Individual provider Active NPI

Anish D Patel, PA-C

  • Surgical Physician Assistant
  • Buffalo, NY
National Provider Identifier
1639251366
Registry record updated Feb 13, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Surgical Physician AssistantTaxonomy code 363AS0400X
License
012121-1 Issued in NY
Practice address
700 Michigan Ave
Buffalo, NY 14203-1536
Phone
(716) 854-5700
Fax
(716) 854-5800
NPI assigned
Oct 20, 2006
Last updated
Feb 13, 2008By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Feb 13, 2008

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Physician Assistant 363A00000X 0110001169 VA
Surgical Physician Assistant 363AS0400X 012121-1 NY Primary

Addresses

Primary practice location

700 Michigan Ave
Buffalo, NY 14203-1536

Mailing address

700 Michigan Ave
Buffalo, NY 14203-1536
Phone (716) 854-5700

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: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20080404000091 NY Practitioner - Physician Assistant 2769576024 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Physician Assistant
Education
Other, 2000
Medicare assignment
May accept Medicare assignment

Practice addresses (Care Compare)

700 Michigan Ave
Buffalo, NY 14203-1536

700 Michigan Ave
Buffalo, NY 14203-1537

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Physician Assistant

State licenses

LicenseStateTypeSpecialty
0110001169VAMDPhysician Assistant
012121-1NYMDSurgical Physician Assistant

Organizations & group practices 1

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.

NPI Registry JSON

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

{
    "created_epoch": "1161302400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1202860800000",
    "number": "1639251366",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "700 MICHIGAN AVE",
            "city": "BUFFALO",
            "state": "NY",
            "postal_code": "142031536",
            "telephone_number": "716-854-5700",
            "fax_number": "716-854-5800"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "700 MICHIGAN AVE",
            "city": "BUFFALO",
            "state": "NY",
            "postal_code": "142031536",
            "telephone_number": "716-854-5700",
            "fax_number": "716-854-5800"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PATEL",
        "first_name": "ANISH",
        "middle_name": "D",
        "credential": "PA-C",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-10-20",
        "last_updated": "2008-02-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "VA",
            "license": "0110001169",
            "primary": false
        },
        {
            "code": "363AS0400X",
            "taxonomy_group": "",
            "desc": "Physician Assistant, Surgical",
            "state": "NY",
            "license": "012121-1",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Buffalo, NY

Sources for this page

Verify at the official NPI Registry.