Individual provider Active NPI

Mitul Mahesh Patel, OD

  • Optometrist
  • Sacramento, CA
National Provider Identifier
1710407465
Registry record updated Jun 29, 2017
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
License
OPT33675-TLG Issued in CA
Practice address
2620 Hurley Way
Sacramento, CA 95864-3789
Phone
(916) 453-1111
NPI assigned
Jun 23, 2017
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 29, 2017

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Optometrist 152W00000X OPT33675-TLG CA Primary

Addresses

Primary practice location

2620 Hurley Way
Sacramento, CA 95864-3789

Mailing address

2620 Hurley Way
Ste a
Sacramento, CA 95864-3789
Phone (916) 753-3007

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CA
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: No
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20170630001998 CA Practitioner - Optometry 7315216595 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Optometry
Education
Southern California College of Optometry, 2017
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Michael J Schermer MD IncGroup PAC ID 0446242846, 4 clinicians

Practice addresses (Care Compare)

2620 Hurley Way
Suite a
Sacramento, CA 95864-3789
Phone (916) 453-1111

Merit-based Incentive Payment System (MIPS)

Final score
93.12 of 100Reported as group
Quality
86.25
Improvement activities
40

Procedures performed for Medicare patients

ProcedureNumber of procedures
Cataract surgery57

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
33675CAMDClinical Psychologist
OPT33675-TLGCAMDOptometrist

Organizations & group practices 1

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": "1498176000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1498694400000",
    "number": "1710407465",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2620 HURLEY WAY",
            "address_2": "STE A",
            "city": "SACRAMENTO",
            "state": "CA",
            "postal_code": "958643789",
            "telephone_number": "916-753-3007"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2620 HURLEY WAY",
            "city": "SACRAMENTO",
            "state": "CA",
            "postal_code": "958643789",
            "telephone_number": "916-453-1111"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PATEL",
        "first_name": "MITUL",
        "middle_name": "MAHESH",
        "name_prefix": "Dr.",
        "credential": "OD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2017-06-23",
        "last_updated": "2017-06-29",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "CA",
            "license": "OPT33675-TLG",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Sacramento, CA

Sources for this page

Verify at the official NPI Registry.