Active NPI
Chandrakant Dasbhai Patel, MD
- Surgery Physician
- Beverly, MA
National Provider Identifier
1679676555
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Surgery Physician
- License
- 36299
- Practice address
- 85 Herrick St
Beverly Hospital North East Health System
Beverly, MA 01915-1790 - Phone
- (978) 922-3000
- NPI assigned
- Sep 6, 2006
- Sex
- Male
- Sole proprietor
- Yes
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 |
|---|---|---|---|---|
| Surgery Physician | 208600000X | 36299 | MA | Primary |
Addresses
Primary practice location
85 Herrick St
Beverly Hospital North East Health System
Beverly, MA 01915-1790
Mailing address
55 Hull Street
Beverly, MA 01915-1453
Phone (978) 927-5525
Other identifiers 9
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 0005234 | Other | MA | NEIGHBORHOOD HEALTH PLAN |
| 2044021 | Medicaid | MA | |
| V39504 | Other | MA | NETWORK HEALTH |
| 71427160001 | Other | CIGNA | |
| 8766 | Other | MA | HARVARD PILGRIM HEALTH CARE |
| D03098 | Other | MA | BLUE CROSS BLUE SHIELD |
| 004373130 | Other | TX | AETNA |
| 26778 | Other | MA | FALLON COMMUNITY HEALTH PLAN |
| 713883 | Other | MA | TUFTS HEALTH PLAN |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 36299 | MA | MD | Surgery Physician |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1157500800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1322524800000",
"number": "1679676555",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "55 HULL STREET",
"city": "BEVERLY",
"state": "MA",
"postal_code": "019151453",
"telephone_number": "978-927-5525",
"fax_number": "978-927-5525"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "85 HERRICK ST",
"address_2": "BEVERLY HOSPITAL NORTH EAST HEALTH SYSTEM",
"city": "BEVERLY",
"state": "MA",
"postal_code": "019151790",
"telephone_number": "978-922-3000"
}
],
"practiceLocations": [],
"basic": {
"last_name": "PATEL",
"first_name": "CHANDRAKANT",
"middle_name": "DASBHAI",
"name_prefix": "Dr.",
"credential": "MD",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2006-09-06",
"last_updated": "2011-11-29",
"status": "A"
},
"taxonomies": [
{
"code": "208600000X",
"taxonomy_group": "",
"desc": "Surgery",
"state": "MA",
"license": "36299",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "NEIGHBORHOOD HEALTH PLAN",
"identifier": "0005234",
"state": "MA"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "2044021",
"state": "MA"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "NETWORK HEALTH",
"identifier": "V39504",
"state": "MA"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "CIGNA",
"identifier": "71427160001",
"state": null
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "HARVARD PILGRIM HEALTH CARE",
"identifier": "8766",
"state": "MA"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BLUE CROSS BLUE SHIELD",
"identifier": "D03098",
"state": "MA"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "AETNA",
"identifier": "004373130",
"state": "TX"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "FALLON COMMUNITY HEALTH PLAN",
"identifier": "26778",
"state": "MA"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "TUFTS HEALTH PLAN",
"identifier": "713883",
"state": "MA"
}
],
"endpoints": [],
"other_names": []
}Other providers in Beverly, MA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 29, 2011; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.