Individual provider Active NPI

Samir Patel, DPM

  • Foot & Ankle Surgery Podiatrist
  • Philadelphia, PA
National Provider Identifier
1760611032
Registry record updated Jan 17, 2017
On this page

Key facts

NPPES NPI Registry
Primary specialty
Foot & Ankle Surgery PodiatristTaxonomy code 213ES0103X
License
SC006131 Issued in PA
Practice address
1546 Pratt St
Philadelphia, PA 19124-1923
Phone
(215) 533-8555
Fax
(215) 533-8656
NPI assigned
Jul 8, 2009
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 17, 2017

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Foot & Ankle Surgery Podiatrist 213ES0103X SC006131 PA Primary

Addresses

Primary practice location

1546 Pratt St
Philadelphia, PA 19124-1923

Mailing address

1546 Pratt St
Philadelphia, PA 19124-1923
Phone (908) 705-1757

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in PA
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: No
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20120131000418 PA Practitioner - Podiatry 0042477283 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Podiatry
Education
New York College of Podiatric Medicine, 2009
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Frankford Podiatry Associates, PCGroup PAC ID 2769675867, 2 clinicians

Practice addresses (Care Compare)

3998 Red Lion Rd
Suite 212
Philadelphia, PA 19114-1440
Phone (215) 824-4141

Hospital & facility affiliations

Procedures performed for Medicare patients

ProcedureNumber of procedures
Removal of tissue72
Removal of skin lesions1-10
Removal of nail tissue16

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Frankford Podiatry Associates, PC CurrentSince Jul 23, 2011 Accepting new patients

Locations

10800 Knights Rd
Ste 212
Philadelphia, PA 19114
Phone (215) 824-4141

3998 Red Lion Rd
Ste 212
Philadelphia, PA 19114
Phone (215) 824-4141

10431 Academy Rd
Ste M
Philadelphia, PA 19114
Phone (215) 612-2072

10501 Academy Rd
Philadelphia, PA 19114
Phone (215) 743-4435

1546 Pratt St
Philadelphia, PA 19124
Phone (215) 533-8555

Organizations & group practices 1

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.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1247011200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1484611200000",
    "number": "1760611032",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1546 PRATT ST",
            "city": "PHILADELPHIA",
            "state": "PA",
            "postal_code": "191241923",
            "telephone_number": "908-705-1757",
            "fax_number": "215-787-9398"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1546 PRATT ST",
            "city": "PHILADELPHIA",
            "state": "PA",
            "postal_code": "191241923",
            "telephone_number": "215-533-8555",
            "fax_number": "215-533-8656"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PATEL",
        "first_name": "SAMIR",
        "name_prefix": "Dr.",
        "credential": "DPM",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2009-07-08",
        "last_updated": "2017-01-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "213ES0103X",
            "taxonomy_group": "",
            "desc": "Podiatrist, Foot & Ankle Surgery",
            "state": "PA",
            "license": "SC006131",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Philadelphia, PA

Sources for this page

Verify at the official NPI Registry.