Individual provider Active NPI

Heena Patel

  • Physician Assistant
  • Lafayette, LA
National Provider Identifier
1730557224
Registry record updated Sep 14, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physician AssistantTaxonomy code 363A00000X
License
200850 Issued in LA
Practice address
5000 Ambassador Caffery Pkwy BLDG 16
Lafayette, LA 70508-6984
Phone
(337) 406-8009
NPI assigned
Sep 14, 2015
Last updated
Sep 14, 2015By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 14, 2015

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physician Assistant 363A00000X 200850 LA Primary

Addresses

Primary practice location

5000 Ambassador Caffery Pkwy BLDG 16
Lafayette, LA 70508-6984

Mailing address

5000 Ambassador Caffery Pkwy BLDG 16
Lafayette, LA 70508-6984

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20171116000503 TX Practitioner - Physician Assistant 5597061432 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Physician Assistant
Education
Other, 2015
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Primary Health Physicians PLLCGroup PAC ID 7810237740, 240 clinicians

Practice addresses (Care Compare)

104 S Main St
Keller, TX 76248-5003
Phone (214) 295-9385

2221 Abrams Rd
Dallas, TX 75214-3620
Phone (972) 674-8510

2310 W University Dr
Suite 1500
Denton, TX 76201-1650
Phone (940) 220-5901

2520 W I
Suite 20
Grand Prairie, TX 75052-7280
Phone (972) 264-5858

345 N Hwy 67
Cedar Hill, TX 75104-2134
Phone (972) 956-5300

377 W Campbell Rd
Suite 100
Richardson, TX 75080-3695
Phone (469) 232-2945

4501 Lemmon Ave
Dallas, TX 75219-2145
Phone (469) 672-4238

4844 Greenville Ave
Dallas, TX 75206-4120
Phone (214) 295-9410

5301 William D Tate Ave
Suite 100
Grapevine, TX 76051-7357
Phone (817) 251-2101

7400 McCart Ave
Fort Worth, TX 76133-7270
Phone (817) 294-1651

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Physician Assistant

Practice roles

OrganizationSpecialtyStatusNew patients
Louisiana Urology Center PastSince Jan 24, 2008 Accepting new patients

Organizations & group practices 2

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.

NPI Registry JSON

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

{
    "created_epoch": "1442188800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1442188800000",
    "number": "1730557224",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5000 AMBASSADOR CAFFERY PKWY BLDG 16",
            "city": "LAFAYETTE",
            "state": "LA",
            "postal_code": "705086984"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5000 AMBASSADOR CAFFERY PKWY BLDG 16",
            "city": "LAFAYETTE",
            "state": "LA",
            "postal_code": "705086984",
            "telephone_number": "337-406-8009"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PATEL",
        "first_name": "HEENA",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2015-09-14",
        "last_updated": "2015-09-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "LA",
            "license": "200850",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Lafayette, LA

Sources for this page

Verify at the official NPI Registry.