Individual provider Active NPI

Ankur S Patel, M.D.

  • Child & Adolescent Psychiatry Physician
  • Concord, NC
National Provider Identifier
1689932816
Registry record updated May 31, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Child & Adolescent Psychiatry PhysicianTaxonomy code 2084P0804X
License
MD457460 Issued in PA
Practice address
9900 Poplar Tent Rd Ste 115
Concord, NC 28027-9505
Phone
(908) 380-6892
NPI assigned
Apr 25, 2012
Last updated
May 31, 2026By the provider in NPPES
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on May 31, 2026

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Psychiatry Physician 2084P0800X MD457460 PA
Child & Adolescent Psychiatry Physician 2084P0804X MD457460 PA Primary

Addresses

Primary practice location

9900 Poplar Tent Rd Ste 115
Concord, NC 28027-9505

Mailing address

9900 Poplar Tent Rd
Suite 115 PMB 3006
Concord, NC 28027-9505
Phone (908) 380-6892

Other practice location 1

1851 W End Ave
Pottsville, PA 17901-2050
Phone (570) 622-9101

Other identifiers 1

IdentifierTypeStateIssuer
MD457460OtherPAPA MEDICAL BOARD

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in PA
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
I20220210002843 PA Practitioner - Psychiatry 4981984556 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Psychiatry
Education
Other, 2005
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Professional Counseling Consulting and Human Services LLCGroup PAC ID 3072665462, 14 clinicians

Practice addresses (Care Compare)

1851 W End Ave
New Beginnings
Pottsville, PA 17901-2050
Phone (570) 622-9101

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
MD457460PAMDPsychiatry Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Hackensack Meridian Health Medical Group - Specialty Care PC CurrentSince Mar 3, 2020 Accepting new patients
Hackensack Meridian Health Medical Group - Specialty Care PC Psychiatry CurrentSince Mar 3, 2020 Accepting new patients
St Luke's Physician Group Inc Psychiatry CurrentSince Nov 5, 2021 Accepting new patients
St. Luke's Physician Group, Inc. Current Accepting new patients
St Luke's Physician Group Inc CurrentSince Nov 5, 2021 Accepting new patients

Locations

30 Prospect Ave
Hackensack, NJ 07601
Phone (201) 488-0066

257 Brodhead Rd
Bethlehem, PA 18017
Phone (484) 503-3057

801 Ostrum St
Fountain Hill, PA 18015
Phone (610) 954-2200

Interoperability endpoints

  • Direct secure messaging: apatel299991@wellspan.direct-ci.com
  • FHIR API: https://fhir4.healow.com/fhir/r4/IHJHBD

Organizations & group practices 6

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1335312000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1780185600000",
    "number": "1689932816",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9900 POPLAR TENT RD",
            "address_2": "SUITE 115 PMB 3006",
            "city": "CONCORD",
            "state": "NC",
            "postal_code": "280279505",
            "telephone_number": "908-380-6892"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9900 POPLAR TENT RD STE 115",
            "city": "CONCORD",
            "state": "NC",
            "postal_code": "280279505",
            "telephone_number": "908-380-6892"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1851 W End Ave",
            "address_purpose": "LOCATION",
            "city": "Pottsville",
            "state": "PA",
            "postal_code": "179012050",
            "country_code": "US",
            "telephone_number": "570-622-9101",
            "fax_number": "570-622-9102",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "PATEL",
        "first_name": "ANKUR",
        "middle_name": "S",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2012-04-25",
        "last_updated": "2026-05-31",
        "certification_date": "2026-05-31",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2084P0800X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Psychiatry",
            "state": "PA",
            "license": "MD457460",
            "primary": false
        },
        {
            "code": "2084P0804X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Child & Adolescent Psychiatry",
            "state": "PA",
            "license": "MD457460",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "PA MEDICAL BOARD",
            "identifier": "MD457460",
            "state": "PA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Concord, NC

Sources for this page

Verify at the official NPI Registry.