Individual provider Active NPI

Anju Kanti Patel, M.D.

  • Otolaryngology Physician
  • Boston, MA
National Provider Identifier
1629362991
Registry record updated Apr 29, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Otolaryngology PhysicianTaxonomy code 207Y00000X
License
249144 Issued in MA
Practice address
45 Francis Street
Division of Otolaryngology, Asb-2
Boston, MA 02115
Phone
(617) 525-3000
NPI assigned
Jun 4, 2011
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 29, 2019

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Otolaryngology Physician 207Y00000X 249144 MA Primary

Addresses

Primary practice location

45 Francis Street
Division of Otolaryngology, Asb-2
Boston, MA 02115

Mailing address

45 Francis Street
Division of Otolaryngology, Asb-2
Boston, MA 02115-5139
Phone (617) 525-3000

Other practice location 1

9020 5th Ave Fl 3
Brooklyn, NY 11209-5908
Phone (718) 833-0515

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MA, MD, DC3 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 3

Enrollment IDStateProvider typePAC IDDetails
I20190408000186 MA Practitioner - Otolaryngology 3274832878 Reassigns benefits to 1 organization
I20231120003238 MD Practitioner - Otolaryngology 3274832878 Reassigns benefits to 1 organization
I20231124000478 DC Practitioner - Otolaryngology 3274832878 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Otolaryngology
Education
George Washington University School of Medicine, 2011
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Privia Medical Group, LLCGroup PAC ID 4385682061, 1,522 clinicians

Practice addresses (Care Compare)

2415 Musgrove Rd
Suite 203
Silver Spring, MD 20904-5228
Phone (301) 989-2300

9470 Annapolis Rd
Suite 309
Lanham, MD 20706-3022
Phone (202) 832-1800

950 N Glebe Rd
Suite 700
Arlington, VA 22203-4173

Hospital & facility affiliations

Procedures performed for Medicare patients

ProcedureNumber of procedures
Upper gastrointestinal (GI) endoscopy for acid reflux1-10

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Brigham & Womens Physicians Organization Inc CurrentSince Mar 27, 2019 Accepting new patients
Privia Medical Group, LLC Otolaryngology CurrentSince Nov 1, 2023 Accepting new patients
Privia Medical Group, LLC CurrentSince Nov 1, 2023 Accepting new patients
Nova Physician Wellness Center PLLC Past Accepting new patients

Locations

45 Francis St
Boston, MA 02115
Phone (617) 332-1700

75 Francis St
Boston, MA 02115

45 Francis St
#2
Boston, MA 02115
Phone (617) 525-3000

375 Boylston St
Brookline, MA 02445
Phone (508) 718-4010

133 Defense Hwy
Ste 112
Annapolis, MD 21401
Phone (410) 573-0140

9470 Annapolis Rd
Ste 309
Lanham, MD 20706
Phone (202) 832-1800

2415 Musgrove Rd
Ste 203
Silver Spring, MD 20904
Phone (301) 989-2300

11350 Pembrooke Sq
Ste 304
Waldorf, MD 20603
Phone (301) 856-2810

950 N Glebe Rd
Ste 700
Arlington, VA 22203
Phone (484) 228-1065

Interoperability endpoints

  • FHIR API: https://api.platform.athenahealth.com/8042/brand/1/csg/1/fhir/r4
  • Direct secure messaging: anju.patel.1@8042.direct.athenahealth.com

Organizations & group practices 4

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 4

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": "1307145600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1556496000000",
    "number": "1629362991",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "45 FRANCIS STREET",
            "address_2": "DIVISION OF OTOLARYNGOLOGY, ASB-2",
            "city": "BOSTON",
            "state": "MA",
            "postal_code": "021155139",
            "telephone_number": "617-525-3000"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "45 FRANCIS STREET",
            "address_2": "DIVISION OF OTOLARYNGOLOGY, ASB-2",
            "city": "BOSTON",
            "state": "MA",
            "postal_code": "02115",
            "telephone_number": "617-525-3000"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "9020 5th Ave Fl 3",
            "address_purpose": "LOCATION",
            "city": "Brooklyn",
            "state": "NY",
            "postal_code": "112095908",
            "country_code": "US",
            "telephone_number": "718-833-0515",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "PATEL",
        "first_name": "ANJU",
        "middle_name": "KANTI",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2011-06-04",
        "last_updated": "2019-04-29",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Y00000X",
            "taxonomy_group": "",
            "desc": "Otolaryngology",
            "state": "MA",
            "license": "249144",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Boston, MA

Sources for this page

Verify at the official NPI Registry.