Mukesh A Patel, M.D

Primary specialty

Internal Medicine PhysicianTaxonomy code 207R00000X

License

MD038589L Issued in PA

Practice address

1421 Lincoln Ave
Prospect Park, PA 19076-1107

Phone

(610) 532-5343

Fax

(610) 532-1302

NPI assigned

Jun 22, 2005

Reactivated

Mar 28, 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

Other identifiers 1

Electronic endpoints 1

Medicare fee-for-service enrollment

Enrolled in PA

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

Internal Medicine

Education

Other, 1977

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

Hospital & facility affiliations

• Riddle Memorial Hospital Hospital, Media, PA, CCN 390222
• Main Line Hospital Lankenau Hospital, Wynnewood, PA, CCN 390195

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

Practice roles

Interoperability endpoints

• FHIR API: https://fhir4.healow.com/fhir/r4/AEFHBD/Endpoint/AEFHBD
• FHIR API: https://fhir4.healow.com/fhir/r4/DBCABA
• FHIR API: https://api.platform.athenahealth.com/14961/brand/1/csg/1/fhir/r4

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.

• Mukesh Patel M.D

  • Internal Medicine Physician
  • Prospect Park, PA
  • NPI 1194019166
  NPD (past) Authorized official

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

• Main Line Hospitals, Inc.

  • General Acute Care Hospital
  • Wynnewood, PA
  • NPI 1245335629
  Care Compare affiliation
• Riddle Memorial Hospital

  • General Acute Care Hospital
  • Media, PA
  • NPI 1407856099
  Care Compare affiliation

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

{
    "created_epoch": "1119398400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1619136000000",
    "number": "1730185950",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1421 LINCOLN AVE",
            "city": "PROSPECT PARK",
            "state": "PA",
            "postal_code": "190761107",
            "telephone_number": "610-532-5343",
            "fax_number": "610-532-1302"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1421 LINCOLN AVE",
            "city": "PROSPECT PARK",
            "state": "PA",
            "postal_code": "190761107",
            "telephone_number": "610-532-5343",
            "fax_number": "610-532-1302"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PATEL",
        "first_name": "MUKESH",
        "middle_name": "A",
        "name_prefix": "Dr.",
        "credential": "M.D",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2005-06-22",
        "last_updated": "2021-04-23",
        "certification_date": "2021-04-23",
        "deactivation_date": "2006-03-20",
        "reactivation_date": "2006-03-28",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "PA",
            "license": "MD038589L",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "00939603",
            "state": "PA"
        }
    ],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "mukesh.patel@map.eclinicaldirectplus.com",
            "affiliation": "N",
            "address_1": "1421 Lincoln Ave",
            "city": "Prospect Park",
            "state": "PA",
            "country_code": "US",
            "postal_code": "190761107",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

• Brian P Morley, DO
• Mukesh Patel M.D
• Nissi Integrated LLC
• Nurtime Care, LLC
• Chima Oguekwe, MS OTR/L
• Wilson Phillips, DMD
• Jacqueline G. Pratt
• Progressive Health Inc
• Prospect Park Cosmetic Dentistry
• Prospect Park Family Dentistry PC

• Internal Medicine Physician in Prospect Park, PA
• Providers in Prospect Park, PA by specialty
• Internal Medicine Physician in Pennsylvania

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 23, 2021; 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.