Individual provider Active NPI

Radha Patel, PA

  • Physician Assistant
  • Providence, RI
National Provider Identifier
1760171714
Registry record updated Aug 22, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physician AssistantTaxonomy code 363A00000X
Practice address
1287 N Main St
Providence, RI 02904-1856
Phone
(401) 272-2724
NPI assigned
May 4, 2023
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 22, 2025

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 Primary

Addresses

Primary practice location

1287 N Main St
Providence, RI 02904-1856

Mailing address

302 Innovation Dr Ste 400
Franklin, TN 37067-2022

Other practice location 1

10 Lincoln Sq
Worcester, MA 01608-1135
Phone (508) 373-5830

Other practice location 2

175 Nate Whipple Hwy
Cumberland, RI 02864-1416
Phone (401) 272-2724

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MA, RI2 enrollments
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 2

Enrollment IDStateProvider typePAC IDDetails
I20240422001290 MA Practitioner - Physician Assistant 1052750163 Reassigns benefits to 2 organizations
I20250717000215 RI Practitioner - Physician Assistant 1052750163 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Physician Assistant
Education
Other, 2023
Medicare assignment
May accept Medicare assignment
Group practices
Skinpros, LLCGroup PAC ID 8921260951, 8 clinicians
Northeast Dermatology Associates PCGroup PAC ID 3072403799, 84 clinicians

Practice addresses (Care Compare)

1287 N Main St
Providence, RI 02904-1856
Phone (401) 272-2724

1675 Gar Hwy
Swansea, MA 02777-3901
Phone (401) 272-2724

538 Turnpike St
North Andover, MA 01845-5812
Phone (978) 691-5690

Hospital & facility affiliations

  • The Miriam Hospital Hospital, Providence, RI, CCN 410012
  • Southcoast Hospitals Group Hospital, Fall River, MA, CCN 220074

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Convenientmd - FFS UC LLC CurrentSince Apr 1, 2024 Accepting new patients
Convenientmd - FFS UC LLC CurrentSince Apr 1, 2024 Accepting new patients
Neda at North Shore PC CurrentSince Sep 16, 2025 Accepting new patients
McPhs University CurrentSince May 1, 2023 Accepting new patients
Northeast Dermatology Associates, PC Current Accepting new patients
Leominster Family Eyecare PLLC PastSince May 1, 2023 Accepting new patients

Locations

245 Hartford Ave
Bellingham, MA 02019
Phone (774) 295-4355

40 Davis Straits
Falmouth, MA 02540
Phone (774) 255-3010

538 Turnpike St
North Andover, MA 01845
Phone (978) 683-9201

1675 Grand Army Hwy
Swansea, MA 02777
Phone (401) 272-2724

10 Lincoln Sq
Worcester, MA 01608
Phone (508) 373-5607

360 US Highway 1 Byp
Unit 102
Portsmouth, NH 03801
Phone (603) 410-6700

1287 N Main St
Providence, RI 02904
Phone (401) 272-2724

302 Innovation Dr
Ste 400
Franklin, TN 37067

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 2

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": "1683158400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1755820800000",
    "number": "1760171714",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "302 INNOVATION DR STE 400",
            "city": "FRANKLIN",
            "state": "TN",
            "postal_code": "370672022"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1287 N MAIN ST",
            "city": "PROVIDENCE",
            "state": "RI",
            "postal_code": "029041856",
            "telephone_number": "401-272-2724"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "10 Lincoln Sq",
            "address_purpose": "LOCATION",
            "city": "Worcester",
            "state": "MA",
            "postal_code": "016081135",
            "country_code": "US",
            "telephone_number": "508-373-5830",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "175 Nate Whipple Hwy",
            "address_purpose": "LOCATION",
            "city": "Cumberland",
            "state": "RI",
            "postal_code": "028641416",
            "country_code": "US",
            "telephone_number": "401-272-2724",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "PATEL",
        "first_name": "RADHA",
        "credential": "PA",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2023-05-04",
        "last_updated": "2025-08-22",
        "certification_date": "2025-08-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Providence, RI

Sources for this page

Verify at the official NPI Registry.