
"telephone_number": "804-560-8945",
"fax_number": "804-560-7199",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "1300 W Broad St",
"address_purpose": "LOCATION",
"city": "Richmond",
"state": "VA",
"postal_code": "232849089",
"country_code": "US",
"telephone_number": "804-828-7069",
"fax_number": "804-828-0354",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "417 N 11th St",
"address_purpose": "LOCATION",
"city": "Richmond",
"state": "VA",
"postal_code": "232985002",
"country_code": "US",
"telephone_number": "804-828-7069",
"fax_number": "804-828-4762",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "11958 W Broad St",
"address_purpose": "LOCATION",
"city": "Henrico",
"state": "VA",
"postal_code": "232331007",
"country_code": "US",
"telephone_number": "804-364-4669",
"fax_number": "804-364-6521",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "PATEL",
"first_name": "ANISH",
"middle_name": "S.",
"credential": "M.D., M.B.A",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2011-06-21",
"last_updated": "2021-02-01",
"certification_date": "2021-02-01",
"status": "A"
},
"taxonomies": [
{
"code": "207RS0010X",
"taxonomy_group": "",
"desc": "Internal Medicine, Sports Medicine",
"state": "VA",
"license": "0101263139",
"primary": true
},
{
"code": "207X00000X",
"taxonomy_group": "",
"desc": "Orthopaedic Surgery",
"state": "VA",
"license": "0101263139",
"primary": false
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Brandywine, MD
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 1, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.