Individual provider Active NPI

Nikunjkumar I Patel, MD

  • Cardiovascular Disease Physician
  • Enid, OK
National Provider Identifier
1740388396
Registry record updated Jun 14, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Cardiovascular Disease PhysicianTaxonomy code 207RC0000X
License
CP203988 Issued in OR
Practice address
310 E Owen K Garriott Road
Enid, OK 73701-5712
Phone
(580) 297-5166
Fax
(580) 237-1340
NPI assigned
Sep 20, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 14, 2021

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

Specialties & licenses 4

Specialty (taxonomy)CodeLicenseStatePrimary
Cardiovascular Disease Physician 207RC0000X L7099 TX
Interventional Cardiology Physician 207RI0011X 38037 OK
Interventional Cardiology Physician 207RI0011X L7099 TX
Cardiovascular Disease Physician 207RC0000X CP203988 OR Primary

Addresses

Primary practice location

310 E Owen K Garriott Road
Enid, OK 73701-5712

Mailing address

367 S Gulph Rd
Atn :Ipm Credentialing
King of Prussia, PA 19406-3121
Phone (580) 297-5166

Other practice location 1

3640 NW Samaritan Dr Ste 100
Corvallis, OR 97330-3738
Phone (541) 768-5205

Other practice location 2

1201 N 18th St
Abilene, TX 79601-2932
Phone (325) 793-3100

Other identifiers 6

IdentifierTypeStateIssuer
1P9634OtherOKPTAN
200982470AMedicaidOK
80676SOtherBCBS
162981801MedicaidTX
P00068036OtherRAILROAD MEDICARE
101976100OtherFIRSTCARE

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address npatel203049@samhealth.direct-ci.com

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in TX, NE, WI3 enrollments
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 3

Enrollment IDStateProvider typePAC IDDetails
I20040308000761 TX Practitioner - Interventional CardiologyPractitioner - Cardiovascular Disease (Cardiology)Practitioner - Internal Medicine 3779489810 Reassigns benefits to 1 organization
I20230627001605 NE Practitioner - Interventional CardiologyPractitioner - Cardiovascular Disease (Cardiology) 3779489810 Reassigns benefits to 2 organizations
I20240119000790 WI Practitioner - Cardiovascular Disease (Cardiology) 3779489810 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Interventional CardiologyAlso: Cardiovascular Disease (Cardiology)
Education
Other, 1984
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Faith Regional Physician Services LLCGroup PAC ID 5193786168, 194 clinicians
Columbus Community Hospital IncGroup PAC ID 7517954944, 86 clinicians

Practice addresses (Care Compare)

2700 W Norfolk Ave
Norfolk, NE 68701-4438

4508 38TH St
Columbus, NE 68601-1668

4600 38TH St
Columbus, NE 68601-1664
Phone (402) 564-7118

47452 268 Ave
Suite C
Humphrey, NE 68642-5178
Phone (402) 923-0150

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
80.77 of 100Reported as group
Quality
67.03
Promoting interoperability
96
Improvement activities
40
Cost
72.22

Merit-based Incentive Payment System (MIPS)

Final score
65.67 of 100Reported as group
Quality
95
Promoting interoperability
0
Improvement activities
40
Cost
73.89

Procedures performed for Medicare patients

ProcedureNumber of procedures
Coronary angioplasty and stenting17
Pacemaker insertion or repair1-10

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Hendrick Provider Network Interventional Cardiology CurrentSince Jan 3, 2012 Accepting new patients
Columbus Community Hospital Inc Current Accepting new patients
Faith Regional Physician Services, LLC Cardiovascular Disease CurrentSince Nov 25, 2024 Accepting new patients
Ascension Medical Group-Southeast Wisconsin Inc CurrentSince Dec 6, 2023 Accepting new patients
Faith Regional Physician Services, LLC CurrentSince Nov 25, 2024 Accepting new patients
Hendrick Provider Network CurrentSince Jan 3, 2012 Accepting new patients
Columbus General Surgery PC Past Accepting new patients
Abilene Cardiology Consultants PA Cardiovascular Disease Past Accepting new patients

Locations

4508 38th St
Ste 250
Columbus, NE 68601
Phone (402) 564-5333

4508 38th St
Ste 210
Columbus, NE 68601
Phone (402) 488-6969

4600 38th St
Columbus, NE 68601
Phone (402) 562-3333

47452 268 Ave
Ste C
Humphrey, NE 68642
Phone (402) 923-0150

2600 W Norfolk Ave
Ste 200
Norfolk, NE 68701
Phone (402) 844-8194

1904 Pine St
Ste 4A
Abilene, TX 79601
Phone (325) 437-4020

1201 N 18th St
Abilene, TX 79601
Phone (325) 793-3300

13950 W Capitol Dr
Brookfield, WI 53005
Phone (414) 302-5400

400 W River Woods Pkwy
Glendale, WI 53212
Phone (414) 465-3000

3237 S 16th St
Milwaukee, WI 53215
Phone (414) 647-5000

201 N Mayfair Rd
Fl 2
Wauwatosa, WI 53226
Phone (414) 771-8228

Interoperability endpoints

  • Direct secure messaging: npatel203049@samhealth.direct-ci.com

Organizations & group practices 8

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.

Hospital & facility affiliations 4

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": "1158710400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1623628800000",
    "number": "1740388396",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "367 S GULPH RD",
            "address_2": "ATN :IPM CREDENTIALING",
            "city": "KING OF PRUSSIA",
            "state": "PA",
            "postal_code": "194063121",
            "telephone_number": "580-297-5166",
            "fax_number": "580-237-1340"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "310 E OWEN K GARRIOTT ROAD",
            "city": "ENID",
            "state": "OK",
            "postal_code": "737015712",
            "telephone_number": "580-297-5166",
            "fax_number": "580-237-1340"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "3640 NW Samaritan Dr Ste 100",
            "address_purpose": "LOCATION",
            "city": "Corvallis",
            "state": "OR",
            "postal_code": "973303738",
            "country_code": "US",
            "telephone_number": "541-768-5205",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "1201 N 18th St",
            "address_purpose": "LOCATION",
            "city": "Abilene",
            "state": "TX",
            "postal_code": "796012932",
            "country_code": "US",
            "telephone_number": "325-793-3100",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "PATEL",
        "first_name": "NIKUNJKUMAR",
        "middle_name": "I",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-09-20",
        "last_updated": "2021-06-14",
        "certification_date": "2021-06-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207RC0000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Cardiovascular Disease",
            "state": "TX",
            "license": "L7099",
            "primary": false
        },
        {
            "code": "207RI0011X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Interventional Cardiology",
            "state": "OK",
            "license": "38037",
            "primary": false
        },
        {
            "code": "207RI0011X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Interventional Cardiology",
            "state": "TX",
            "license": "L7099",
            "primary": false
        },
        {
            "code": "207RC0000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Cardiovascular Disease",
            "state": "OR",
            "license": "CP203988",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "PTAN",
            "identifier": "1P9634",
            "state": "OK"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "200982470A",
            "state": "OK"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS",
            "identifier": "80676S",
            "state": null
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "162981801",
            "state": "TX"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "RAILROAD MEDICARE",
            "identifier": "P00068036",
            "state": null
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "FIRSTCARE",
            "identifier": "101976100",
            "state": null
        }
    ],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "npatel203049@samhealth.direct-ci.com",
            "affiliation": "N",
            "address_1": "3640 NW Samaritan Dr Ste 100",
            "city": "Corvallis",
            "state": "OR",
            "country_code": "US",
            "postal_code": "973303738",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Enid, OK

Sources for this page

Verify at the official NPI Registry.