Active NPI
Sanket Dipchandbhai Patel, M.D.
- Family Medicine Physician
- Carleton, MI
National Provider Identifier
1548757701
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Medicine Physician
- License
- 4301503238
- Practice address
- 111 Medical Center Dr
Carleton, MI 48117-9461 - Phone
- (734) 240-8580
- Fax
- (734) 240-4789
- NPI assigned
- Apr 13, 2018
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Family Medicine Physician | 207Q00000X | 4301503238 | MI | Primary |
Addresses
Primary practice location
111 Medical Center Dr
Carleton, MI 48117-9461
Mailing address
111 Medical Center Dr
Carleton, MI 48117-9461
Phone (734) 240-8580
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in MI
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20210831001070 | MI | Practitioner - Family Practice | 6608124953 | Reassigns benefits to 1 organization |
Care Compare profile
Medicare Care Compare- Specialty
- Family Practice
- Education
- Other, 2005
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Telehealth
- Offers telehealth services
- Group practices
- Promedica Monroe Physicians
Practice addresses (Care Compare)
111 Medical Ctr Dr
Carleton, MI 48117-9461
Phone (734) 240-8580
Hospital & facility affiliations
- Elara Caring
- Promedica Monroe Regional Hospital
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 4301503238 | MI | MD | Family Medicine Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Promedica Monroe Physicians | Family Medicine | Current | Accepting new patients |
Locations
111 Medical Center Dr
Carleton, MI 48117
Phone (734) 240-8580
3175 Smith Rd
Lambertville, MI 48144
Phone (734) 856-5494
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.
Hospital & facility affiliations 3
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- Home Health Agency
- Jackson, MI
- NPI 1588642110
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1523577600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1631577600000",
"number": "1548757701",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "111 MEDICAL CENTER DR",
"city": "CARLETON",
"state": "MI",
"postal_code": "481179461",
"telephone_number": "734-240-8580",
"fax_number": "734-240-4789"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "111 MEDICAL CENTER DR",
"city": "CARLETON",
"state": "MI",
"postal_code": "481179461",
"telephone_number": "734-240-8580",
"fax_number": "734-240-4789"
}
],
"practiceLocations": [],
"basic": {
"last_name": "PATEL",
"first_name": "SANKET",
"middle_name": "DIPCHANDBHAI",
"credential": "M.D.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2018-04-13",
"last_updated": "2021-09-14",
"certification_date": "2021-09-14",
"status": "A"
},
"taxonomies": [
{
"code": "207Q00000X",
"taxonomy_group": "",
"desc": "Family Medicine",
"state": "MI",
"license": "4301503238",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Carleton, MI
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 14, 2021; 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.