Active NPI
Sharad S Patel, M.D.
- Internal Medicine Physician
- Burbank, CA
National Provider Identifier
1548236243
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Internal Medicine Physician
- License
- A25831
- Practice address
- 201 S. Buena Vista St.
Suite 440
Burbank, CA 91505 - Phone
- (818) 842-7778
- Fax
- (818) 842-2086
- NPI assigned
- Feb 23, 2006
- Sex
- Male
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 3
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Legal Medicine | 173000000X | A25839 | CA | |
| Internal Medicine Physician | 207R00000X | A25831 | CA | Primary |
| Pulmonary Disease Physician | 207RP1001X | A25831 | CA |
Addresses
Primary practice location
201 S. Buena Vista St.
Suite 440
Burbank, CA 91505
Mailing address
201 S. Buena Vista St.
Suite 440
Burbank, CA 91505
Phone (818) 842-7778
Other identifiers 2
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 00A258390 | Medicaid | CA | |
| P00334637 | Other | PTAN (RAILROAD MCARE) |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| A25839 | CA | MD | Legal Medicine |
| A25831 | CA | MD | Pulmonary Disease Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| St. Joseph Pulmonary Diagnostic Medical Group | Past | Accepting new patients |
Organizations & group practices 1
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.
-
- Specialist
- Burbank, CA
- NPI 1013035864
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1140652800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1242777600000",
"number": "1548236243",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "201 S. BUENA VISTA ST.",
"address_2": "SUITE 440",
"city": "BURBANK",
"state": "CA",
"postal_code": "91505",
"telephone_number": "818-842-7778",
"fax_number": "818-842-2086"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "201 S. BUENA VISTA ST.",
"address_2": "SUITE 440",
"city": "BURBANK",
"state": "CA",
"postal_code": "91505",
"telephone_number": "818-842-7778",
"fax_number": "818-842-2086"
}
],
"practiceLocations": [],
"basic": {
"last_name": "PATEL",
"first_name": "SHARAD",
"middle_name": "S",
"name_prefix": "Dr.",
"credential": "M.D.",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2006-02-23",
"last_updated": "2009-05-20",
"status": "A"
},
"taxonomies": [
{
"code": "173000000X",
"taxonomy_group": "",
"desc": "Legal Medicine",
"state": "CA",
"license": "A25839",
"primary": false
},
{
"code": "207R00000X",
"taxonomy_group": "",
"desc": "Internal Medicine",
"state": "CA",
"license": "A25831",
"primary": true
},
{
"code": "207RP1001X",
"taxonomy_group": "",
"desc": "Internal Medicine, Pulmonary Disease",
"state": "CA",
"license": "A25831",
"primary": false
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "00A258390",
"state": "CA"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "PTAN (RAILROAD MCARE)",
"identifier": "P00334637",
"state": null
}
],
"endpoints": [],
"other_names": []
}
Other providers in Burbank, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 20, 2009; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.