Active NPI
Abhijeet Asaruba Patil, M.D.
- Family Medicine Physician
- Leominster, MA
National Provider Identifier
1780811463
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Medicine Physician
- License
- 255983
- Practice address
- 60 Hospital Rd
Leominster, MA 01453-2205 - Phone
- (978) 466-4169
- Fax
- (978) 466-4017
- NPI assigned
- Jun 19, 2009
- 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 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Family Medicine Physician | 207Q00000X | 255983 | MA | Primary |
Addresses
Primary practice location
60 Hospital Rd
Leominster, MA 01453-2205
Mailing address
PO Box 415348
Boston, MA 02241-5348
Phone (978) 343-5270
Electronic endpoints 2
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| Direct Messaging Address | apatil23494@UmassMemorial.direct-ci.com | ||
| FHIR URL | https://epicproxy.et0978.epichosted.com/FHIRProxy/api/FHIR/DSTU2/ |
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)
- Enrolled
- Credentials
- Doctor of Medicine
Interoperability endpoints
- apatil23494@umassmemorial.direct-ci.com
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1245369600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1604966400000",
"number": "1780811463",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 415348",
"city": "BOSTON",
"state": "MA",
"postal_code": "022415348",
"telephone_number": "978-343-5270"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "60 HOSPITAL RD",
"city": "LEOMINSTER",
"state": "MA",
"postal_code": "014532205",
"telephone_number": "978-466-4169",
"fax_number": "978-466-4017"
}
],
"practiceLocations": [],
"basic": {
"last_name": "PATIL",
"first_name": "ABHIJEET",
"middle_name": "ASARUBA",
"credential": "M.D.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2009-06-19",
"last_updated": "2020-11-10",
"certification_date": "2020-11-10",
"status": "A"
},
"taxonomies": [
{
"code": "207Q00000X",
"taxonomy_group": "",
"desc": "Family Medicine",
"state": "MA",
"license": "255983",
"primary": true
}
],
"identifiers": [],
"endpoints": [
{
"endpointType": "DIRECT",
"endpointTypeDescription": "Direct Messaging Address",
"endpoint": "apatil23494@UmassMemorial.direct-ci.com",
"affiliation": "N",
"address_1": "60 Hospital Rd",
"city": "Leominster",
"state": "MA",
"country_code": "US",
"postal_code": "014532205",
"country_name": "United States",
"address_type": "DOM"
},
{
"endpointType": "FHIR",
"endpointTypeDescription": "FHIR URL",
"endpoint": "https://epicproxy.et0978.epichosted.com/FHIRProxy/api/FHIR/DSTU2/",
"affiliation": "N",
"address_1": "60 Hospital Rd",
"city": "Leominster",
"state": "MA",
"country_code": "US",
"postal_code": "014532205",
"country_name": "United States",
"address_type": "DOM"
}
],
"other_names": []
}
Other providers in Leominster, MA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 10, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.