Bhavesh R. Patel, M.D.

Primary specialty

Pain Medicine (Physical Medicine & Rehabilitation) PhysicianTaxonomy code 2081P2900X

License

40593 Issued in CT

Practice address

1579 Straits Tpke
Lower Level
Middlebury, CT 06762-1835

Phone

(203) 598-7246

Fax

(203) 598-0200

NPI assigned

May 5, 2006

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in CT

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

Specialty

Physical Medicine and RehabilitationAlso: Interventional Pain Management

Education

Other, 1997

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Interventional Spine and Sports Medicine, PCGroup PAC ID 3577689611, 7 clinicians

Practice addresses (Care Compare)

Hospital & facility affiliations

• Saint Mary'S Hospital Hospital, Waterbury, CT, CCN 070016

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

Practice roles

Locations

Interoperability endpoints

• FHIR API: https://app.meldrx.com/api/fhir/Freedom_ISSM
• Direct secure messaging: bpatel@iss1780.srs-direct.com

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.

• Interventional Spine & Sports Medicine, PC

  • Physical Medicine & Rehabilitation Physician
  • Middlebury, CT
  • NPI 1588983415
  Medicare reassignment Care Compare group NPD Authorized official
• Score, LLC

  • Physical Therapist
  • Middlebury, CT
  • NPI 1891822607
  NPD (past)

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

• Saint Mary'S Hospital, Inc.

  • General Acute Care Hospital
  • Waterbury, CT
  • NPI 1760426969
  Care Compare affiliation

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

{
    "created_epoch": "1146787200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1581552000000",
    "number": "1710935481",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1579 STRAITS TURNPIKE",
            "address_2": "LOWER LEVEL",
            "city": "MIDDLEBURY",
            "state": "CT",
            "postal_code": "067621836",
            "telephone_number": "203-598-7246",
            "fax_number": "203-598-0200"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1579 STRAITS TPKE",
            "address_2": "LOWER LEVEL",
            "city": "MIDDLEBURY",
            "state": "CT",
            "postal_code": "067621835",
            "telephone_number": "203-598-7246",
            "fax_number": "203-598-0200"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "10 Birdseye Road",
            "address_2": "Suite 200",
            "address_purpose": "LOCATION",
            "city": "Farmington",
            "state": "CT",
            "postal_code": "060322404",
            "country_code": "US",
            "telephone_number": "203-598-7246",
            "fax_number": "203-598-0200",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "166 Waterbury Rd Ste 204",
            "address_purpose": "LOCATION",
            "city": "Prospect",
            "state": "CT",
            "postal_code": "067121247",
            "country_code": "US",
            "telephone_number": "203-598-7246",
            "fax_number": "203-598-0200",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "PATEL",
        "first_name": "BHAVESH",
        "middle_name": "R.",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-05-05",
        "last_updated": "2020-02-13",
        "certification_date": "2020-02-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2081P2900X",
            "taxonomy_group": "",
            "desc": "Physical Medicine & Rehabilitation, Pain Medicine",
            "state": "CT",
            "license": "40593",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Orthopaedics New England, PC
• Terry Oppee Osmun, ATR-BC, LPC
• Muneera Panjwani, APRN
• Jonathan D Parkhurst, MD
• Violet Pastorkova-Jaouen
• Patrick Fettinger DPM
• Rosemary Pehlert
• Per Diem PA Services, LLC
• Gwendolen Petti, LMFT
• Sagar Mohan Phatak, M. D.

• Pain Medicine (Physical Medicine & Rehabilitation) Physician in Middlebury, CT
• Providers in Middlebury, CT by specialty
• Pain Medicine (Physical Medicine & Rehabilitation) Physician in Connecticut

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 13, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.