Individual provider Active NPI

Divyang Umakant Patel, D.P.M.

  • Podiatrist
  • San Francisco, CA
National Provider Identifier
1639213606
Registry record updated Dec 3, 2009
On this page

Key facts

NPPES NPI Registry
Primary specialty
PodiatristTaxonomy code 213E00000X
License
E3815 Issued in CA
Practice address
2858 San Bruno Ave
San Francisco, CA 94134-1511
Phone
(415) 467-7500
Fax
(415) 467-7677
NPI assigned
Feb 16, 2007
Last updated
Dec 3, 2009By the provider in NPPES
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Dec 3, 2009

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Podiatrist 213E00000X E3815 CA Primary

Addresses

Primary practice location

2858 San Bruno Ave
San Francisco, CA 94134-1511

Mailing address

2858 San Bruno Ave
San Francisco, CA 94134-1511
Phone (415) 467-7500

Other identifiers 1

IdentifierTypeStateIssuer
000E38150MedicaidCA

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CA2 enrollments
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: No
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
I20090806000207 CA Practitioner - Podiatry 1557414661 Practice locations: Union City, CA; San Francisco, CA; Pacifica, CA; Newark, CA; Oakland, CA; Daly City, CA; Fremont, CA
O20100930059494 CA DME Supplier - Physician - Podiatry 1052523438 Practice locations: San Francisco, CA

Care Compare profile

Medicare Care Compare
Specialty
Podiatry
Education
California School of Podiatric Medicine, 1990
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

2858 San Bruno Ave
San Francisco, CA 94134-1511
Phone (415) 467-7500

33883 Alvarado Niles Rd
Union City, CA 94587-4349
Phone (510) 489-3800

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
0 of 100Reported as individual
Quality
0
Improvement activities
0
Cost
0

Procedures performed for Medicare patients

ProcedureNumber of procedures
Removal of tissue491
Removal of nail tissue71
Removal or shaving of skin growth30
Skin biopsy1-10

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
3815CAMDProfessional Counselor

Practice roles

OrganizationSpecialtyStatusNew patients
Pacifica Union City LLC PastSince Oct 25, 2020 Accepting new patients
Orthopaedic and Neurological Rehabilitation, Speech Pathology, Inc Past Accepting new patients
Seton Medical Center Past Accepting new patients
Washington Township Hospital District Past Accepting new patients

Interoperability endpoints

  • Direct secure messaging: dpatel13744@direct.whhs.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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

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": "1171584000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1259798400000",
    "number": "1639213606",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2858 SAN BRUNO AVE",
            "city": "SAN FRANCISCO",
            "state": "CA",
            "postal_code": "941341511",
            "telephone_number": "415-467-7500",
            "fax_number": "415-467-7677"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2858 SAN BRUNO AVE",
            "city": "SAN FRANCISCO",
            "state": "CA",
            "postal_code": "941341511",
            "telephone_number": "415-467-7500",
            "fax_number": "415-467-7677"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PATEL",
        "first_name": "DIVYANG",
        "middle_name": "UMAKANT",
        "name_prefix": "Dr.",
        "credential": "D.P.M.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2007-02-16",
        "last_updated": "2009-12-03",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "213E00000X",
            "taxonomy_group": "",
            "desc": "Podiatrist",
            "state": "CA",
            "license": "E3815",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "000E38150",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in San Francisco, CA

Sources for this page

Verify at the official NPI Registry.