Individual provider Active NPI

Samir Natavar Patel, M.D.

  • Anesthesiology Physician
  • Somerset, NJ
National Provider Identifier
1649448317
Registry record updated Feb 12, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Anesthesiology PhysicianTaxonomy code 207L00000X
License
25MA08870300 Issued in NJ
Practice address
285 Davidson Ave Ste 204
Somerset, NJ 08873-4153
Phone
(732) 271-1400
Fax
(732) 271-3544
NPI assigned
Feb 15, 2008
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Feb 12, 2018

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Pain Medicine (Anesthesiology) Physician 207LP2900X 25MA08870300 NJ
Anesthesiology Physician 207L00000X 25MA08870300 NJ Primary

Addresses

Primary practice location

285 Davidson Ave Ste 204
Somerset, NJ 08873-4153

Mailing address

285 Davidson Ave
Ste 204
Somerset, NJ 08873-4153
Phone (732) 271-1400

Other identifiers 2

IdentifierTypeStateIssuer
03307655MedicaidNY
0251747MedicaidNJ

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NJ
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
I20110217000683 NJ Practitioner - Anesthesiology 6800933656 Reassigns benefits to 6 organizations

Care Compare profile

Medicare Care Compare
Specialty
Anesthesiology
Education
State University of New York at Stony Brook, School of Medicine, 2004
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Teammd Anesthesia LLCGroup PAC ID 1951721679, 3 clinicians
Bay AnesthesiaGroup PAC ID 0446639306, 75 clinicians

Practice addresses (Care Compare)

1167 McBride Ave
FL 2
Woodland Park, NJ 07424-2543
Phone (908) 904-1900

561 Cranbury Rd
East Brunswick, NJ 08816-5400
Phone (201) 620-3010

Hospital & facility affiliations

  • Cooperman Barnabas Medical Center Hospital, Livingston, NJ, CCN 310076

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled
HHS exclusion list flag
Flagged The directory lists this NPI on an HHS exclusion list. The OIG exclusions file (LEIE) holds no record for this NPI, and the directory does not say which list the flag comes from. How exclusions are shown Confirm with the OIG exclusions search.
Credentials
Doctor of Medicine

Practice roles

OrganizationSpecialtyStatusNew patients
Metropolitan Pain Consultants, LLC CurrentSince Jul 20, 2021 Accepting new patients
Teammd Anesthesia LLC Anesthesiology CurrentSince Dec 23, 2022 Accepting new patients
Prestige Pain Centers PC CurrentSince Oct 5, 2022 Accepting new patients
Olena Medical New Jersey LLC Anesthesiology CurrentSince May 21, 2019 Accepting new patients
North American Partners in Anesthesia of New Jersey LLC Anesthesiology CurrentSince Jul 5, 2019 Accepting new patients
Union Anesthesia Associates, PA Anesthesiology CurrentSince May 6, 2020 Accepting new patients
Bay Anesthesia LLC Anesthesiology CurrentSince Nov 5, 2022 Accepting new patients
Morris Avenue Endoscopy LLC Past Accepting new patients
Banesthesia Consultants of New Jersey,L.L.C Past Accepting new patients

Locations

1 Clara Maass Dr
Belleville, NJ 07109
Phone (973) 450-2008

1255 Broad St
Ste 200
Bloomfield, NJ 07003
Phone (646) 740-8302

125 Washington Ave
Carteret, NJ 07008
Phone (201) 687-1208

561 Cranbury Rd
East Brunswick, NJ 08816
Phone (201) 620-3010

1813 Oak Tree Rd
Edison, NJ 08820
Phone (732) 548-5955

15-01 Broadway
Ste 20
Fair Lawn, NJ 07410
Phone (201) 794-6008

360 Route 70
Lakewood, NJ 08701
Phone (732) 367-3050

300 2nd Ave
Long Branch, NJ 07740
Phone (732) 222-5200

256 Stuyvesant Ave
Lyndhurst, NJ 07071
Phone (201) 729-0001

703 Main St
Paterson, NJ 07503
Phone (973) 754-2240

695 Chestnut St
Union, NJ 07083
Phone (908) 688-6565

1167 McBride Ave
Fl 2
Woodland Park, NJ 07424
Phone (908) 904-1900

68 S Service Rd
Ste 350
Melville, NY 11747
Phone (516) 945-3107

Interoperability endpoints

  • FHIR API: https://fhir.meditouchehr.com/api/fhir/r4/

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.

Hospital & facility affiliations 1

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

NPI Registry JSON

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

{
    "created_epoch": "1203033600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1518393600000",
    "number": "1649448317",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "285 DAVIDSON AVE",
            "address_2": "STE 204",
            "city": "SOMERSET",
            "state": "NJ",
            "postal_code": "088734153",
            "telephone_number": "732-271-1400",
            "fax_number": "732-271-3544"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "285 DAVIDSON AVE STE 204",
            "city": "SOMERSET",
            "state": "NJ",
            "postal_code": "088734153",
            "telephone_number": "732-271-1400",
            "fax_number": "732-271-3544"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PATEL",
        "first_name": "SAMIR",
        "middle_name": "NATAVAR",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2008-02-15",
        "last_updated": "2018-02-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207LP2900X",
            "taxonomy_group": "",
            "desc": "Anesthesiology, Pain Medicine",
            "state": "NJ",
            "license": "25MA08870300",
            "primary": false
        },
        {
            "code": "207L00000X",
            "taxonomy_group": "",
            "desc": "Anesthesiology",
            "state": "NJ",
            "license": "25MA08870300",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "03307655",
            "state": "NY"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0251747",
            "state": "NJ"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Somerset, NJ

Sources for this page

Verify at the official NPI Registry.