Individual provider Active NPI

Neha Patel, PA

  • Physician Assistant
  • Dallas, TX
National Provider Identifier
1467846980
Registry record updated Mar 2, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physician AssistantTaxonomy code 363A00000X
License
PA09359 Issued in TX
Practice address
5709 W Lovers LN
Dallas, TX 75209-5115
Phone
(469) 913-8940
NPI assigned
Mar 23, 2015
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 2, 2020

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physician Assistant 363A00000X PA09359 TX Primary

Addresses

Primary practice location

5709 W Lovers LN
Dallas, TX 75209-5115

Mailing address

2975 Blackburn St Apt 1508
Dallas, TX 75204-3820

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in TX
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 1

Enrollment IDStateProvider typePAC IDDetails
I20150511001869 TX Practitioner - Physician Assistant 8921327123 Reassigns benefits to 2 organizations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Physician Assistant

State licenses

LicenseStateTypeSpecialty
PA09359TXMDPhysician Assistant

Practice roles

OrganizationSpecialtyStatusNew patients
Medhealth CurrentSince Mar 1, 2020 Accepting new patients
Medhealth CurrentSince Mar 1, 2020 Accepting new patients
Texas Health Physicians Group CurrentSince Nov 28, 2016 Accepting new patients

Locations

3024 Highway 121
Bedford, TX 76021
Phone (817) 494-5000

1600 Hospital Pkwy
Bedford, TX 76022
Phone (817) 355-7803

1441 N Beckley Ave
Dallas, TX 75203
Phone (214) 712-2429

5709 W Lovers Ln
Dallas, TX 75209
Phone (214) 351-1800

341 Wheatfield Dr
Ste 100
Sunnyvale, TX 75182
Phone (972) 329-1996

Interoperability endpoints

  • Direct secure messaging: npatel121220@dm.mhd.com

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.

NPI Registry JSON

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

{
    "created_epoch": "1427068800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1583107200000",
    "number": "1467846980",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2975 BLACKBURN ST APT 1508",
            "city": "DALLAS",
            "state": "TX",
            "postal_code": "752043820"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5709 W LOVERS LN",
            "city": "DALLAS",
            "state": "TX",
            "postal_code": "752095115",
            "telephone_number": "469-913-8940"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PATEL",
        "first_name": "NEHA",
        "credential": "PA",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2015-03-23",
        "last_updated": "2020-03-02",
        "certification_date": "2020-03-02",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "TX",
            "license": "PA09359",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Dallas, TX

Sources for this page

Verify at the official NPI Registry.