Active NPI
Pruthvi Patel, M.D.
- Hepatology Physician
- Manhasset, NY
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Hepatology Physician
- License
- 247052
- Practice address
- 1155 Northern Blvd
Manhasset, NY 11030-3040 - Phone
- (516) 407-4000
- NPI assigned
- May 28, 2008
- Sex
- Female
- 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 |
|---|---|---|---|---|
| Hepatology Physician | 207RI0008X | 247052 | NY | Primary |
Addresses
Primary practice location
1155 Northern Blvd
Manhasset, NY 11030-3040
Mailing address
1 Gustave L Levy PL # 1118
New York, NY 10029-6504
Other practice location 1
100 Port Washington Blvd
Roslyn, NY 11576-1347
Phone (212) 562-6000
Other practice location 2
1 Healthy Way
Oceanside, NY 11572-1551
Phone (877) 768-8462
Other practice location 3
1 Gustave L Levy Pl
New York, NY 10029-6500
Phone (212) 241-7270
Other practice location 4
1436 Broadway
Hewlett, NY 11557-1405
Phone (516) 563-7200
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in NY
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Gastroenterology
- Education
- Icahn School of Medicine at Mount Sinai, 2005
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Telehealth
- Offers telehealth services
- Group practices
- Icahn School of Medicine at Mount Sinai
Practice addresses (Care Compare)
3160 21St St
Long Island City, NY 11106-4520
Phone (718) 808-7325
Hospital & facility affiliations
Procedures performed for Medicare patients
| Procedure | Number of procedures |
|---|---|
| Colonoscopy | 1-10 |
| Upper gastrointestinal (GI) endoscopy for acid reflux | 26 |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 247052 | NY | MD | Hepatology Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Icahn School of Medicine at Mount Sinai | Internal Medicine | Current | Accepting new patients |
| Icahn School of Medicine at Mount Sinai | Current | Accepting new patients | |
| Icahn School of Medicine at Mount Sinai | Gastroenterology | Current | Accepting new patients |
| Icahn School of Medicine at Mount Sinai | Past | Accepting new patients |
Locations
2619 Francis Lewis Blvd
Flushing, NY 11358
Phone (718) 224-7186
1436 Broadway
Hewlett, NY 11557
Phone (516) 563-7200
3160 21st St
Long Island City, NY 11106
Phone (718) 808-7300
2510 30th Ave
Long Island City, NY 11102
Phone (718) 267-4245
1155 Northern Blvd
Manhasset, NY 11030
Phone (516) 407-4000
5 E 98th St
Fl 5
New York, NY 10029
Phone (212) 241-8234
150 E 42nd St
Fl 9
New York, NY 10017
Phone (646) 605-8119
5 E 98th St
Fl 12
New York, NY 10029
Phone (212) 241-8303
1 Healthy Way
Oceanside, NY 11572
Phone (516) 255-1581
100 Port Washington Blvd
Roslyn, NY 11576
Phone (516) 562-6385
2020 Wantagh Ave
Wantagh, NY 11793
Phone (516) 248-2422
Networks
- Healthfirst Medicare Network H3359
- Healthfirst Medicare Network H9678
- Healthfirst Medicare Network H5989
- Healthfirst Medicare Network H1722
Organizations & group practices 4
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.
-
- Gastroenterology Physician
- New York, NY
- NPI 1033471305
-
- Internal Medicine Physician
- Astoria, NY
- NPI 1477932275
-
- Eyewear Supplier
- New York, NY
- NPI 1760227466
-
- Obstetrics & Gynecology Physician
- New York, NY
- NPI 1124392212
Hospital & facility affiliations 2
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- General Acute Care Hospital
- Manhasset, NY
- NPI 1366459570
-
- General Acute Care Hospital
- Oceanside, NY
- NPI 1922079094
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1211932800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1686614400000",
"number": "1649438441",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1 GUSTAVE L LEVY PL # 1118",
"city": "NEW YORK",
"state": "NY",
"postal_code": "100296504"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1155 NORTHERN BLVD",
"city": "MANHASSET",
"state": "NY",
"postal_code": "110303040",
"telephone_number": "516-407-4000"
}
],
"practiceLocations": [
{
"address_1": "100 Port Washington Blvd",
"address_purpose": "LOCATION",
"city": "Roslyn",
"state": "NY",
"postal_code": "115761347",
"country_code": "US",
"telephone_number": "212-562-6000",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "1 Healthy Way",
"address_purpose": "LOCATION",
"city": "Oceanside",
"state": "NY",
"postal_code": "115721551",
"country_code": "US",
"telephone_number": "877-768-8462",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "1 Gustave L Levy Pl",
"address_purpose": "LOCATION",
"city": "New York",
"state": "NY",
"postal_code": "100296500",
"country_code": "US",
"telephone_number": "212-241-7270",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "1436 Broadway",
"address_purpose": "LOCATION",
"city": "Hewlett",
"state": "NY",
"postal_code": "115571405",
"country_code": "US",
"telephone_number": "516-563-7200",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "PATEL",
"first_name": "PRUTHVI",
"name_prefix": "Dr.",
"credential": "M.D.",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2008-05-28",
"last_updated": "2023-06-13",
"certification_date": "2023-06-13",
"status": "A"
},
"taxonomies": [
{
"code": "207RI0008X",
"taxonomy_group": "",
"desc": "Internal Medicine, Hepatology",
"state": "NY",
"license": "247052",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Manhasset, NY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 13, 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.