Organization Active NPI

Trupti Patel, M.D., PLLC

  • Internal Medicine Physician
  • Livonia, MI
National Provider Identifier
1568602126
Registry record updated Jan 9, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
Legal business name
TRUPTI PATEL, M.D., PLLC
Practice address
15130 Levan Road
Suite 48
Livonia, MI 48154-5027
Phone
(734) 421-4242
Fax
(734) 421-2624
NPI assigned
Feb 23, 2009
Last updated
Jan 9, 2025By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jan 9, 2025

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

Authorized official

Name
Dr. Trupti R Patel, M.D.NPI 1508822362
Title
Owner
Phone
(734) 421-4242

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine PhysicianGroup: 193200000X MULTI-SPECIALTY GROUP 207R00000X Primary
Hospitalist PhysicianGroup: 193200000X MULTI-SPECIALTY GROUP 208M00000X 4301060723 MI

Addresses

Primary practice location

15130 Levan Road
Suite 48
Livonia, MI 48154-5027

Mailing address

3872 Vista LN
Orchard Lake, MI 48323-1678
Phone (248) 745-0666

Other identifiers 1

IdentifierTypeStateIssuer
1508822362OtherTYPE 01 NPI

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MI

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20090416000300 MI Part B Supplier - Clinic/Group Practice 5799832325 Receives reassigned benefits from 1 practitioner
Practice locations: Livonia, MI; Wayne, MI

National Provider Directory

National Provider Directory

Locations

15130 Levan Rd
Ste 48
Livonia, MI 48154
Phone (734) 421-4242

33200 Warren Rd
Westland, MI 48185
Phone (734) 421-4242

Interoperability endpoints

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

Practitioners & affiliated clinicians

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1235347200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1736380800000",
    "number": "1568602126",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3872 VISTA LN",
            "city": "ORCHARD LAKE",
            "state": "MI",
            "postal_code": "483231678",
            "telephone_number": "248-745-0666",
            "fax_number": "248-745-0667"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "15130 LEVAN ROAD",
            "address_2": "SUITE 48",
            "city": "LIVONIA",
            "state": "MI",
            "postal_code": "481545027",
            "telephone_number": "734-421-4242",
            "fax_number": "734-421-2624"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "TRUPTI PATEL, M.D., PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2009-02-23",
        "last_updated": "2025-01-09",
        "certification_date": "2025-01-09",
        "status": "A",
        "authorized_official_last_name": "PATEL",
        "authorized_official_first_name": "TRUPTI",
        "authorized_official_middle_name": "R",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "734-421-4242",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Internal Medicine",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "208M00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Hospitalist",
            "state": "MI",
            "license": "4301060723",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "TYPE 01 NPI",
            "identifier": "1508822362",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Livonia, MI

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 9, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.