Active NPI
Suhani Patel, D.O.
- Pediatrics Physician
- Fort Wainwright, AK
National Provider Identifier
1740855626
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pediatrics Physician
- License
- 0102207767
- Practice address
- 4076 Neely Road; BLDG 4076, Room 1B-201
Fort Wainwright, AK 99703 - Phone
- (907) 361-4000
- NPI assigned
- May 24, 2021
- Sex
- Female
- Sole proprietor
- No
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 |
|---|---|---|---|---|
| Pediatrics Physician | 208000000X | 0102207767 | VA | Primary |
Addresses
Primary practice location
4076 Neely Road; BLDG 4076, Room 1B-201
Fort Wainwright, AK 99703
Mailing address
4076 Neely Road; BLDG 4076, Room 1B-201
Fort Wainwright, AK 99703
Phone (907) 361-4000
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)
- Not enrolled
- Credentials
- Doctor of Osteopathy
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 0102207767 | VA | MD | Pediatrics Physician |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1621814400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1764806400000",
"number": "1740855626",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "4076 NEELY ROAD; BLDG 4076, ROOM 1B-201",
"city": "FORT WAINWRIGHT",
"state": "AK",
"postal_code": "99703",
"telephone_number": "907-361-4000"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "4076 NEELY ROAD; BLDG 4076, ROOM 1B-201",
"city": "FORT WAINWRIGHT",
"state": "AK",
"postal_code": "99703",
"telephone_number": "907-361-4000"
}
],
"practiceLocations": [],
"basic": {
"last_name": "PATEL",
"first_name": "SUHANI",
"credential": "D.O.",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2021-05-24",
"last_updated": "2025-12-04",
"certification_date": "2025-12-04",
"status": "A"
},
"taxonomies": [
{
"code": "208000000X",
"taxonomy_group": "",
"desc": "Pediatrics",
"state": "VA",
"license": "0102207767",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Fort Wainwright, AK
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 4, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.