Individual provider Active NPI

Dipakkumar M Patel, MD

  • Pediatrics Physician
  • Methuen, MA
National Provider Identifier
1669460184
Registry record updated Mar 31, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pediatrics PhysicianTaxonomy code 208000000X
License
160803 Issued in MA
Practice address
60 East St
Methuen, MA 01844-4500
Phone
(978) 687-0151
Fax
(978) 689-7353
NPI assigned
Oct 10, 2005
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 31, 2022

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Neonatal-Perinatal Medicine Physician 2080N0001X 160803 MA
Pediatrics Physician 208000000X 160803 MA Primary

Addresses

Primary practice location

60 East St
Methuen, MA 01844-4500

Mailing address

60 East St
Methuen, MA 01844-4500
Phone (978) 687-0151

Other practice location 1

55 Fruit St
Boston, MA 02114-2621
Phone (617) 726-2000

Other identifiers 1

IdentifierTypeStateIssuer
3202160MedicaidMA

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MA
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
I20061115000254 MA Practitioner - Pediatric Medicine 9133122013 Reassigns benefits to 6 organizations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
160803MAMDPediatrics Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Mt Auburn Professional Services CurrentSince May 20, 2017 Accepting new patients
Mount Auburn Professional Services Inc CurrentSince May 20, 2017 Accepting new patients
Massachusetts General Physicians Organization Inc Pediatrics CurrentSince Jul 1, 2018 Accepting new patients
The General Hospital Corporation CurrentSince Jul 1, 2018 Accepting new patients
Steward Medical Group, Inc CurrentSince Oct 30, 2023 Accepting new patients
Steward Medical Group, Inc CurrentSince Oct 30, 2023 Accepting new patients
Pratt Pediatric Associates Inc Pediatrics CurrentSince Oct 1, 2024 Accepting new patients
Caritas Medical Group, Inc. Past Accepting new patients
Southern New Hampshire Medical Center Past Accepting new patients
LG Newcorp Inc Past Accepting new patients

Locations

800 Washington St
Boston, MA 02111
Phone (617) 636-4800

55 Fruit St
#2
Boston, MA 02114
Phone (617) 726-2967

55 Fruit St
Boston, MA 02114

75 Francis St
Boston, MA 02115

300 Longwood Ave
Boston, MA 02115
Phone (617) 355-4956

736 Cambridge St
Brighton, MA 02135
Phone (617) 789-2762

11 Nevins St
Ste 201
Brighton, MA 02135
Phone (617) 789-2442

300 Mount Auburn St
Cambridge, MA 02138
Phone (617) 499-5025

330 Mount Auburn St
Cambridge, MA 02138
Phone (617) 499-5054

100 Amesbury St
Ste 103
Lawrence, MA 01840
Phone (978) 683-0157

57 Bedford St
Ste 130
Lexington, MA 02420
Phone (781) 484-7500

60 East St
Methuen, MA 01844
Phone (978) 687-0151

70 East St
Methuen, MA 01844
Phone (978) 682-1906

8 Prospect St
Nashua, NH 03060
Phone (603) 281-9275

Interoperability endpoints

  • FHIR API: https://epicproxyprd.solutionhealth.org/FHIR_PRD/MYCHART/api/FHIR/R4
  • FHIR API: https://api.platform.athenahealth.com/86/brand/1/csg/1/fhir/r4
  • Direct secure messaging: dpatel126865@tuftsmedicine.direct-ci.com

Organizations & group practices 10

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.

NPI Registry JSON

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

{
    "created_epoch": "1128902400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1648684800000",
    "number": "1669460184",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "60 EAST ST",
            "city": "METHUEN",
            "state": "MA",
            "postal_code": "018444500",
            "telephone_number": "978-687-0151",
            "fax_number": "978-689-7353"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "60 EAST ST",
            "city": "METHUEN",
            "state": "MA",
            "postal_code": "018444500",
            "telephone_number": "978-687-0151",
            "fax_number": "978-689-7353"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "55 Fruit St",
            "address_purpose": "LOCATION",
            "city": "Boston",
            "state": "MA",
            "postal_code": "021142621",
            "country_code": "US",
            "telephone_number": "617-726-2000",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "PATEL",
        "first_name": "DIPAKKUMAR",
        "middle_name": "M",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2005-10-10",
        "last_updated": "2022-03-31",
        "certification_date": "2022-03-31",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2080N0001X",
            "taxonomy_group": "",
            "desc": "Pediatrics, Neonatal-Perinatal Medicine",
            "state": "MA",
            "license": "160803",
            "primary": false
        },
        {
            "code": "208000000X",
            "taxonomy_group": "",
            "desc": "Pediatrics",
            "state": "MA",
            "license": "160803",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "3202160",
            "state": "MA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Methuen, MA

Sources for this page

Verify at the official NPI Registry.