NPIMap

Individual provider Active NPI

Deepesh S Patel, M.D.

  • Internal Medicine Physician
  • Poughkeepsie, NY
National Provider Identifier
1720022486
Registry record updated Sep 30, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
License
223778 Issued in NY
Practice address
15 Fulton Ave
LL
Poughkeepsie, NY 12603-2315
Phone
(845) 473-8996
Fax
(845) 473-8997
NPI assigned
Jun 15, 2006
Last updated
Sep 30, 2013By the provider in NPPES
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Sep 30, 2013

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine Physician 207R00000X 223778 NY Primary

Addresses

Primary practice location

15 Fulton Ave
LL
Poughkeepsie, NY 12603-2315

Mailing address

PO Box 752
Poughkeepsie, NY 12602-0752
Phone (845) 473-8996

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NY
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
I20040322000698 NY Practitioner - Internal Medicine 7810888716 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Internal Medicine
Education
New York Medical College, 1997
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Axis Medical PLLCGroup PAC ID 0648330993, 5 clinicians

Practice addresses (Care Compare)

15 Fulton Ave
LL
Poughkeepsie, NY 12603-2315
Phone (845) 473-8996

Hospital & facility affiliations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
223778NYMDInternal Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Axis Medical PLLC Internal Medicine CurrentSince Apr 8, 2008 Accepting new patients
Ferncliff Nursing Home Company, Inc. Past Accepting new patients
Victory Lake Operations, LLC Past Accepting new patients
Renaissance Healthcare Group, LLC Past Accepting new patients
CLR New Paltz LLC Past Accepting new patients
Livingston Two Operations LLC Past Accepting new patients
Saint Francis Hospital / Medicine Past Accepting new patients
Frederick Health Hospital Inc Past Accepting new patients
VS Servicer at Beacon, LLC Past Accepting new patients
County of Sullivan Past Accepting new patients

Locations

90 N Main St
Castleton on Hudson, NY 12033
Phone (518) 732-0167

1 Commons Dr
Lake Katrine, NY 12449
Phone (845) 336-6666

15 Fulton Ave
Poughkeepsie, NY 12603
Phone (845) 471-5070

15 Fulton Ave
Lowr
Poughkeepsie, NY 12603

Interoperability endpoints

  • Direct secure messaging: dpatel@1981.mdlanddirect.com

Ownership & related parties

All facility ownership & control disclosures 3

Facilities whose Medicare enrollment lists this provider’s PECOS associate ID as an owner or managing party.

FacilityTypeRoleSince
The Eleanor Nursing Care CenterHyde Park, NY, CCN 335323 Skilled nursing facility Operational/Managerial Control
Adp of the SNF		 Sep 13, 2021
Dec 29, 2025
Sullivan County Adult Care CenterLiberty, NY, CCN 335628 Skilled nursing facility Operational/Managerial Control
Adp of the SNF		 Mar 1, 2022
Mar 1, 2022
Livingston Hills Nursing and Rehabilitation CenterHudson, NY, CCN 335389 Skilled nursing facility Operational/Managerial Control
Adp of the SNF		 Sep 13, 2021
Apr 2, 2025

Owned or controlled facilities with NPI records 3

Facilities whose Medicare enrollment lists this provider as an owner, officer, director or managing party.

Organizations & group practices 11

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 18

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

View all 18

NPI Registry JSON

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

{
    "created_epoch": "1150329600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1380499200000",
    "number": "1720022486",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 752",
            "city": "POUGHKEEPSIE",
            "state": "NY",
            "postal_code": "126020752",
            "telephone_number": "845-473-8996",
            "fax_number": "845-473-8997"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "15 FULTON AVE",
            "address_2": "LL",
            "city": "POUGHKEEPSIE",
            "state": "NY",
            "postal_code": "126032315",
            "telephone_number": "845-473-8996",
            "fax_number": "845-473-8997"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PATEL",
        "first_name": "DEEPESH",
        "middle_name": "S",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-06-15",
        "last_updated": "2013-09-30",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "NY",
            "license": "223778",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Poughkeepsie, NY

Sources for this page

Verify at the official NPI Registry.