Active NPI
Mitesh Jagdish Patel, PA-C
- Physician Assistant
- Fort Worth, TX
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physician Assistant
- License
- PA08635
- Practice address
- 200 W Magnolia Ave Ste 201
Fort Worth, TX 76104-7657 - Phone
- (817) 702-2977
- NPI assigned
- Aug 2, 2013
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Physician Assistant | 363A00000X | PA08635 | TX | Primary |
Addresses
Primary practice location
200 W Magnolia Ave Ste 201
Fort Worth, TX 76104-7657
Mailing address
PO Box 732973 Suite 605
Dallas, TX 75373-1615
Other practice location 1
3900 Junius St
Suite 605
Dallas, TX 75246-1615
Phone (214) 820-7100
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in TX
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: No
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Physician Assistant
- Education
- Other, 2013
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
821 N Coleman St
Suite 100
Prosper, TX 75078-2339
Phone (469) 800-5200
Hospital & facility affiliations
- Baylor Scott & White the Heart Hospital Plano
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Physician Assistant
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Healthtexas Provider Network | Current | Accepting new patients | |
| Healthtexas Provider Network | Current | Accepting new patients | |
| Medhealth | Current | Accepting new patients | |
| Texas Heart Hospital of the Southwest LLC | Current | Accepting new patients | |
| Texas Heart Hospital of the Southwest LLP | Physician Assistant | Current | Accepting new patients |
| Medhealth | Current | Accepting new patients | |
| Advanced Pain & Rehabilitation Association PLLC | Past | Accepting new patients |
Locations
5408 Colleyville Blvd
Colleyville, TX 76034
Phone (817) 498-9920
4001 Worth St
#A
Dallas, TX 75246
Phone (214) 820-8665
3900 Junius St
Ste 605
Dallas, TX 75246
Phone (214) 814-1711
4001 Worth St
Dallas, TX 75246
Phone (214) 828-1745
5224 S State Highway 360
Grand Prairie, TX 75052
Phone (972) 522-0691
1100 Allied Dr
Plano, TX 75093
Phone (469) 814-3278
821 N Coleman St
Ste 100
Prosper, TX 75078
Phone (469) 800-5200
613 S Highway 78
Wylie, TX 75098
Phone (972) 941-8700
Interoperability endpoints
- mpatel225796@direct.sw.org
Organizations & group practices 9
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.
-
- Family Medicine Physician
- Dallas, TX
- NPI 1760488936
-
- Family Medicine Physician
- Dallas, TX
- NPI 1912957200
-
- Nurse Practitioner
- Plano, TX
- NPI 1104164755
Physician Assistant
-
- Internal Medicine Physician
- Fort Worth, TX
- NPI 1780076562
-
- Family Medicine Physician
- Plano, TX
- NPI 1003811639
-
- Anesthesiology Physician
- Lakeway, TX
- NPI 1104714583
-
- Urgent Care Clinic/Center
- Grand Prairie, TX
- NPI 1558762690
-
- General Acute Care Hospital
- Dallas, TX
- NPI 1609855139
-
- Physical Medicine & Rehabilitation Physician
- Wylie, TX
- NPI 1215404637
Hospital & facility affiliations 1
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- General Acute Care Hospital
- Plano, TX
- NPI 1962504340
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1375401600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1687996800000",
"number": "1639501596",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 732973 SUITE 605",
"city": "DALLAS",
"state": "TX",
"postal_code": "753731615"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "200 W MAGNOLIA AVE STE 201",
"city": "FORT WORTH",
"state": "TX",
"postal_code": "761047657",
"telephone_number": "817-702-2977"
}
],
"practiceLocations": [
{
"address_1": "3900 Junius St",
"address_2": "Suite 605",
"address_purpose": "LOCATION",
"city": "Dallas",
"state": "TX",
"postal_code": "752461615",
"country_code": "US",
"telephone_number": "214-820-7100",
"fax_number": "214-820-6863",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "PATEL",
"first_name": "MITESH",
"middle_name": "JAGDISH",
"credential": "PA-C",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2013-08-02",
"last_updated": "2023-06-29",
"certification_date": "2023-06-29",
"status": "A"
},
"taxonomies": [
{
"code": "363A00000X",
"taxonomy_group": "",
"desc": "Physician Assistant",
"state": "TX",
"license": "PA08635",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Fort Worth, TX
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 29, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.