Active NPI
Ketan Mahendra Patel, MD
- Internal Medicine Physician
- Cambridge, MA
National Provider Identifier
1609048974
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Internal Medicine Physician
- License
- 237176
- Practice address
- 1 Main St
Riverfront Park, 13TH Floor
Cambridge, MA 02142-1531 - Phone
- (617) 231-2420
- Fax
- (617) 231-2425
- NPI assigned
- Mar 27, 2008
- 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 |
|---|---|---|---|---|
| Internal Medicine Physician | 207R00000X | 237176 | NY | Primary |
Addresses
Primary practice location
1 Main St
Riverfront Park, 13TH Floor
Cambridge, MA 02142-1531
Mailing address
1 Main St
Riverfront Park, 13TH Floor
Cambridge, MA 02142-1531
Phone (617) 231-2420
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)
- Not enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 237176 | NY | MD | Internal Medicine Physician |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1206576000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1206576000000",
"number": "1609048974",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1 MAIN ST",
"address_2": "RIVERFRONT PARK, 13TH FLOOR",
"city": "CAMBRIDGE",
"state": "MA",
"postal_code": "021421531",
"telephone_number": "617-231-2420",
"fax_number": "617-231-2425"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1 MAIN ST",
"address_2": "RIVERFRONT PARK, 13TH FLOOR",
"city": "CAMBRIDGE",
"state": "MA",
"postal_code": "021421531",
"telephone_number": "617-231-2420",
"fax_number": "617-231-2425"
}
],
"practiceLocations": [],
"basic": {
"last_name": "PATEL",
"first_name": "KETAN",
"middle_name": "MAHENDRA",
"credential": "MD",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2008-03-27",
"last_updated": "2008-03-27",
"status": "A"
},
"taxonomies": [
{
"code": "207R00000X",
"taxonomy_group": "",
"desc": "Internal Medicine",
"state": "NY",
"license": "237176",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Cambridge, MA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 27, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.