NPIMap

Individual provider Active NPI

Bhupendra Patel, MD

  • Internal Medicine Physician
  • Susquehanna, PA
National Provider Identifier
1649216466
Registry record updated Jun 2, 2009
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
License
MD033103E Issued in PA
Practice address
2872 Turnpike St
Susquehanna, PA 18847-2771
Phone
(570) 853-3135
Fax
(570) 853-3008
NPI assigned
Jun 21, 2006
Last updated
Jun 2, 2009By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 2, 2009

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 MD033103E PA Primary

Addresses

Primary practice location

2872 Turnpike St
Susquehanna, PA 18847-2771

Mailing address

2872 Turnpike St
Susquehanna, PA 18847-2771
Phone (570) 853-3135

Other identifiers 1

IdentifierTypeStateIssuer
1007810MedicaidPA

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in PA
Eligible to order & refer
  • Part B services
  • Medical equipment
  • Home health
  • Power mobility devices
  • Hospice
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20090318000193 PA Practitioner - Internal Medicine 0840396602 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Internal Medicine
Education
Other, 1979
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Barnes-Kasson County HospitalGroup PAC ID 1355318635, 12 clinicians

Practice addresses (Care Compare)

2872 Turnpike St
Susquehanna, PA 18847-2771
Phone (570) 853-3135

Hospital & facility affiliations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
MD033103EPAMDInternal Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Barnes-Kasson County Hospital CurrentSince Aug 1, 1985 Accepting new patients
Barnes-Kasson County Hospital CurrentSince Aug 1, 1985 Accepting new patients
Barnes-Kasson County Hospital Past Accepting new patients
Barnes-Kasson County Hospital Past Accepting new patients
Mercy Imaging Associates, PC Past Accepting new patients

Locations

433 Church St
New Milford, PA 18834
Phone (570) 465-4500

2872 Turnpike St
Susquehanna, PA 18847
Phone (570) 853-3135

401 Broad Ave
Susquehanna, PA 18847
Phone (570) 853-3995

Interoperability endpoints

  • FHIR API: https://fhir-usa.unify.chbase.com/org/bkchosp-be195a39

Ownership & related parties

All facility ownership & control disclosures 1

Facilities whose Medicare enrollment lists this provider’s PECOS associate ID as an owner or managing party.

FacilityTypeRoleSince
Barnes-Kasson County HospitalSusquehanna, PA, CCN 395285 Skilled nursing facility Operational/Managerial Control
Adp of the SNF		 Jul 1, 2024
Feb 12, 2025

Owned or controlled facilities with NPI records 1

Facilities whose Medicare enrollment lists this provider as an owner, officer, director or managing party.

Organizations & group practices 5

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 38

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

View all 38

NPI Registry JSON

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

{
    "created_epoch": "1150848000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1243900800000",
    "number": "1649216466",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2872 TURNPIKE ST",
            "city": "SUSQUEHANNA",
            "state": "PA",
            "postal_code": "188472771",
            "telephone_number": "570-853-3135",
            "fax_number": "570-853-3008"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2872 TURNPIKE ST",
            "city": "SUSQUEHANNA",
            "state": "PA",
            "postal_code": "188472771",
            "telephone_number": "570-853-3135",
            "fax_number": "570-853-3008"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PATEL",
        "first_name": "BHUPENDRA",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-06-21",
        "last_updated": "2009-06-02",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "PA",
            "license": "MD033103E",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1007810",
            "state": "PA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Susquehanna, PA

Sources for this page

Verify at the official NPI Registry.