Individual provider Active NPI

Kartik Patel, M.D.

  • Family Medicine Physician
  • Collegeville, PA
National Provider Identifier
1639469653
Registry record updated Jun 15, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
MD452287 Issued in PA
Practice address
599 Arcola Rd
Collegeville, PA 19426
Phone
(484) 565-8440
Fax
(610) 409-6160
NPI assigned
Apr 11, 2011
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 15, 2018

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine Physician 207Q00000X MD452287 PA Primary

Addresses

Primary practice location

599 Arcola Rd
Collegeville, PA 19426

Mailing address

599 Arcola Rd
Collegeville, PA 19426-3954
Phone (484) 565-8440

Other practice location 1

501 Bath Rd
Bristol, PA 19007-3101
Phone (215) 785-9785

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in PA
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
I20140904001799 PA Practitioner - Family Practice 8921226994 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Family Practice
Education
Other, 2010
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Main Line HealthcareGroup PAC ID 1951215201, 1,154 clinicians

Practice addresses (Care Compare)

599 Arcola Rd
Collegeville, PA 19426-3954
Phone (484) 565-1600

599 Arcola Rd Providence
Collegeville, PA 19426-3954
Phone (610) 560-8440

830 Old Lancaster Rd
Bryn Mawr, PA 19010-3118

Hospital & facility affiliations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
MD452287PAMDFamily Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Main Line Healthcare Family Medicine CurrentSince Feb 1, 2018 Accepting new patients
BMC Primary Care Physicians LLC Family Medicine CurrentSince Jul 15, 2014 Accepting new patients

Locations

3554 Hulmeville Rd
Ste 101
Bensalem, PA 19020
Phone (215) 310-8087

501 Bath Rd
Bristol, PA 19007
Phone (215) 785-9200

205 Radcliffe St
Bristol, PA 19007
Phone (215) 788-7070

830 Old Lancaster Rd
Ste 108
Bryn Mawr, PA 19010
Phone (610) 520-5200

599 Arcola Rd
Collegeville, PA 19426
Phone (484) 565-8440

Organizations & group practices 2

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 5

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": "1302480000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1529020800000",
    "number": "1639469653",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "599 ARCOLA RD",
            "city": "COLLEGEVILLE",
            "state": "PA",
            "postal_code": "194263954",
            "telephone_number": "484-565-8440",
            "fax_number": "610-409-6160"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "599 ARCOLA RD",
            "city": "COLLEGEVILLE",
            "state": "PA",
            "postal_code": "19426",
            "telephone_number": "484-565-8440",
            "fax_number": "610-409-6160"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "501 Bath Rd",
            "address_purpose": "LOCATION",
            "city": "Bristol",
            "state": "PA",
            "postal_code": "190073101",
            "country_code": "US",
            "telephone_number": "215-785-9785",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "PATEL",
        "first_name": "KARTIK",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2011-04-11",
        "last_updated": "2018-06-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "PA",
            "license": "MD452287",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Collegeville, PA

Sources for this page

Verify at the official NPI Registry.