Poorav Jitendra Patel, MD, MHS

Primary specialty

Ophthalmology PhysicianTaxonomy code 207W00000X

License

MD178702 Issued in OR

Practice address

1333 E Barnett Rd
Medford, OR 97504-8219

Phone

(541) 779-4711

Fax

(541) 779-0796

NPI assigned

Jun 25, 2013

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 3

Addresses

Medicare fee-for-service enrollment

Enrolled in OR

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

Specialty

Ophthalmology

Education

Oregon Health Sciences University School of Medicine, 2015

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Medical Eye Center IncGroup PAC ID 8325034804, 15 clinicians

Practice addresses (Care Compare)

Merit-based Incentive Payment System (MIPS)

Final score

92.83 of 100Reported as group

Quality

100

Improvement activities

40

Cost

76.1

Procedures performed for Medicare patients

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

Practice roles

Locations

Interoperability endpoints

• Direct secure messaging: pjpatel@directaddress.net

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.

• Medical Eye Center Inc

  • Ophthalmology Physician
  • Medford, OR
  • NPI 1609944347
  Medicare reassignment Care Compare group NPD
• Laser & Surgical Eye Center LLC

  • Ambulatory Surgical Clinic/Center
  • Medford, OR
  • NPI 1720156482
  NPD
• Medical Eye Center Optical Inc

  • Eyewear Supplier
  • Grants Pass, OR
  • NPI 1629242938
  NPD (past)

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

{
    "created_epoch": "1372118400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1583107200000",
    "number": "1689014409",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2800 N. VANCOUVER AVE",
            "address_2": "SUITE 230",
            "city": "PORTLAND",
            "state": "OR",
            "postal_code": "97227",
            "telephone_number": "503-413-4340"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1333 E BARNETT RD",
            "city": "MEDFORD",
            "state": "OR",
            "postal_code": "975048219",
            "telephone_number": "541-779-4711",
            "fax_number": "541-779-0796"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PATEL",
        "first_name": "POORAV",
        "middle_name": "JITENDRA",
        "credential": "MD, MHS",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2013-06-25",
        "last_updated": "2020-03-02",
        "certification_date": "2020-03-02",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "OR",
            "license": "MD178702",
            "primary": false
        },
        {
            "code": "390200000X",
            "taxonomy_group": "",
            "desc": "Student in an Organized Health Care Education/Training Program",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "207W00000X",
            "taxonomy_group": "",
            "desc": "Ophthalmology",
            "state": "OR",
            "license": "MD178702",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Denise Lee Partin, NP
• Aaron Wayne Partsafas, M.D.
• Joshua Pastor, M.S. OTR/L
• Keval K Patel, M.D.
• Krupa Nainesh Patel
• Caroline Elizabeth Patten, F.N.P.
• Bruce L Patterson, MD, FACC
• Jeannie Marie Patterson, PEER SUPPORT SPECIAL
• Lindsey A Patterson, RD
• Robert Lewis Patterson III, PA-C

• Ophthalmology Physician in Medford, OR
• Providers in Medford, OR by specialty
• Ophthalmology Physician in Oregon

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 2, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.