Individual provider Active NPI

Keyur Patel

  • Internal Medicine Physician
  • New London, CT
National Provider Identifier
1518406230
Registry record updated Apr 22, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
License
66846 Issued in CT
Practice address
206 Nautilus Dr Apt 215
New London, CT 06320-3172
Phone
(201) 936-5840
NPI assigned
Feb 14, 2017
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 22, 2021

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Student in an Organized Health Care Education/Training Program 390200000X
Internal Medicine Physician 207R00000X 66846 CT Primary

Addresses

Primary practice location

206 Nautilus Dr Apt 215
New London, CT 06320-3172

Mailing address

206 Nautilus Dr Apt 215
New London, CT 06320-3172
Phone (201) 936-5840

Other practice location 1

1700 Dogwood Ln
Hanover Park, IL 60133-3976
Phone (201) 936-5840

Other practice location 2

9745 Queens Blvd Apt 707
Rego Park, NY 11374-2112
Phone (201) 936-5840

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CT, VA2 enrollments
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 2

Enrollment IDStateProvider typePAC IDDetails
I20201214001438 CT Practitioner - Internal Medicine 8527303833 Reassigns benefits to 1 organization
I20230928003935 VA Practitioner - Hospitalist 8527303833 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Hospitalist
Education
Other, 2011
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Riverside Physician Services IncGroup PAC ID 5092608448, 793 clinicians

Practice addresses (Care Compare)

500 J Clyde Morris Blvd
Newport News, VA 23601-1929
Phone (757) 594-2083

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
94.91 of 100Reported as apm
Quality
92.86
Promoting interoperability
94.93
Improvement activities
40

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
66846CTMDInternal Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Hospital Medicine Associates LLC Internal Medicine CurrentSince Nov 1, 2020 Accepting new patients
Riverside Physician Services Inc CurrentSince Aug 21, 2023 Accepting new patients
Riverside Physician Services, Inc. Internal Medicine CurrentSince Aug 21, 2023 Accepting new patients
Riverside Physician Services Inc Current Accepting new patients

Locations

365 Montauk Ave
New London, CT 06320
Phone (860) 271-4364

5870 N Hiatus Rd
Tamarac, FL 33321
Phone (957) 377-2954

856 J Clyde Morris Blvd
Ste A
Newport News, VA 23601
Phone (757) 316-5900

858 J Clyde Morris Blvd
Newport News, VA 23601
Phone (757) 594-4343

500 J Clyde Morris Blvd
North North, VA 23601
Phone (757) 594-2000

Interoperability endpoints

  • Direct secure messaging: kpatel70828@direct.medisys.org
  • Direct secure messaging: kpatel206889@direct.rivhs.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.

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": "1487030400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1619049600000",
    "number": "1518406230",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "206 NAUTILUS DR APT 215",
            "city": "NEW LONDON",
            "state": "CT",
            "postal_code": "063203172",
            "telephone_number": "201-936-5840"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "206 NAUTILUS DR APT 215",
            "city": "NEW LONDON",
            "state": "CT",
            "postal_code": "063203172",
            "telephone_number": "201-936-5840"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1700 Dogwood Ln",
            "address_purpose": "LOCATION",
            "city": "Hanover Park",
            "state": "IL",
            "postal_code": "601333976",
            "country_code": "US",
            "telephone_number": "201-936-5840",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "9745 Queens Blvd Apt 707",
            "address_purpose": "LOCATION",
            "city": "Rego Park",
            "state": "NY",
            "postal_code": "113742112",
            "country_code": "US",
            "telephone_number": "201-936-5840",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "PATEL",
        "first_name": "KEYUR",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2017-02-14",
        "last_updated": "2021-04-22",
        "certification_date": "2021-04-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "390200000X",
            "taxonomy_group": "",
            "desc": "Student in an Organized Health Care Education/Training Program",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "CT",
            "license": "66846",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in New London, CT

Sources for this page

Verify at the official NPI Registry.