Individual provider Active NPI

Piyush K Patel, MD

  • Internal Medicine Physician
  • Germantown, MD
National Provider Identifier
1669482964
Registry record updated Jan 31, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
License
D00056345 Issued in MD
Practice address
19703 Executive Park Cir
Germantown, MD 20874-2639
Phone
(301) 946-6623
Fax
(301) 540-9448
NPI assigned
Aug 9, 2006
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jan 31, 2019

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine Physician 207R00000X D00056345 MD Primary

Addresses

Primary practice location

19703 Executive Park Cir
Germantown, MD 20874-2639

Mailing address

19745 Executive Park Cir
Germantown, MD 20874-2642
Phone (301) 946-6623

Other identifiers 1

IdentifierTypeStateIssuer
401493601MedicaidMD

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in DC
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
I20040719000799 DC Practitioner - Internal Medicine 1850370248 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Internal Medicine
Education
University of Illinois College of Med (CHI/Peor/Rock/CHM-Urb), 1997
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Advanced Medical Care LLCGroup PAC ID 6204875396, 4 clinicians
Suburban/NRH Medical Rehabilitation IncGroup PAC ID 6507846771, 885 clinicians

Practice addresses (Care Compare)

12001 Ferrara Ave
Silver Spring, MD 20906-4706
Phone (301) 946-6623

6410 Rockledge Dr
Suite 600
Bethesda, MD 20817-1844

Hospital & facility affiliations

  • Holy Cross Home Care and Hospice Home health agency, Silver Spring, MD, CCN 217030
  • Adventist Home Health Services, Inc. Home health agency, Silver Spring, MD, CCN 217032

Procedures performed for Medicare patients

ProcedureNumber of procedures
Removal or shaving of skin growth1-10

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
D00056345MDMDInternal Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Advanced Medical Care LLC Internal Medicine CurrentSince Feb 1, 2005 Accepting new patients
Advanced Medical Care LLC Current Accepting new patients
Frederick Health Hospital Inc Past Accepting new patients

Locations

19701 Executive Park Cir
Germantown, MD 20874
Phone (301) 540-9447

19703 Executive Park Cir
Germantown, MD 20874
Phone (301) 528-7029

12001 Ferrara Ave
Silver Spring, MD 20906
Phone (240) 660-2988

3925 Ferrara Dr
Silver Spring, MD 20906
Phone (301) 933-1547

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.

Hospital & facility affiliations 2

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": "1155081600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1548892800000",
    "number": "1669482964",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "19745 EXECUTIVE PARK CIR",
            "city": "GERMANTOWN",
            "state": "MD",
            "postal_code": "208742642",
            "telephone_number": "301-946-6623",
            "fax_number": "301-540-9448"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "19703 EXECUTIVE PARK CIR",
            "city": "GERMANTOWN",
            "state": "MD",
            "postal_code": "208742639",
            "telephone_number": "301-946-6623",
            "fax_number": "301-540-9448"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PATEL",
        "first_name": "PIYUSH",
        "middle_name": "K",
        "credential": "MD",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-08-09",
        "last_updated": "2019-01-31",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "MD",
            "license": "D00056345",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "401493601",
            "state": "MD"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Germantown, MD

Sources for this page

Verify at the official NPI Registry.