Individual provider Active NPI

Niravkumar Patel

  • Internal Medicine Physician
  • Lexington, MA
National Provider Identifier
1710387915
Registry record updated Apr 17, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
License
264097 Issued in MA
Practice address
4 Hadley Rd
Lexington, MA 02420
Phone
(617) 893-9901
NPI assigned
Aug 26, 2014
Last updated
Apr 17, 2020By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 17, 2020

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Student in an Organized Health Care Education/Training Program 390200000X NU
Internal Medicine Physician 207R00000X 54385 CT
Internal Medicine Physician 207R00000X 264097 MA Primary

Addresses

Primary practice location

4 Hadley Rd
Lexington, MA 02420

Mailing address

4 Hadley Rd
Lexington, MA 02420-1438
Phone (617) 893-9901

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MA
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
I20151117000873 MA Practitioner - HospitalistPractitioner - Internal Medicine 0648580985 Reassigns benefits to 3 organizations

Care Compare profile

Medicare Care Compare
Specialty
HospitalistAlso: Internal Medicine
Education
Other, 2007
Medicare assignment
May accept Medicare assignment
Group practices
Lynn Urgent Care LLCGroup PAC ID 1951732825, 12 clinicians

Practice addresses (Care Compare)

776 Western Ave
Lynn, MA 01905-2408
Phone (781) 281-7081

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Lynn Urgent Care LLC CurrentSince May 1, 2020 Accepting new patients
MTH Specialty LLC Internal Medicine CurrentSince Mar 21, 2026 Accepting new patients
Arbour Inc Internal Medicine CurrentSince Jan 21, 2023 Accepting new patients
Arbour Inc CurrentSince Jan 21, 2023 Accepting new patients
Lynn Urgent Care LLC CurrentSince Sep 12, 2019 Accepting new patients

Locations

49 Robinwood Ave
Jamaica Plain, MA 02130
Phone (617) 390-1204

776 Western Ave
Lynn, MA 01905
Phone (781) 281-7081

19 Pleasant St
Ste 101A
Woburn, MA 01801

Interoperability endpoints

  • Direct secure messaging: niravkumar.patel.1@29271.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, 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": "1409011200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1587081600000",
    "number": "1710387915",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4 HADLEY RD",
            "city": "LEXINGTON",
            "state": "MA",
            "postal_code": "024201438",
            "telephone_number": "617-893-9901"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4 HADLEY RD",
            "city": "LEXINGTON",
            "state": "MA",
            "postal_code": "02420",
            "telephone_number": "617-893-9901"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PATEL",
        "first_name": "NIRAVKUMAR",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2014-08-26",
        "last_updated": "2020-04-17",
        "certification_date": "2020-04-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "390200000X",
            "taxonomy_group": "",
            "desc": "Student in an Organized Health Care Education/Training Program",
            "state": "NU",
            "license": null,
            "primary": false
        },
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "CT",
            "license": "54385",
            "primary": false
        },
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "MA",
            "license": "264097",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Lexington, MA

Sources for this page

Verify at the official NPI Registry.