Active NPI
Nikunjkumar I Patel, MD
- Cardiovascular Disease Physician
- Enid, OK
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Cardiovascular Disease Physician
- License
- CP203988
- 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
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 4
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| 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
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1P9634 | Other | OK | PTAN |
| 200982470A | Medicaid | OK | |
| 80676S | Other | BCBS | |
| 162981801 | Medicaid | TX | |
| P00068036 | Other | RAILROAD MEDICARE | |
| 101976100 | Other | FIRSTCARE |
Electronic endpoints 1
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| Direct Messaging Address | npatel203049@samhealth.direct-ci.com |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in TX, NE, WI
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
Enrollment records 3
Care Compare profile
Medicare Care Compare- Specialty
- Interventional Cardiology
- Education
- Other, 1984
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
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 100
- Quality
- 67.03
- Promoting interoperability
- 96
- Improvement activities
- 40
- Cost
- 72.22
Merit-based Incentive Payment System (MIPS)
- Final score
- 65.67 of 100
- Quality
- 95
- Promoting interoperability
- 0
- Improvement activities
- 40
- Cost
- 73.89
Procedures performed for Medicare patients
| Procedure | Number of procedures |
|---|---|
| Coronary angioplasty and stenting | 17 |
| Pacemaker insertion or repair | 1-10 |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Hendrick Provider Network | Interventional Cardiology | Current | Accepting new patients |
| Columbus Community Hospital Inc | Current | Accepting new patients | |
| Faith Regional Physician Services, LLC | Cardiovascular Disease | Current | Accepting new patients |
| Ascension Medical Group-Southeast Wisconsin Inc | Current | Accepting new patients | |
| Faith Regional Physician Services, LLC | Current | Accepting new patients | |
| Hendrick Provider Network | Current | 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
- 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.
-
- Surgery Physician
- Columbus, NE
- NPI 1821592205
-
- Family Medicine Physician
- Norfolk, NE
- NPI 1265489157
Cardiovascular Disease
-
- Internal Medicine Physician
- Glendale, WI
- NPI 1609881077
-
- Internal Medicine Physician
- Abilene, TX
- NPI 1396961322
Interventional Cardiology
-
- Anesthesiology Physician
- Norfolk, NE
- NPI 1275074577
-
- Rural Health Clinic/Center
- San Saba, TX
- NPI 1346044401
-
- Cardiovascular Disease Physician
- Abilene, TX
- NPI 1417068875
-
- Surgery Physician
- Columbus, NE
- NPI 1982639597
Hospital & facility affiliations 4
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- General Acute Care Hospital
- Columbus, NE
- NPI 1760589295
-
- General Acute Care Hospital
- Norfolk, NE
- NPI 1285676544
-
- General Acute Care Hospital
- Lincoln, NE
- NPI 1699718437
-
- Critical Access Hospital
- Osmond, NE
- NPI 1609965805
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
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 14, 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.