Individual provider Active NPI

Bhavita Patel, APN

  • Acute Care Nurse Practitioner
  • Suffolk, VA
National Provider Identifier
1528435690
Registry record updated Aug 15, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Acute Care Nurse PractitionerTaxonomy code 363LA2100X
License
0024177897 Issued in VA
Practice address
5210 Moreland St
Suffolk, VA 23435-3439
Phone
(732) 485-8459
NPI assigned
Aug 25, 2015
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 15, 2019

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Acute Care Nurse Practitioner 363LA2100X 0024177897 VA Primary

Addresses

Primary practice location

5210 Moreland St
Suffolk, VA 23435-3439

Mailing address

5210 Moreland St
Suffolk, VA 23435-3439
Phone (732) 485-8459

Other practice location 1

150 Highland Ave
Piscataway, NJ 08854-4816
Phone (732) 485-8459

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in VA
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
I20231101002020 VA Practitioner - Nurse Practitioner 5496128746 Reassigns benefits to 2 organizations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
First Care PC CurrentSince Oct 30, 2023 Accepting new patients
Signify Health, LLC CurrentSince Jun 1, 2024 Accepting new patients
Mrs Health Care LLC CurrentSince Oct 30, 2023 Accepting new patients

Locations

4055 Valley View Ln
Ste 400
Dallas, TX 75244
Phone (469) 466-7037

501 Baylor Ct
Ste 200
Chesapeake, VA 23320
Phone (757) 991-0190

1806 Summit Ave
Richmond, VA 23230
Phone (213) 433-2823

Organizations & group practices 3

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": "1440460800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1565827200000",
    "number": "1528435690",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5210 MORELAND ST",
            "city": "SUFFOLK",
            "state": "VA",
            "postal_code": "234353439",
            "telephone_number": "732-485-8459"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5210 MORELAND ST",
            "city": "SUFFOLK",
            "state": "VA",
            "postal_code": "234353439",
            "telephone_number": "732-485-8459"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "150 Highland Ave",
            "address_purpose": "LOCATION",
            "city": "Piscataway",
            "state": "NJ",
            "postal_code": "088544816",
            "country_code": "US",
            "telephone_number": "732-485-8459",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "PATEL",
        "first_name": "BHAVITA",
        "name_prefix": "Mrs.",
        "credential": "APN",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2015-08-25",
        "last_updated": "2019-08-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LA2100X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Acute Care",
            "state": "VA",
            "license": "0024177897",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Suffolk, VA

Sources for this page

Verify at the official NPI Registry.