Individual provider Active NPI

Nidhi Harshad Patel, D.O.

  • Internal Medicine Physician
  • Anaheim, CA
National Provider Identifier
1467845198
Registry record updated Jun 12, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
License
20A16617 Issued in CA
Practice address
1211 W la Palma Ave Ste 404
Anaheim, CA 92801-2806
Phone
(714) 772-8282
Fax
(714) 772-6493
NPI assigned
Mar 4, 2015
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 12, 2023

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine Physician 207R00000X 20A16617 CA Primary

Addresses

Primary practice location

1211 W la Palma Ave Ste 404
Anaheim, CA 92801-2806

Mailing address

PO Box 15090
Anaheim, CA 92803-5090
Phone (714) 772-8282

Other names 1

  • Dr. Nidhi Sandip Sura Former name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CA
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
I20231025001466 CA Practitioner - Internal Medicine 3779889209 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Internal Medicine
Education
Michigan State University College of Osteopathic Medicine, 2015
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices

Practice addresses (Care Compare)

1211 W la Palma Ave
Suite 404
Anaheim, CA 92801-2806
Phone (714) 772-8282

Hospital & facility affiliations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
20A16617CAMDInternal Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Sunrise Medical Associates Inc CurrentSince Aug 24, 2023 Accepting new patients
Chest and Critical Care Consultants Internal Medicine CurrentSince Dec 5, 2023 Accepting new patients
Chest and Critical Care Consultants a Medical Group Internal Medicine CurrentSince Dec 5, 2023 Accepting new patients
St Joseph Hospital of Orange Past Accepting new patients
Ahmc Monterey Park Hospital LP Past Accepting new patients
Hospitalist Group of Montebello Inc Past Accepting new patients

Locations

1211 W La Palma Ave
Ste 404
Anaheim, CA 92801
Phone (714) 772-1030

800 S Main St
Corona, CA 92882
Phone (909) 625-5411

999 N Tustin Ave
Ste 1
Santa Ana, CA 92705
Phone (714) 836-6800

13522 Newport Ave
Ste 102
Tustin, CA 92780
Phone (714) 573-8200

Organizations & group practices 6

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 3

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": "1425427200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1686528000000",
    "number": "1467845198",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 15090",
            "city": "ANAHEIM",
            "state": "CA",
            "postal_code": "928035090",
            "telephone_number": "714-772-8282",
            "fax_number": "714-772-6493"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1211 W LA PALMA AVE STE 404",
            "city": "ANAHEIM",
            "state": "CA",
            "postal_code": "928012806",
            "telephone_number": "714-772-8282",
            "fax_number": "714-772-6493"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PATEL",
        "first_name": "NIDHI",
        "middle_name": "HARSHAD",
        "name_prefix": "Dr.",
        "credential": "D.O.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2015-03-04",
        "last_updated": "2023-06-12",
        "certification_date": "2023-06-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "CA",
            "license": "20A16617",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "NIDHI",
            "last_name": "SURA",
            "middle_name": "SANDIP",
            "prefix": "DR.",
            "credential": "D.O.",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Anaheim, CA

Sources for this page

Verify at the official NPI Registry.