Amisha Patel, PA-C

Primary specialty

Medical Physician AssistantTaxonomy code 363AM0700X

License

PA.200777 Issued in LA

Practice address

9118 Bluebonnet Centre Blvd
Baton Rouge, LA 70809-2993

Phone

(225) 368-2300

Fax

(225) 368-2280

NPI assigned

Nov 4, 2014

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Enrolled in LA

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

Specialty

Physician Assistant

Education

Other, 2014

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Comprehensive Pain Management LLCGroup PAC ID 8325067655, 2 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

Credentials

Physician Assistant

State licenses

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.

• Comprehensive Pain Management LLC

  • Specialist
  • Baton Rouge, LA
  • NPI 1811940463
  Medicare reassignment Care Compare group

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

{
    "created_epoch": "1415059200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1429142400000",
    "number": "1508262437",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 62600 DEPT 1744",
            "city": "NEW ORLEANS",
            "state": "LA",
            "postal_code": "701620001",
            "telephone_number": "225-368-3200",
            "fax_number": "225-368-2280"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9118 BLUEBONNET CENTRE BLVD",
            "city": "BATON ROUGE",
            "state": "LA",
            "postal_code": "708092993",
            "telephone_number": "225-368-2300",
            "fax_number": "225-368-2280"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PATEL",
        "first_name": "AMISHA",
        "credential": "PA-C",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2014-11-04",
        "last_updated": "2015-04-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363AM0700X",
            "taxonomy_group": "",
            "desc": "Physician Assistant, Medical",
            "state": "LA",
            "license": "PA.200777",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "2381121",
            "state": "LA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Nicole Pate, NURSE PRACTITIONER
• Samantha Lachele Pate
• Wendy Stafford Pate
• Patel Dentistry LLC Dba Brush Dental
• Alpesh D. Patel, MD
• Amit Naradlal Patel, MD
• Anjali Patel
• Anjuly Patel, RPH
• Deepesh Rubin Patel, M.D.
• Hina Patel, MD

• Medical Physician Assistant in Baton Rouge, LA
• Providers in Baton Rouge, LA by specialty
• Medical Physician Assistant in Louisiana

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 16, 2015; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.