Individual provider Active NPI

Niki Patel, M.D.

  • Internal Medicine Physician
  • New York, NY
National Provider Identifier
1629207907
Registry record updated Dec 2, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
License
278307 Issued in NY
Practice address
2015 Amsterdam Ave
New York, NY 10032-5013
Phone
(478) 955-2226
Fax
(718) 204-7470
NPI assigned
Jul 8, 2009
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Dec 2, 2016

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine Physician 207R00000X 003577 GA
Internal Medicine Physician 207R00000X 053823 CT
Internal Medicine Physician 207R00000X 278307 NY Primary

Addresses

Primary practice location

2015 Amsterdam Ave
New York, NY 10032-5013

Mailing address

902 Jefferson Blvd
Fishkill, NY 12524-3924
Phone (478) 955-2226

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NY, NJ2 enrollments
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
I20150727001943 NY Practitioner - HospitalistPractitioner - Internal Medicine 6608031653 Reassigns benefits to 4 organizations
I20260626003021 NJ Practitioner - Internal Medicine 6608031653 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
HospitalistAlso: Internal Medicine
Education
Other, 2005
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
24 On Physicians PCGroup PAC ID 5698688141, 274 clinicians

Practice addresses (Care Compare)

1715 University Ave
Bronx, NY 10453-6961
Phone (478) 955-2226

2015 Amsterdam Ave
New York, NY 10032-5013
Phone (478) 955-2226

327 Beach 19TH St
Far Rockaway, NY 11691-4423
Phone (718) 869-7000

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
003577GAMDInternal Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Cogent Medical Care PC Internal Medicine CurrentSince Sep 4, 2016 Accepting new patients
Niki Patel MD PC Internal Medicine CurrentSince Aug 27, 2016 Accepting new patients
24 On Physicians, PC CurrentSince Jan 15, 2021 Accepting new patients
Niki Patel MD PA Internal Medicine Current Accepting new patients
Babubhai I Patel Physician PC CurrentSince Sep 10, 2016 Accepting new patients
24 On Physicians, P.C. CurrentSince Jan 15, 2021 Accepting new patients
West Georgia Health Physicians Inc Internal Medicine Past Accepting new patients

Locations

565 Abbott Rd
Rm 8632
Buffalo, NY 14220
Phone (607) 798-5671

327 Beach 19th St
Far Rockaway, NY 11691
Phone (718) 689-7640

2015 Amsterdam Ave
New York, NY 10032
Phone (212) 781-2560

2011 Amsterdam Ave
New York, NY 10032
Phone (212) 781-2560

160 N Midland Ave
Nyack, NY 10960
Phone (845) 348-2000

101 Hospital Rd
Patchogue, NY 11772
Phone (631) 654-7100

Networks

  • Healthfirst Medicare Network H3359
  • Healthfirst Medicare Network H1722
  • Healthfirst Medicare Network H5989
  • Healthfirst Medicare Network H9678

Interoperability endpoints

  • Direct secure messaging: niki.patel@westgahealth.gadirect.net

Organizations & group practices 8

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.

NPI Registry JSON

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

{
    "created_epoch": "1247011200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1480636800000",
    "number": "1629207907",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "902 JEFFERSON BLVD",
            "city": "FISHKILL",
            "state": "NY",
            "postal_code": "125243924",
            "telephone_number": "478-955-2226",
            "fax_number": "718-204-7470"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2015 AMSTERDAM AVE",
            "city": "NEW YORK",
            "state": "NY",
            "postal_code": "100325013",
            "telephone_number": "478-955-2226",
            "fax_number": "718-204-7470"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PATEL",
        "first_name": "NIKI",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2009-07-08",
        "last_updated": "2016-12-02",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "GA",
            "license": "003577",
            "primary": false
        },
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "CT",
            "license": "053823",
            "primary": false
        },
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "NY",
            "license": "278307",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in New York, NY

Sources for this page

Verify at the official NPI Registry.