NPIMap

Individual provider Active NPI

Jennifer D Patel, D.O.

  • Nephrology Physician
  • Darby, PA
National Provider Identifier
1669480331
Registry record updated Jun 8, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
Nephrology PhysicianTaxonomy code 207RN0300X
License
OS014386 Issued in PA
Practice address
1501 Lansdowne Ave
Suite 201
Darby, PA 19023-1333
Phone
(610) 534-6230
Fax
(610) 534-6166
NPI assigned
Aug 4, 2006
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 8, 2010

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine Physician 207R00000X 228141 MA
Nephrology Physician 207RN0300X OS014386 PA Primary

Addresses

Primary practice location

1501 Lansdowne Ave
Suite 201
Darby, PA 19023-1333

Mailing address

3131 Walnut St
Unit #630
Philadelphia, PA 19104-3415
Phone (347) 526-7197

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in PA
Eligible to order & refer
  • Part B services
  • Medical equipment
  • Home health
  • Power mobility devices
  • Hospice
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20080528000312 PA Practitioner - NephrologyPractitioner - Internal Medicine 3173521119 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
NephrologyAlso: Internal Medicine
Education
New York College of Osteo Medicine of New York Institute of Technology, 2001
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Clinical Renal Associates LLCGroup PAC ID 6901881366, 33 clinicians

Practice addresses (Care Compare)

1001 Baltimore Pike
Suite 109
Springfield, PA 19064-2852
Phone (610) 534-6230

Hospital & facility affiliations

  • DaVita Upper Darby Dialysis Dialysis facility, Upper Darby, PA, CCN 732500
  • DaVita Philadelphia West Dialysis Dialysis facility, Philadelphia, PA, CCN 392513
  • Dialyze Direct PA Dialysis facility, Exton, PA, CCN 392868
  • Mercy Catholic Medical Center- Mercy Fitzgerald Hospital, Darby, PA, CCN 390156
  • Paoli Hospital Hospital, Paoli, PA, CCN 390153
  • Thomas Jefferson University Hospital Hospital, Philadelphia, PA, CCN 390174
  • Chester County Hospital Hospital, West Chester, PA, CCN 390179
  • Riddle Memorial Hospital Hospital, Media, PA, CCN 390222

Merit-based Incentive Payment System (MIPS)

Final score
91.59 of 100Reported as group
Quality
74.34
Promoting interoperability
100
Improvement activities
40
Cost
75.79

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Clinical Renal Associates, LLC Nephrology CurrentSince May 1, 2016 Accepting new patients
Stoneham Medical Group LLC Internal Medicine Past Accepting new patients

Locations

30 Medical Center Blvd
Ste 303
Chester, PA 19013

1503 Lansdowne Ave
Ste 3005
Darby, PA 19023
Phone (610) 237-4122

1501 Lansdowne Ave
Ste 201
Darby, PA 19023
Phone (215) 534-6230

1020 Baltimore Pike
Ste 220
Glen Mills, PA 19342
Phone (610) 361-8300

176 S New Middletown Rd
Ste 101
Media, PA 19063

1001 Baltimore Pike
Ste 109
Springfield, PA 19064
Phone (610) 534-6230

Interoperability endpoints

  • FHIR API: https://api.platform.athenahealth.com/3389/brand/1/csg/21/fhir/r4
  • Direct secure messaging: jpatel2013230@direct.trinity-health.org
  • Direct secure messaging: jennifer.patel.1@3389.direct.athenahealth.com

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 and National Provider Directory roles.

Hospital & facility affiliations 7

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": "1154649600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1275955200000",
    "number": "1669480331",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3131 WALNUT ST",
            "address_2": "UNIT #630",
            "city": "PHILADELPHIA",
            "state": "PA",
            "postal_code": "191043415",
            "telephone_number": "347-526-7197"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1501 LANSDOWNE AVE",
            "address_2": "SUITE 201",
            "city": "DARBY",
            "state": "PA",
            "postal_code": "190231333",
            "telephone_number": "610-534-6230",
            "fax_number": "610-534-6166"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PATEL",
        "first_name": "JENNIFER",
        "middle_name": "D",
        "credential": "D.O.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-08-04",
        "last_updated": "2010-06-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "MA",
            "license": "228141",
            "primary": false
        },
        {
            "code": "207RN0300X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Nephrology",
            "state": "PA",
            "license": "OS014386",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Darby, PA

Sources for this page

Verify at the official NPI Registry.