Individual provider Active NPI

Nilam D Patel, PA-C

  • Physician Assistant
  • Ridley Park, PA
National Provider Identifier
1548538739
Registry record updated Apr 18, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physician AssistantTaxonomy code 363A00000X
License
OA003091 Issued in PA
Practice address
8 Morton Ave
Suite 303
Ridley Park, PA 19078-2210
Phone
(610) 595-6850
Fax
(610) 595-6892
NPI assigned
Dec 2, 2011
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 18, 2014

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Physician Assistant 363A00000X C5-0000798 DE
Physician Assistant 363A00000X MA055294 PA
Physician Assistant 363A00000X OA003091 PA Primary

Addresses

Primary practice location

8 Morton Ave
Suite 303
Ridley Park, PA 19078-2210

Mailing address

8 Morton Ave
Suite 303
Ridley Park, PA 19078-2210
Phone (610) 595-6850

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in PA
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
I20130919000437 PA Practitioner - Physician Assistant 4385801372 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Physician Assistant
Education
Other, 2011
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Internists AssociatesGroup PAC ID 5395732093, 4 clinicians

Practice addresses (Care Compare)

100 E Chester Pike
Ridley Park, PA 19078-1703
Phone (610) 521-3333

Hospital & facility affiliations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
C5-0000798DEMDPhysician Assistant
MA055294PAMDPhysician Assistant

Practice roles

OrganizationSpecialtyStatusNew patients
Prospect Health Access Network, Inc. CurrentSince Oct 1, 2016 Accepting new patients
Prospect Health Access Network, Inc. CurrentSince Oct 1, 2016 Accepting new patients

Locations

1 Medical Center Blvd
Ste 301
Chester, PA 19013
Phone (610) 566-6744

1 Medical Center Blvd
Chester, PA 19013
Phone (610) 447-6666

8 Morton Ave
Ste 303
Ridley Park, PA 19078
Phone (610) 521-1512

100 W Sproul Rd
Ste 123
Springfield, PA 19064
Phone (610) 619-8281

Interoperability endpoints

  • FHIR API: https://fhir4.healow.com/fhir/r4/CHJHBA/Endpoint/CHJHBA

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.

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": "1322784000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1397779200000",
    "number": "1548538739",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8 MORTON AVE",
            "address_2": "SUITE 303",
            "city": "RIDLEY PARK",
            "state": "PA",
            "postal_code": "190782210",
            "telephone_number": "610-595-6850",
            "fax_number": "610-595-6892"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8 MORTON AVE",
            "address_2": "SUITE 303",
            "city": "RIDLEY PARK",
            "state": "PA",
            "postal_code": "190782210",
            "telephone_number": "610-595-6850",
            "fax_number": "610-595-6892"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PATEL",
        "first_name": "NILAM",
        "middle_name": "D",
        "credential": "PA-C",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2011-12-02",
        "last_updated": "2014-04-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "DE",
            "license": "C5-0000798",
            "primary": false
        },
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "PA",
            "license": "MA055294",
            "primary": false
        },
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "PA",
            "license": "OA003091",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Ridley Park, PA

Sources for this page

Verify at the official NPI Registry.