Individual provider Active NPI

Dhansukhlal Manilal Patel, M.D.

  • Internal Medicine Physician
  • Mount Vernon, NY
National Provider Identifier
1639153752
Registry record updated Dec 11, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
License
146194 Issued in NY
Practice address
11 Park Ave
Suite 1K
Mount Vernon, NY 10550-2124
Phone
(914) 668-6140
Fax
(914) 663-8745
NPI assigned
Dec 1, 2005
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Dec 11, 2024

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine Physician 207R00000X 146194 NY Primary

Addresses

Primary practice location

11 Park Ave
Suite 1K
Mount Vernon, NY 10550-2124

Mailing address

11 Park Ave
Suite 1K
Mount Vernon, NY 10550-2124
Phone (914) 668-6140

Other identifiers 1

IdentifierTypeStateIssuer
00595946MedicaidNY

Other names 1

  • Dhansukh Manilal Patel Other name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NY
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 1

Enrollment IDStateProvider typePAC IDDetails
I20051208000041 NY Practitioner - Internal Medicine 2961423843 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Internal Medicine
Education
Other, 1975
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Dhansukh Patel M.D. PCGroup PAC ID 4486676525, 2 clinicians
914 Hudson Medical PCGroup PAC ID 7618364423, 3 clinicians

Practice addresses (Care Compare)

11 Park Ave
Apt 1K
Mount Vernon, NY 10550-2164
Phone (914) 688-6140

Hospital & facility affiliations

  • St John'S Riverside Hospital Hospital, Yonkers, NY, CCN 330208

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
146194NYMDInternal Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Dhansukh Patel M.D. PC Internal Medicine CurrentSince Jul 14, 2004 Accepting new patients
Dhansukh Patel MD PC Internal Medicine Past Accepting new patients

Locations

11 Park Ave
Apt 1K
Mount Vernon, NY 10550
Phone (914) 668-6140

45 Ludlow St
Ste 404
Yonkers, NY 10705
Phone (914) 376-9349

Networks

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

Organizations & group practices 3

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 1

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": "1133395200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1733875200000",
    "number": "1639153752",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "11 PARK AVE",
            "address_2": "SUITE 1K",
            "city": "MOUNT VERNON",
            "state": "NY",
            "postal_code": "105502124",
            "telephone_number": "914-668-6140",
            "fax_number": "914-663-8745"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "11 PARK AVE",
            "address_2": "SUITE 1K",
            "city": "MOUNT VERNON",
            "state": "NY",
            "postal_code": "105502124",
            "telephone_number": "914-668-6140",
            "fax_number": "914-663-8745"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PATEL",
        "first_name": "DHANSUKHLAL",
        "middle_name": "MANILAL",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2005-12-01",
        "last_updated": "2024-12-11",
        "certification_date": "2024-12-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "NY",
            "license": "146194",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "00595946",
            "state": "NY"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "DHANSUKH",
            "last_name": "PATEL",
            "middle_name": "MANILAL",
            "credential": "M.D.",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

Other providers in Mount Vernon, NY

Sources for this page

Verify at the official NPI Registry.