Individual provider Active NPI

Chintan Patel, M.D.

  • Urology Physician
  • Worcester, MA
National Provider Identifier
1710240395
Registry record updated Sep 11, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Urology PhysicianTaxonomy code 208800000X
License
261064 Issued in MA
Practice address
85 Prescott St Ste 403
Worcester, MA 01605-2671
Phone
(508) 753-7259
Fax
(508) 753-9577
NPI assigned
Jun 19, 2012
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 11, 2020

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Urology Physician 208800000X 18685 NH
Urology Physician 208800000X 261064 MA Primary

Addresses

Primary practice location

85 Prescott St Ste 403
Worcester, MA 01605-2671

Mailing address

85 Prescott St Ste 403
Worcester, MA 01605-2671
Phone (508) 753-7259

Other practice location 1

41 Mall Rd
Burlington, MA 01805-0001
Phone (781) 744-8585

Other practice location 2

41 Mall Rd
Burlington, MA 01805-0001
Phone (781) 744-8585

Other practice location 3

Lahey Urology, Derry
44 Birch Street
Derry, NH 03038-2752
Phone (603) 434-6380

Other practice location 4

100 Leominster Rd Ste 1
Sterling, MA 01564-2156
Phone (978) 422-7774

Other practice location 5

159 Union St Ste 101
Marlborough, MA 01752-1274
Phone (508) 481-0246

Other practice location 6

72 Cudworth Rd
Webster, MA 01570-3157
Phone (508) 949-0355

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MA, NH2 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
I20180712001934 MA Practitioner - Urology 3173879673 Reassigns benefits to 3 organizations
I20180713001593 NH Practitioner - Urology 3173879673 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Urology
Education
Warren Alpert Medical School of Brown University, 2012
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Saint Vincent Physician Services IncGroup PAC ID 8921056276, 71 clinicians

Practice addresses (Care Compare)

85 Prescott St
Suite 403
Worcester, MA 01605-2671
Phone (508) 753-7259

Hospital & facility affiliations

Procedures performed for Medicare patients

ProcedureNumber of procedures
Prostate resection1-10

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
261064MAMDUrology Physician
18685NHMDUrology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Lahey Clinic, Inc. CurrentSince Jul 9, 2018 Accepting new patients
Lahey Clinic, Inc CurrentSince Jul 9, 2018 Accepting new patients
Wayne B Glazier MD PC Urology CurrentSince May 13, 2020 Accepting new patients
Lahey Clinic, Inc. CurrentSince Jul 9, 2018 Accepting new patients
Saint Vincent Physician Services, Inc. Urology CurrentSince May 13, 2020 Accepting new patients

Locations

41 Mall Rd
Burlington, MA 01805
Phone (781) 744-8400

159 Union St
Ste 101
Marlborough, MA 01752
Phone (508) 481-0246

100 Leominster Rd
Ste 1
Sterling, MA 01564
Phone (978) 422-7744

72 Cudworth Rd
Webster, MA 01570
Phone (508) 461-0011

85 Prescott St
Ste 403
Worcester, MA 01605
Phone (507) 753-7259

123 Summer St
#273
Worcester, MA 01608
Phone (508) 363-6327

44 Birch St
Derry, NH 03038
Phone (603) 434-6380

6 Tsienneto Rd
Ste 101LL
Londonderry, NH 03038
Phone (603) 537-2060

10 Prospect St
Ste 202
Nashua, NH 03060
Phone (603) 886-7900

Interoperability endpoints

  • Direct secure messaging: chintan.patel.1@626.direct.athenahealth.com

Organizations & group practices 5

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 6

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": "1340064000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1599782400000",
    "number": "1710240395",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "85 PRESCOTT ST STE 403",
            "city": "WORCESTER",
            "state": "MA",
            "postal_code": "016052671",
            "telephone_number": "508-753-7259",
            "fax_number": "508-753-9577"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "85 PRESCOTT ST STE 403",
            "city": "WORCESTER",
            "state": "MA",
            "postal_code": "016052671",
            "telephone_number": "508-753-7259",
            "fax_number": "508-753-9577"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "41 Mall Rd",
            "address_purpose": "LOCATION",
            "city": "Burlington",
            "state": "MA",
            "postal_code": "018050001",
            "country_code": "US",
            "telephone_number": "781-744-8585",
            "fax_number": "781-744-3646",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "41 Mall Rd",
            "address_purpose": "LOCATION",
            "city": "Burlington",
            "state": "MA",
            "postal_code": "018050001",
            "country_code": "US",
            "telephone_number": "781-744-8585",
            "fax_number": "781-744-3646",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "Lahey Urology, Derry",
            "address_2": "44 Birch Street",
            "address_purpose": "LOCATION",
            "city": "Derry",
            "state": "NH",
            "postal_code": "030382752",
            "country_code": "US",
            "telephone_number": "603-434-6380",
            "fax_number": "603-434-3626",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "100 Leominster Rd Ste 1",
            "address_purpose": "LOCATION",
            "city": "Sterling",
            "state": "MA",
            "postal_code": "015642156",
            "country_code": "US",
            "telephone_number": "978-422-7774",
            "fax_number": "978-422-9089",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "159 Union St Ste 101",
            "address_purpose": "LOCATION",
            "city": "Marlborough",
            "state": "MA",
            "postal_code": "017521274",
            "country_code": "US",
            "telephone_number": "508-481-0246",
            "fax_number": "508-229-0949",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "72 Cudworth Rd",
            "address_purpose": "LOCATION",
            "city": "Webster",
            "state": "MA",
            "postal_code": "015703157",
            "country_code": "US",
            "telephone_number": "508-949-0355",
            "fax_number": "508-753-1298",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "PATEL",
        "first_name": "CHINTAN",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2012-06-19",
        "last_updated": "2020-09-11",
        "certification_date": "2020-09-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208800000X",
            "taxonomy_group": "",
            "desc": "Urology",
            "state": "NH",
            "license": "18685",
            "primary": false
        },
        {
            "code": "208800000X",
            "taxonomy_group": "",
            "desc": "Urology",
            "state": "MA",
            "license": "261064",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Worcester, MA

Sources for this page

Verify at the official NPI Registry.