NPIMap

Individual provider Active NPI

Nabeela Khan Patail, MD

  • Medical Oncology Physician
  • Jamestown, NY
National Provider Identifier
1780002782
Registry record updated Oct 17, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Medical Oncology PhysicianTaxonomy code 207RX0202X
License
289756 Issued in NY
Practice address
207 Foote Ave
Jamestown, NY 14701-7077
Phone
(716) 485-7472
NPI assigned
Apr 7, 2014
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 17, 2024

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Student in an Organized Health Care Education/Training Program 390200000X
Medical Oncology Physician 207RX0202X 289756 NY Primary
Internal Medicine Physician 207R00000X 289756 NY

Addresses

Primary practice location

207 Foote Ave
Jamestown, NY 14701-7077

Mailing address

207 Foote Ave
Jamestown, NY 14701-7077

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NY
Eligible to order & refer
  • Part B services
  • Medical equipment
  • Home health
  • Power mobility devices
  • Hospice
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20170901002023 NY Practitioner - Internal MedicinePractitioner - Hematology 5294008801 Reassigns benefits to 5 organizations

Care Compare profile

Medicare Care Compare
Specialty
Internal MedicineAlso: Hematology
Education
Other, 2014
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Upmc Chautauqua at WcaGroup PAC ID 4385630342, 26 clinicians

Practice addresses (Care Compare)

207 Foote Ave
Jamestown, NY 14701-7077
Phone (716) 487-0141

Hospital & facility affiliations

  • Upmc Chautauqua at Wca Hospital, Jamestown, NY, CCN 330239
  • Brooks-TLC Hospital System, Inc Hospital, Dunkirk, NY, CCN 330229

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
289756NYMDMedical Oncology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Upmc Chautauqua at Wca CurrentSince Jul 25, 2024 Accepting new patients
Memorial Medical Consultation Group Internal Medicine CurrentSince Jul 1, 2017 Accepting new patients
Upmc Chautauqua at Wca CurrentSince Jul 25, 2024 Accepting new patients
MSK Harrison Medical Oncology CurrentSince May 8, 2019 Accepting new patients
North Shore Health System Medical Faculty Group Practice Inc CurrentSince Aug 11, 2022 Accepting new patients
Memorial Solid Tumor Group Internal Medicine CurrentSince Oct 7, 2017 Accepting new patients
Upmc Chautauqua at Wca Past Accepting new patients

Locations

504 Central Ave
Dunkirk, NY 14048
Phone (716) 366-9008

207 Foote Ave
Jamestown, NY 14701
Phone (716) 487-0141

1275 York Ave
New York, NY 10065
Phone (212) 639-3813

450 Lakeville Rd
North New Hyde Park, NY 11042
Phone (516) 321-3000

9525 Queens Blvd
Ste B
Rego Park, NY 11374
Phone (718) 925-6200

500 Westchester Ave
West Harrison, NY 10604
Phone (914) 367-7000

Interoperability endpoints

  • Direct secure messaging: npatail194890@upmc.direct-ci.com

Organizations & group practices 7

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 6

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": "1396828800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1729123200000",
    "number": "1780002782",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "207 FOOTE AVE",
            "city": "JAMESTOWN",
            "state": "NY",
            "postal_code": "147017077"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "207 FOOTE AVE",
            "city": "JAMESTOWN",
            "state": "NY",
            "postal_code": "147017077",
            "telephone_number": "716-485-7472"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PATAIL",
        "first_name": "NABEELA",
        "middle_name": "KHAN",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2014-04-07",
        "last_updated": "2024-10-17",
        "certification_date": "2024-10-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "390200000X",
            "taxonomy_group": "",
            "desc": "Student in an Organized Health Care Education/Training Program",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "207RX0202X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Medical Oncology",
            "state": "NY",
            "license": "289756",
            "primary": true
        },
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "NY",
            "license": "289756",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Jamestown, NY

Sources for this page

Verify at the official NPI Registry.