NPIMap

Organization Active NPI

Kanu Patel M.D.,P.a.

  • Specialist
  • Greenbelt, MD
National Provider Identifier
1649355082
Registry record updated Jun 24, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
SpecialistTaxonomy code 174400000X
License
D21799 Issued in MD
Legal business name
KANU PATEL M.D.,P.A.
Practice address
7231 B Hanover Parkway
Greenbelt, MD 20770
Phone
(301) 441-3122
Fax
(301) 441-3124
NPI assigned
Oct 26, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jun 24, 2011

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

Authorized official

Name
Kanaiyalal Patel, MDNPI 1295737914
Title
President
Phone
(301) 441-3122

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
SpecialistGroup: 193400000X SINGLE SPECIALTY GROUP 174400000X D21799 MD Primary

Addresses

Primary practice location

7231 B Hanover Parkway
Greenbelt, MD 20770

Mailing address

7231 B Hanover Parkway
Greenbelt, MD 20770
Phone (301) 441-3122

Other identifiers 1

IdentifierTypeStateIssuer
255251500MedicaidMD

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MD, DC2 enrollments

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
O20110318000864 MD DME Supplier - Physician - OtolaryngologyDME Supplier - Sleep Laboratory/Medicine 6204019821 1 other NPI on this enrollment
Practice locations: Greenbelt, MD
O20110523000729 DC Part B Supplier - Clinic/Group Practice 6204019821 Receives reassigned benefits from 2 practitioners
Practice locations: Clinton, MD; Greenbelt, MD; Glenn Dale, MD

Other NPIs on the same Medicare enrollment 1

NPIs listed together on one Medicare enrollment, typically parts of the same organization.

National Provider Directory

National Provider Directory
Tax ID family
Kanu Patel Mdpa2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

Organizations that report the same tax identification number in the National Provider Directory.

Locations

9135 Piscataway Rd
Ste 440
Clinton, MD 20735
Phone (301) 441-3122

7235 Hanover Pkwy
Ste B
Greenbelt, MD 20770
Phone (301) 441-3122

Practitioners & affiliated clinicians

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1161820800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1308873600000",
    "number": "1649355082",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7231 B HANOVER PARKWAY",
            "city": "GREENBELT",
            "state": "MD",
            "postal_code": "20770",
            "telephone_number": "301-441-3122",
            "fax_number": "301-441-3124"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7231 B HANOVER PARKWAY",
            "city": "GREENBELT",
            "state": "MD",
            "postal_code": "20770",
            "telephone_number": "301-441-3122",
            "fax_number": "301-441-3124"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "KANU PATEL M.D.,P.A.",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-10-26",
        "last_updated": "2011-06-24",
        "status": "A",
        "authorized_official_last_name": "PATEL",
        "authorized_official_first_name": "KANAIYALAL",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "301-441-3122",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "174400000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Specialist",
            "state": "MD",
            "license": "D21799",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "255251500",
            "state": "MD"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Greenbelt, MD

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 24, 2011; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.