Individual provider Active NPI

Yatin J Patel, MD

  • Pulmonary Disease Physician
  • Ellicott City, MD
National Provider Identifier
1649383712
Registry record updated Aug 21, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pulmonary Disease PhysicianTaxonomy code 207RP1001X
License
01042551 Issued in IN
Practice address
10290 Baltimore National Pike
Ellicott City, MD 21042-3670
Phone
(410) 465-8503
Fax
(410) 465-8570
NPI assigned
Aug 16, 2006
Last updated
Aug 21, 2024By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 21, 2024

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Pulmonary Disease Physician 207RP1001X D0097789 MD
Pulmonary Disease Physician 207RP1001X 01042551 IN Primary

Addresses

Primary practice location

10290 Baltimore National Pike
Ellicott City, MD 21042-3670

Mailing address

PO Box 6083
Ellicott City, MD 21042-0083
Phone (410) 465-8503

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in IN
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
I20070816000439 IN Practitioner - Sleep MedicinePractitioner - Allergy/ImmunologyPractitioner - Pulmonary Disease 3274625504

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
01042551INMDPulmonary Disease Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Shahnaz K. Rao Mdpa CurrentSince Aug 25, 2024 Accepting new patients
America's Favorite Sleep Center Inc. PastSince Aug 25, 2024 Accepting new patients

Locations

10290 Baltimore National Pike
Ellicott City, MD 21042
Phone (410) 245-0657

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.

NPI Registry JSON

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

{
    "created_epoch": "1155686400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1724198400000",
    "number": "1649383712",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 6083",
            "city": "ELLICOTT CITY",
            "state": "MD",
            "postal_code": "210420083",
            "telephone_number": "410-465-8503",
            "fax_number": "410-465-8570"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "10290 BALTIMORE NATIONAL PIKE",
            "city": "ELLICOTT CITY",
            "state": "MD",
            "postal_code": "210423670",
            "telephone_number": "410-465-8503",
            "fax_number": "410-465-8570"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PATEL",
        "first_name": "YATIN",
        "middle_name": "J",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-08-16",
        "last_updated": "2024-08-21",
        "certification_date": "2024-08-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207RP1001X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Pulmonary Disease",
            "state": "MD",
            "license": "D0097789",
            "primary": false
        },
        {
            "code": "207RP1001X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Pulmonary Disease",
            "state": "IN",
            "license": "01042551",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Ellicott City, MD

Sources for this page

Verify at the official NPI Registry.