Individual provider Active NPI

Prakash B Patel, MD

  • Anesthesiology Physician
  • Bronx, NY
National Provider Identifier
1699713719
Registry record updated Jul 8, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Anesthesiology PhysicianTaxonomy code 207L00000X
License
2268011 Issued in NY
Practice address
2425 Eastchester Rd
Bronx, NY 10469-5915
Phone
(718) 231-5100
NPI assigned
Jun 2, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 8, 2007

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Anesthesiology Physician 207L00000X 2268011 NY Primary

Addresses

Primary practice location

2425 Eastchester Rd
Bronx, NY 10469-5915

Mailing address

286 Balcom Ave
Bronx, NY 10465-3105
Phone (718) 684-7590

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NY, NJ2 enrollments
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 2

Enrollment IDStateProvider typePAC IDDetails
I20060426000939 NY Practitioner - Anesthesiology 8527020957 Reassigns benefits to 1 organization
I20230221003310 NJ Practitioner - Anesthesiology 8527020957 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Anesthesiology
Education
Other, 1985
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Allied Digestive Health LLCGroup PAC ID 5991027583, 282 clinicians

Practice addresses (Care Compare)

222 Schanck Rd
Suite 302
Freehold, NJ 07728-2974
Phone (732) 222-3805

Merit-based Incentive Payment System (MIPS)

Final score
98.3 of 100Reported as group
Promoting interoperability
98
Improvement activities
40

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
2268011NYMDAnesthesiology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Allied Digestive Health, LLC Anesthesiology CurrentSince Feb 1, 2023 Accepting new patients
KRS Medical Services, PLLC CurrentSince Mar 29, 2020 Accepting new patients
Atlantic Coast Gastroenterology Associates Past Accepting new patients
TBHC Anesthesiology Services, PC Past Accepting new patients

Locations

901 W Main St
Freehold, NJ 07728
Phone (732) 294-2666

222 Schanck Rd
Ste 302
Freehold, NJ 07728
Phone (732) 577-1999

1640 Route 88 W
Ste 202
Wall Township, NJ 08724
Phone (732) 370-2220

187 State Route 36
Ste 230
West Long Branch, NJ 07764
Phone (732) 222-3805

322 Linden Blvd
Brooklyn, NY 11226
Phone (718) 230-7788

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.

NPI Registry JSON

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

{
    "created_epoch": "1149206400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1699713719",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "286 BALCOM AVE",
            "city": "BRONX",
            "state": "NY",
            "postal_code": "104653105",
            "telephone_number": "718-684-7590"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2425 EASTCHESTER RD",
            "city": "BRONX",
            "state": "NY",
            "postal_code": "104695915",
            "telephone_number": "718-231-5100"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PATEL",
        "first_name": "PRAKASH",
        "middle_name": "B",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-06-02",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207L00000X",
            "taxonomy_group": "",
            "desc": "Anesthesiology",
            "state": "NY",
            "license": "2268011",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Bronx, NY

Sources for this page

Verify at the official NPI Registry.