NPIMap

Individual provider Active NPI

Pulin Pravin Patel, D.O.

  • Allergy & Immunology Physician
  • Mount Clemens, MI
National Provider Identifier
1710950951
Registry record updated Sep 10, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Allergy & Immunology PhysicianTaxonomy code 207K00000X
License
5101015017 Issued in MI
Practice address
1030 Harrington St Ste 301
Mount Clemens, MI 48043
Phone
(586) 961-6060
NPI assigned
Feb 8, 2006
Last updated
Sep 10, 2018By the provider in NPPES
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Sep 10, 2018

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine Physician 207R00000X 5101015017 MI
Allergy & Immunology Physician 207K00000X 5101015017 MI Primary

Addresses

Primary practice location

1030 Harrington St Ste 301
Mount Clemens, MI 48043

Mailing address

PO Box 665
Birmingham, MI 48012-0665
Phone (586) 961-6060

Other practice location 1

1030 Harrington St
Suite #103
Mount Clemens, MI 48043-2967
Phone (586) 493-3833

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MI
Eligible to order & refer
  • Part B services
  • Medical equipment
  • Home health
  • Power mobility devices
  • Hospice
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20060307000042 MI Practitioner - Allergy/ImmunologyPractitioner - Internal Medicine 7719993385 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Allergy/ImmunologyAlso: Internal Medicine
Education
Other, 2001
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Allergy and Asthma Physicians of Commerce TownshipGroup PAC ID 3274711551, 4 clinicians

Practice addresses (Care Compare)

1030 Harrington St
Suite 301
Mount Clemens, MI 48043-2967
Phone (586) 961-6060

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
30.21 of 100Reported as individual
Quality
15
Improvement activities
0
Cost
78.44

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Allergy & Asthma Associates of Mi PC Allergy & Immunology PastSince Nov 8, 1993 Accepting new patients
Allergy & Asthma Physicians of Royal Oak PC Allergy & Immunology Past Accepting new patients

Interoperability endpoints

  • Direct secure messaging: ppatel2@direct.dmc.org
  • Direct secure messaging: ppatel252504@direct.hfhs.org

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

Hospital & facility affiliations 5

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": "1139356800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1536537600000",
    "number": "1710950951",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 665",
            "city": "BIRMINGHAM",
            "state": "MI",
            "postal_code": "480120665",
            "telephone_number": "586-961-6060",
            "fax_number": "586-961-6061"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1030 HARRINGTON ST STE 301",
            "city": "MOUNT CLEMENS",
            "state": "MI",
            "postal_code": "48043",
            "telephone_number": "586-961-6060"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1030 Harrington St",
            "address_2": "SUITE #103",
            "address_purpose": "LOCATION",
            "city": "Mount Clemens",
            "state": "MI",
            "postal_code": "480432967",
            "country_code": "US",
            "telephone_number": "586-493-3833",
            "fax_number": "586-493-3828",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "PATEL",
        "first_name": "PULIN",
        "middle_name": "PRAVIN",
        "name_prefix": "Dr.",
        "credential": "D.O.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-02-08",
        "last_updated": "2018-09-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "MI",
            "license": "5101015017",
            "primary": false
        },
        {
            "code": "207K00000X",
            "taxonomy_group": "",
            "desc": "Allergy & Immunology",
            "state": "MI",
            "license": "5101015017",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Mount Clemens, MI

Sources for this page

Verify at the official NPI Registry.