Active NPI
Arun G Patel, MD
- Diagnostic Radiology Physician
- Grosse Pointe, MI
National Provider Identifier
1740238419
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Diagnostic Radiology Physician
- License
- 4301037060
- Practice address
- 468 Cadieux Rd
Grosse Pointe, MI 48230-1507 - Phone
- (313) 473-1833
- Fax
- (313) 473-1833
- NPI assigned
- May 5, 2006
- Last updated
- May 3, 2023
- Sex
- Male
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Diagnostic Radiology Physician | 2085R0202X | 4301037060 | MI | Primary |
Addresses
Primary practice location
468 Cadieux Rd
Grosse Pointe, MI 48230-1507
Mailing address
PO Box 1108
Attn:Barb Simmons
Ann Arbor, MI 48106-1108
Phone (313) 343-1630
Other identifiers 4
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 4185191 | Medicaid | MI | |
| 300119329 | Other | MI | MEDICARE RR IND PIN |
| 310H249790 | Other | MI | BCBS OF MI GROUP PIN |
| CB6220 | Other | MI | MEDICARE RR GROUP PIN |
Electronic endpoints 1
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| Direct Messaging Address | apatel24912@direct.beaumont.edu | Direct |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 4301037060 | MI | MD | Diagnostic Radiology Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Lakepointe Radiology, P. C. | Diagnostic Radiology | Current | Accepting new patients |
| Beaumont Special Radiological Procedures | Diagnostic Radiology | Past | Accepting new patients |
| Dr L Reynolds Assoc PC | Past | Accepting new patients |
Locations
468 Cadieux Rd
Grosse Pointe Woods, MI 48230
Phone (313) 343-1000
27070 Hoover Rd
Warren, MI 48093
Phone (248) 423-3144
Interoperability endpoints
- apatel24912@direct.beaumont.edu
Organizations & group practices 3
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.
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NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1146787200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1683072000000",
"number": "1740238419",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 1108",
"address_2": "ATTN:BARB SIMMONS",
"city": "ANN ARBOR",
"state": "MI",
"postal_code": "481061108",
"telephone_number": "313-343-1630",
"fax_number": "313-343-1665"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "468 CADIEUX RD",
"city": "GROSSE POINTE",
"state": "MI",
"postal_code": "482301507",
"telephone_number": "313-473-1833",
"fax_number": "313-473-1833"
}
],
"practiceLocations": [],
"basic": {
"last_name": "PATEL",
"first_name": "ARUN",
"middle_name": "G",
"credential": "MD",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2006-05-05",
"last_updated": "2023-05-03",
"certification_date": "2023-05-03",
"status": "A"
},
"taxonomies": [
{
"code": "2085R0202X",
"taxonomy_group": "",
"desc": "Radiology, Diagnostic Radiology",
"state": "MI",
"license": "4301037060",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "4185191",
"state": "MI"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "MEDICARE RR IND PIN",
"identifier": "300119329",
"state": "MI"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BCBS OF MI GROUP PIN",
"identifier": "310H249790",
"state": "MI"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "MEDICARE RR GROUP PIN",
"identifier": "CB6220",
"state": "MI"
}
],
"endpoints": [
{
"endpointType": "DIRECT",
"endpointTypeDescription": "Direct Messaging Address",
"endpoint": "apatel24912@direct.beaumont.edu",
"affiliation": "N",
"use": "DIRECT",
"useDescription": "Direct",
"address_1": "468 Cadieux Road",
"city": "Grosse Pointe",
"state": "MI",
"country_code": "US",
"postal_code": "48230",
"country_name": "United States",
"address_type": "DOM"
}
],
"other_names": []
}
Other providers in Grosse Pointe, MI
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 3, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.